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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.

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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.

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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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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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explain that you must maintain confidentiality 

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explain that you must maintain confidentiality 

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you do not share pt info and the doctor respects that

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you do not share pt info and the doctor respects that

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keeping in mind respect and integrity i wouldn't share the chart 

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keeping in mind respect and integrity i wouldn't share the chart 

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speak to a higher level for patients privacy

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speak to a higher level for patients privacy

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first, I would ask the consultant to explain his concerns. If he had valid points and the patient was at risk, then i will explain that to the patient, and gain their consent it its fine to share their information with the consultant

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first, I would ask the consultant to explain his concerns. If he had valid points and the patient was at risk, then i will explain that to the patient, and gain their consent it its fine to share their information with the consultant

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Respect for the patients privacy and wishes as he didn't consent 

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Respect for the patients privacy and wishes as he didn't consent 

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patients respect and trust to healthcare professionals would be affected

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patients respect and trust to healthcare professionals would be affected

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micro: tell the doctor your duty to the pt

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micro: tell the doctor your duty to the pt

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macro: duty to respect and maintain confidentiality 

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macro: duty to respect and maintain confidentiality 

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Macro: Perhaps issue reaches ministerial level or court due to breach in privacy

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Macro: Perhaps issue reaches ministerial level or court due to breach in privacy

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Co-resident deleting his commenting and apologizing 

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Co-resident deleting his commenting and apologizing 

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I might talk to the co-resident and ask him to delete his comment, talk to the appropriate person, and reflect on what he did.

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I might talk to the co-resident and ask him to delete his comment, talk to the appropriate person, and reflect on what he did.

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patients' safety was disregarded by the resident. 

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patients' safety was disregarded by the resident. 

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inform the attending physician that the results were out, as sepsis is a medical emergency. once the patient is stabilised, report the resident 

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inform the attending physician that the results were out, as sepsis is a medical emergency. once the patient is stabilised, report the resident 

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Micro: the co-resident is trying to express his feelings in the wrong way, affecting other people. The co-resident must always apply his professional attitude at any time and cost. 

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Micro: the co-resident is trying to express his feelings in the wrong way, affecting other people. The co-resident must always apply his professional attitude at any time and cost. 

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Call him out on his dishonestly, "whistleblower", for the sake of the patient and his safety, and accepting whatever consequences.

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Call him out on his dishonestly, "whistleblower", for the sake of the patient and his safety, and accepting whatever consequences.

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Meso: there should be good communication between the institution and the healthcare workers to make sure everything is fine. Also, the institution (hospital in this case) has to always check on and remind  the doctors about the rules and professional behavior. 

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Meso: there should be good communication between the institution and the healthcare workers to make sure everything is fine. Also, the institution (hospital in this case) has to always check on and remind  the doctors about the rules and professional behavior. 

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Desired Outcome would be telling the truth by the resident even if he didnt do his job properly he should accept whatever punishment instead of lying and risking the patient

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Desired Outcome would be telling the truth by the resident even if he didnt do his job properly he should accept whatever punishment instead of lying and risking the patient

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Honesty, truthfulness, duty of care, patient-centered care etc.

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Honesty, truthfulness, duty of care, patient-centered care etc.

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Micro: resident tardiness, lazy and dishonest, slacking and risking safety 

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Micro: resident tardiness, lazy and dishonest, slacking and risking safety 

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Meso: The institute must take strict disciplinary action against the resident considering how serious sepsis is and the risk.

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Meso: The institute must take strict disciplinary action against the resident considering how serious sepsis is and the risk.

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The resident should raise his concerns to the right person and who is in charge. 

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The resident should raise his concerns to the right person and who is in charge. 

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Societal: Dismantle this dishonest culture of lying

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Societal: Dismantle this dishonest culture of lying

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As future doctors, never let our feelings and concerns affect our professional behavior. Our professional behavior should be the influencer and not the opposite.

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As future doctors, never let our feelings and concerns affect our professional behavior. Our professional behavior should be the influencer and not the opposite.

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we always need to keep patients safety, privacy and confidentiality as a priority. We should never breach their confidentiality regardless of what happens

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we always need to keep patients safety, privacy and confidentiality as a priority. We should never breach their confidentiality regardless of what happens