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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 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.

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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 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.

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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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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.

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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.

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Confidentiality

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Respectfully tell the doctor that as a fellow physician, you are obligated to maintain patient's confidentiality.

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no consent from patient to disclose their case

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I would advise it is unprofessional and should ask patient concent

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No validation of confidentiality

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Public trust in health should not be broken

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Allowed to check charts once the doctor are confirmed to be involved in that patient's care

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Allowed to check charts once the doctor are confirmed to be involved in that patient's care

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E.g. ask the consultant/ patient for consent/ confirmation

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maintain peace among physicians

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respectfully addressed that it would breached the patient's confidentiality and would also refer to the higher position for the valid protocol in getting the charts if still needed

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Confidentiality is a professional behavior

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be sure to obtain patients consent before sharing any of their informations

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confidentiality

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If you are confronting anyone with higher position than you, do it carefully and respectfully

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If you are confronting anyone with higher position than you, do it carefully and respectfully

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honesty/integrity

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compassion, honesty/integrity

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not calling him out in front of other doctors/ patients but may confront later in private?

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Although I know the result is ready, I might not embarrass the person by pointing out the mistake in front of everyone, instead, letting the person knows, afterwards that the result is ready?

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patient has sepsis --> culture result very important + time-sensitive --> not telling about this --> delay --> possible harm (you are not acting in patient's best interest)

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the resident should have told the truth so immediate action can be taken as sepsis is a serious case

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be truthful even if the truth hurts

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Institutional level: promote positive safety culture and transparency in communication between staffs and staffs-patients

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Institutional level: promote positive safety culture and transparency in communication between staffs and staffs-patients

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Covering up is unprofessional and could be learned and become a habit, the this could be brought up in private conversation with the doctor in issue.

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Loss of public trust

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unethical practices; breach of confidentiality. lack integrity. dragging not only the hospital's reputation, but the reputation of a professional career in a public view.

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Preventing similar situations in the future

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report to the higher ups for disciplining

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- Negative comments reflect lack of compassion + protect and respect patient dignity.
- Altruism - lack of obligation to maintain hospital/ other's reputation?
- Revelation of patient's info - not maintain confidentiality

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protecting patients rights to confidentiality

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Report disciplinary committee/ HR manager

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Importance of understanding that stuffs on internet = immortal

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Patient confidentiality should not be breached

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institutional, clearly state to punish/penalise employees who do that

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ranting out the problem in social media equals to sharing out information to the public. the public has a faith and respect towards doctors and seeing how a doctor publicise the information with lack of professionalism, ethics, would defo causing loss of the trust.

not only loss of trust towards the doctor but the medical profession as a whole.

one's is responsible towards the others.

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Staffs should be aware of impact of their behaviours on social media. Not to project/ exhibit unprofessional behaviour that would damage public trust in physician and healthcare as a whole

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Everyone should be aware of their social media misuse

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take down the post asap