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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 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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Professional Issues/ Problems:
Patient Centered Care is not followed as the intern is putting themselves first.
Working In partnership: the intern is affecting colleagues and team
Poor Communication
Integrity and Honesty: he is not doing his duties as a medical professional
Ethical Practice

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Who: Intern

What: Limit party to the weekends/ days that don't coincide with work schedule (i.e partying when not on shift the next morning)

How: Have another intern hold you accountable. Consider seeking therapy. Consider alternative social plans.

When: As of now

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Try to stop staying up late so you can go into work on time.

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Less Stress
More time management
Not affecting job/colleagues

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Individual: Consider consequences of drinking on work
Institutional: Factors causing interns to burnout/seek unhealthy coping mechanisms
Council/ Societal: Drinking cultural issues and prevalence within society

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Working in Partnership
Alturism
Compassion
Patient Centred Care

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Teach the colleague on how to be more efficient

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The patient gets the proper care and the work gets done and the fellow intern learns how to be more efficient causing a healthier workplace culture.

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Individual: stay and help to teach, reflect on how you see your colleagues

Institutional: Add training to be more efficient and promote a more collaborative work culture

Macro: look at how culture could be uplifted within the hospital or if there are barriers to interns finishing the work on time

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integrity
altruism
honesty
patient-centred care

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evidence based practice

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Implement a morning handover at the peripheral hospital based on the model of the previous hospital you were at. Have heads of departments from both hospitals meet and collaborate.

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Start talking to other doctors and see if they have had one in the past then approach ward manager and then talk to quality and improvement office.

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Individual: Talk to collleagues about implementing a handover

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Institutional: Mandate practice of handovers across hospital (add policy)

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Council: HSE having requirements to complete handovers and inquiring why they are understaffed and overworked

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Patient centred care is essential to ensure that the patient's health comes first. Achieving a model of patient centred care requires working in collaboration with others, altruism, and more professionalism strategies