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You are final year medical student making rounds with the attending physician and a resident and consult on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found they were positive, but your resident was unable to check the culture results himself before rounds. When asked by the attending physician, the resident replies that the culture results are not yet available.

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You are final year medical student making rounds with the attending physician and a resident and consult on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found they were positive, but your resident was unable to check the culture results himself before rounds. When asked by the attending physician, the resident replies that the culture results are not yet available.

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You are reviewing your recent social media messages and notice that a co-resident has written a highly negative comment about a patient’s situation. There was no mention of the patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians being described.

# data[].attributes.subject
You are reviewing your recent social media messages and notice that a co-resident has written a highly negative comment about a patient’s situation. There was no mention of the patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians being described.

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Dr Ahmed, a consultant from another department approaches you (as a resident) and wants to check Mrs. P’s chart. Because she is not his patient, you’re uncertain whether you’re allowed to share it with them. But the physician insists you to give him  the chart anyway, as he may have a reason in the near future to see the patient and tells you not to get upset.

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Dr Ahmed, a consultant from another department approaches you (as a resident) and wants to check Mrs. P’s chart. Because she is not his patient, you’re uncertain whether you’re allowed to share it with them. But the physician insists you to give him  the chart anyway, as he may have a reason in the near future to see the patient and tells you not to get upset.

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Lack of respect for patient confidentiality

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Honesty and integrity

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Ask the consultant why exactly he needs the patient chart for, what purpose will he use it for.

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lack of respect for co-worker trying to uphold and maintain ethical practice 

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lack of respect for co-worker trying to uphold and maintain ethical practice 

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Patient confidentiality should be maintained and their information is to be shared primarily with staff who are involved in their care

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Confront the attending and report about the resident as his delay in reporting the case could be potentially fatal

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Taking Responsibility and Making sure it doesn't happen again

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Taking Responsibility and Making sure it doesn't happen again

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The desired outcome would be for the resident to accountability for his own actions and make sure it doesn't happen again. Maybe even setting up some future training programs or lectures for new incoming residents to make sure this doesn't happen again

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Inform the attending physician, as the patient's safety would be compromised without knowledge of the test results 

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Inform the attending physician, as the patient's safety would be compromised without knowledge of the test results 

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Tell the doctor I feel uncomfortable not following the rules

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Lack of respect for confidentiality of patient, doctors, nurses, and hospital as a whole

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A good word to the resident from a the hospital disciplinary authority (if one exists?) to let him know the potential consequences

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Misuse of power and authority (for consultant)

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Set hospital wide policy possibly against such infarctions

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Explain that until he becomes the patient's doctor, he will have to wait to access the information

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Honesty and integrity are crucial as patients trust doctors and rely on them to be truthful

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while explaining, maintain a courteous relationship with the doctor

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that the consultant understands the intentions behind the residents approach and concern with handing over the information

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Doctors should be aware of patient's test results and check them to make sure the patient receives all relevant information in order to get the best possible care

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Possible policies to be put in place?

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Doctors and HCW should uphold their values and resist when someone else tries to disregard it.

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The resident not checking and communicating the results of the culture can put patient safety at risk

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uniform understanding on patient respect and confidentiality between all health care professionals should be upheld

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If you know the co-resident, report him to the hospital authorities and let them know what's going on

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Workshops should be put in place at institutions to keep reminding HCW about the rules and how to maintain ethical practice.

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Ideally the co-resident takes accountability and changes their behaviour

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hospital regulatory bodies and ministry of health should put policies/ procedures in place to ensure institutions have access to resources to ensure this aspect of healthcare is maintained appropriately

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working in partnership and advocacy

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Ask and warn co-resident to delete their post or edit it to omit specific details that can be used to identify patient, staff, or hospital. Remind him that such posts about cases he has seen need to be as vague as possible if posted for educational purposes

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Not everyone will practice with integrity, it is our responsibility to maintain our own

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If we resist and change the way we practice, it will have a ripple effect and other people around would also do so

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Co-resident deletes the post and apologize for invasion of privacy and confidenciality 

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Co-resident deletes the post and apologize for invasion of privacy and confidenciality 

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ask the resident why he didn't have the time this morning (could it be poor time management, laziness or perhaps genuinely could complete all tasks before rounds)

perhaps have a chat with him about time management and explain the consequences and detrimental effects if something important is missed

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Talk to the co-resident privately, and simply ask him to delete the post before escalating the matter further

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Importance of e-professionalism when using social media to post about work-related situations. Posts should not disclose patient or staff information (especially if you don't have consent)

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The co-resident was trying to vent or express his feelings/reflect on a negative experience he had at work. However, he should be more mindful about how his detailed description of the situation can breach confidentiality of patient, staff, and hospital. Might put him at risk of losing his job.