# data[].attributes.headline
You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

# data[].attributes.subject
You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

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You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

# data[].attributes.subject
You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

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You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

# data[].attributes.subject
You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

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Reflect on action and the consequences on others - colleagues and patients

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- lack of selfcare - not in a state for maximum productivity
- not working in partnership with colleagues - ineffective member of team
- lack of selfawareness - repetition of poor behaviour
- lack of reflective practice - hasn't thought about his actions. kept repeting

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apologise and ask for feedback from colleagues

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Learn to properly schedule their personal and professional lives, so as to not sabotage either

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- starting on time everyday
- more professional beahvior- be a part of the team.
- efficient care provided - no delays etc

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- individual: more reflective behavior , getting help, think about ways to improve
- institutional: monitoring and disciplinary action
-organisations: conduct checks to monitor behaviour of interns regularly

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- working in partnership: friend needs help
- compassion: need to understand their feelings
- Altruism: think about others and try to help them improve

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Short term: stay and help patient (patient's best interest and safety)
Log-term: Help colleague to improve

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Colleague's performance improves

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- Improving colleague's performance
- helping to make sure colleague's competent

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Better teamwork

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Better task delegation

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Tell colleague that they can come to you for help

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Individual : Improve competence, learn from other colleagues, be more helpful

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Institution : provide support for struggling students, and educate students, monitor performance

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Council : review of curriculum (why is the student keep on failing?), take into consideration different student's capabilities, listen to feedback from students

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Integrity : to act in patient's best interests

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Lack of communication : bad case handovers

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Altruism : doing your duty for the sole purpose of other people and their well-being

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Continuous improvement ; deficit in leadership of the hospital management which affects the quality of service to patients

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Try to improve the situation despite being there for only 6 months;
Improving communication
Raise the issue to a more senior staff
Believe in the cause and hold your ground

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Patient's best interests: make sure basic needs of patients are met - meals on time etc

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Better case handover and management
Better communication and delivery of patient-centered care
Better Quality Improvement system to handle issues

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Individually : take initiative and be brave to raise important issues
Institution : Be open to accepting and managing complaint, support complainant
Council : Measure improvement outcomes

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Lack of integrity

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Limit-socialisation and better work-life balance

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partnership to better patient care

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Discuss what's the most effective way to get tasks done

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Importance of work-life balance; you're allowed a personal life but it shouldn't interfere with your professional life

Integrity

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Look after and help each other

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Positive culture which results in systematic improvement and better patient care