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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.

# data[].attributes.subject
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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the physician should not be allowed to see the chart. it is not his patient and it goes against confidentiality

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the physician should not be allowed to see the chart. it is not his patient and it goes against confidentiality

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inform the physician that he cannot see the chart

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inform the physician that he cannot see the chart

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The information is private and shouldn't be given out without consent

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Explain the concerns you have and be firm with your decision

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Not comfortable sharing it

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meso-goes againt hospital rules
macro-goes against code of ethics

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After communicating your concerns, the physician understands and respects the decision

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Patient is happy that we didn't breach his information 

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Patient is happy that we didn't breach his information 

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Sharing information even with fellow doctors can be a breach of confidentiality.

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resident is lying and could put patient in more harm

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resident is lying and could put patient in more harm

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Private information should be shared amongst the professionals in charge

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say the resident is incorrect and to check cultures again

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say the resident is incorrect and to check cultures again

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talk to resident and tell them do not lie. it harms you and the patient. put your ego to the side

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talk to resident and tell them do not lie. it harms you and the patient. put your ego to the side

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lack of integrity and dishonesty

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patient confidentiality displayed on social media

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patient confidentiality displayed on social media

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Communicate the concerns properly by talking privately

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talk to person who put it on social media to take it down and dont do it again

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talk to person who put it on social media to take it down and dont do it again

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Report to higher authority because sepsis need fast acting and the patient was in real danger 

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Report to higher authority because sepsis need fast acting and the patient was in real danger 

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Regardless of the position, sometimes you have to advocate for the health of the patient and be honest- builds trust in the relationship

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Communication errors

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Carefully think before posting information which involves the patient, hospital or even your scrubs

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Micro- communication error

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Careful while posting content on social media- might affect the privacy of patient, reputation of doctors and the hospital

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Individual: patient's confidential information is shared without consent

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Institutional: reputation of the hospital is negatively affected. Breaks rules and regulations
Societal: trust of the people broken and integrity of profession?

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Intuitional: Might affect patient's condition and health negatively

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Societal: Trust broken

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Confidential and trust of the patient broken

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Maybe the doctor might be busy or didnt have the time to check the charts beforehand due to another patient. They may not be lying but just didn't receive the information

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Communicate that the results are back- inform the doctor privately and they understand and relay it to the patient