# data[].attributes.headline
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 specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were 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 specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were being described.

# data[].attributes.headline
Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied.

# data[].attributes.subject
Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied.

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You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that 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.

# data[].attributes.subject
You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that 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.

# data[].attributes.body
Patient confidentiality- patient is not under their care
Ethical practice- we don't know what he wants with the charts
Communication- disrespectful, if he has a legitimate reason to obtain the charts, this needs to be stated

# data[].attributes.body
Communication- ask why he wants the chart. Ask consultant for advice and whether dr. Ahmed was consulted regarding the patient
Respectfully decline to give the chart and state your reasons for not giving in to their request
Peer support- ask if this is a persistent behaviour
If this is a persistent behaviour, this may be reported to the line manager

# data[].attributes.body
Chart is not given unless there was a proper reason and the right channels for obtaining the chart were utilised.
Avoid conflict

# data[].attributes.body
Meso- contact line manager if this is a persistent behaviour

# data[].attributes.headline
create hospital protocols for obtaining patient charts

# data[].attributes.subject
create hospital protocols for obtaining patient charts

# data[].attributes.body
Ethical practice- unethical to withhold information that may be important for directing the patients care
Altruism- actions should be for the benefit of the patient
Advocacy for the patient
Patient centred care

# data[].attributes.body
micro - consultants should not speak to residents in such a disrespectful manner; create training to ensure more respectful behaviour irrespective of rank

# data[].attributes.body
communication, honesty & integrity - resident was dishonest

# data[].attributes.body
Tell the attending physician about the culture results.
Don't throw anyone under the bus for not knowing the results of the culture
Resident should be honest and say that he hadn't checked the culture

# data[].attributes.body
Results are communicated to consultant
Sepsis-6 is commenced in a timely manner
If this is a persistent behaviour where results arent being communicated, a private conversation with the consultant may be necessary.
The resident may need support, depending on your relationship with the resident you may be able to mention it to them directly

# data[].attributes.body
Individual- does the resident need support or advice about communicating on ward rounds.
Institution- could a system be put in place to alert doctors about results that need to be checked quickly e.g cultures, troponin --> QI
Council- unless this is a recurring incident that is causing or could cause serious harm, escalation to a governing body would not be warranted yet.

# data[].attributes.body
Patient confidentiality - the patient may be able to be identified from that information
Ethical practice- unethical (above)
Altruism - disparaging remarks about others
Communication- this isn't the place to be discussing a patient information
Reflects badly on the profession

# data[].attributes.body
Report to medical council for lack of e-professionalism
Report to facebook or whatever social media platform
Message them to remove the post

# data[].attributes.body
E-professionalism training and reflective practice on their actions
Open disclosure - inform the patient that their information may have been leaked online
Apologise that this happened to them and inform them on the actions that were taken to remediate the problem

# data[].attributes.body
Individual- doctor needs to reflect on what has happened, understand how it was unethical, receive training on e-professionalism to ensure it doesn't happen again
Institution- Suspension, investigation, training for staff on how to raise concerns about patient safety and data protection
Council- GMC referral, fitness to practice hearing possibly