e-TBL3 - THP_4_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/69mko0w52oive2bd THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:05:28 UTC 2025-11-13 23:22:17 UTC hello@padlet.com https://padlet.net/icons/png/1f346.png 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. RCSI_MedProf https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1918463818 2021-11-29 17:05:28 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1918463818 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. RCSI_MedProf https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1918463822 2021-11-29 17:05:28 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1918463822 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. RCSI_MedProf https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1918463826 2021-11-29 17:05:28 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1918463826 confidentiality and patient privacy 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919863927 2021-11-30 08:26:35 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919863927 consultant recognizes lapse of professionalism and apologizes to student https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919868366 2021-11-30 08:29:23 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919868366 advise consultant to speak to your direct supervisor beforehand, speak to supervisor directly https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869285 2021-11-30 08:30:01 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869285 ask my senior if it alright to share this information with this other consultant 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869441 2021-11-30 08:30:07 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869441 ethical practice https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869528 2021-11-30 08:30:11 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869528 advocate for patient privacy 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869949 2021-11-30 08:30:28 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919869949 superiors can put you in compromising situations that may be difficult to exercise professionalism esp as a subordinate https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919870910 2021-11-30 08:31:04 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919870910 inform my patient that their information will be shared and ensure that I have their consent. inquire further as to why dr Ahmed wants the chart, and try to anonymize the information if a consult is needed https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919871363 2021-11-30 08:31:24 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919871363 honesty and integrity 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919871758 2021-11-30 08:31:39 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919871758 resident is not exercising honesty and integrity https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919872031 2021-11-30 08:31:49 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919872031 patient-centred care https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919873029 2021-11-30 08:32:24 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919873029 communication is optimized so that the patient receives optimum care while still protecting the patient's privacy https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919873338 2021-11-30 08:32:36 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919873338 consultant follows proper protocol in accessing patient information https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919873501 2021-11-30 08:32:42 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919873501 tell the attending physician that the result is out https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919874038 2021-11-30 08:33:03 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919874038 Consultant realized chart can only be given if report is being given by the existing attending physician, not the medical student in this case, or if they have questions they can discuss informally with the existing attending physician https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919874192 2021-11-30 08:33:09 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919874192 have a discussion with the resident about his behaviour https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919874726 2021-11-30 08:33:30 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919874726 be adherent to your values and morals https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919875026 2021-11-30 08:33:42 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919875026 resident realizes his mistake and makes effort not to repeat it https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919875588 2021-11-30 08:34:04 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919875588 compromises patient confidentiality https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919877673 2021-11-30 08:34:55 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919877673 patient being treated at the soonest possible time 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919877706 2021-11-30 08:34:57 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919877706 resident is spoken to about their unethical and dishonest behaviour 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919879152 2021-11-30 08:35:53 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919879152 Micro: make sure attendings know not to question medical students or ask them to give charts, if information is needed they can ask the attending or discuss the patient with them https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919880496

]]> 2021-11-30 08:36:47 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919880496 promote a culture of openness. If the resident was not able to check the result. He must be able to say that to the consultant. without any reprimand https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919880647 2021-11-30 08:36:54 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919880647 Macro https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919881060 formal process for requesting and accessing patient information which upholds patients confidentiality and privacy and include consent for access of patients information by healthcare professionals and staff/consent renewal]]> 2021-11-30 08:37:11 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919881060 Meso: await for formal report to be given to obtain patient information if required ahead of time https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919881101 2021-11-30 08:37:13 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919881101 communication and collaborative practice 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919881408 2021-11-30 08:37:24 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919881408 request made on an institutional and not an individual level https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919882520 2021-11-30 08:38:09 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919882520 at the institutional level, it must be made aware that any situation like this could be considered as negligence if the patient is not given prompt care 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919883030 2021-11-30 08:38:30 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919883030 tactfully answer that you were able to check the results and they have been released already/came back positive https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919884392 2021-11-30 08:39:28 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919884392 Promote a culture that allows for open communication and constructive criticism as in this case patient care was compromised as proper antibiotics were not given since culture results were not communicated https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919884738 2021-11-30 08:39:41 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919884738 ethical practice https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919889717 2021-11-30 08:42:45 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919889717 discipline would be given to the resident who posted this on social media https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919890011 2021-11-30 08:42:57 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919890011 talk to the co-resident about their unethical behaviour and ask them to remove the post before anyone else from the hospital sees it 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919891211 2021-11-30 08:43:46 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919891211 be aware of what is being posted on social media https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919891745 2021-11-30 08:44:09 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919891745 advocate for patient's safety if feel that it is being compromised https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919893001 2021-11-30 08:44:55 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919893001 alert them that the post should be removed https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919894175 2021-11-30 08:45:39 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919894175 individual: coping mechanisms to deal with stress and frustrations of the job should be put in place so as to change the use of social media as a place to air grievances https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919895578 2021-11-30 08:46:37 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919895578 meso:very strict policies put in place as to social media use in hospital https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919897700 2021-11-30 08:48:05 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919897700 institutional: provide outlets or services that allow physicians and nurses to voice their concerns 18251692 https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919898589 2021-11-30 08:48:43 UTC https://padlet.com/RCSI_MedProf/69mko0w52oive2bd/wish/1919898589