e-TBL3 - THP_3_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:04:58 UTC 2021-11-30 09:04:12 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/7g49w9o0d5a0mqqe/wish/1918462561 2021-11-29 17:04:58 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1918462561 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/7g49w9o0d5a0mqqe/wish/1918462568 2021-11-29 17:04:58 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1918462568 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/7g49w9o0d5a0mqqe/wish/1918462571 2021-11-29 17:04:58 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1918462571 confidentiality https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919858602 2021-11-30 08:23:06 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919858602 Lying about patients status can create debilitating problems and reduce trust between colleagues https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860130 2021-11-30 08:24:08 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860130 ask my consultant about what to do https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860784 2021-11-30 08:24:35 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860784 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860793 Confidentiality ]]> 2021-11-30 08:24:36 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860793 I would politely decline thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860947 2021-11-30 08:24:42 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919860947 maintain patient confidentiality https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919861103 2021-11-30 08:24:49 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919861103 no consent taken from the patient https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919861267 2021-11-30 08:24:56 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919861267 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919861488 breach in patient confidentiality]]> 2021-11-30 08:25:02 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919861488 Gain consent from patient and then give him the chart thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862043 2021-11-30 08:25:24 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862043 Issues like these must be kept private and not diclosed publicly on social media. Breaches patient confidentiality. https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862336 2021-11-30 08:25:36 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862336 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862630 I will apologize and refuse to say until I am certain about whom I can share the information with]]> 2021-11-30 08:25:49 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862630 lack of integrity https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862711 2021-11-30 08:25:52 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919862711 Tell co-resident to own up to his mistake and take the comment down https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863536 2021-11-30 08:26:20 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863536 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863632 Respect patient’s confidentiality and privacy]]> 2021-11-30 08:26:24 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863632 I would speak to resident privately. If that fails, I will speak to attending https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863682 2021-11-30 08:26:26 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863682 patients' confidentiality https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863760 2021-11-30 08:26:29 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863760 Ask the sender to delete his message, acknowledge his breach in confidentiality, and explain why it was wrong. 18256601 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863792 2021-11-30 08:26:31 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919863792 patient safety is the top priority https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919864119 2021-11-30 08:26:43 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919864119 Micro - politely decline and would get back to him after getting consent from patient thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919864203 2021-11-30 08:26:47 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919864203 maintain patient confidentiality https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919865601 2021-11-30 08:27:39 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919865601 Meso - inform team that patient charts must be viewed with patients permission thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919865976 2021-11-30 08:27:53 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919865976 meso - regulations to protect patients' privacy https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919866060 2021-11-30 08:27:56 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919866060 Avoid all patient info discussion, Negative or positive, which can expose vital information and breach confidentiality from here on out. Further, there needs to be a clear adaptation of a growth mindset in place by all participants in that group to acknowledge why that was wrong and why that behavior shouldn't have been cultivated and allowed. 18256601 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919867914 2021-11-30 08:29:05 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919867914 I would speak up and mention that I checked Mr Johnson's blood culture results and they were positive thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919868069 2021-11-30 08:29:11 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919868069 lack of honesty - resident should have mentioned that he didn't check and will get back thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919868753 2021-11-30 08:29:40 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919868753 lack of honesty https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919868842 2021-11-30 08:29:44 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919868842 Honest communication with the team thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919869202 2021-11-30 08:29:57 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919869202 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870207 Dishonesty and untrustworthiness ]]> 2021-11-30 08:30:38 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870207 speak up, and of he insisted I would seek help from higher authority https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870306 2021-11-30 08:30:41 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870306 Micro - I would speak up about the results thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870820 2021-11-30 08:31:00 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870820 Using place of higher position to control residents into committing ethics violations 18256601 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870856 2021-11-30 08:31:02 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919870856 best outcome for the patient https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919871541 2021-11-30 08:31:30 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919871541 Meso - talk to the resident privately about their misconduct and if not the consultant thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919872304 2021-11-30 08:31:57 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919872304 truthfulness both in communication with patients and colleagues https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919873337 2021-11-30 08:32:36 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919873337 Aside from declining, there needs to be a notice placed administratively against the doctor in order to ensure this behavior isn't then replicated with other residents who may fall under pressure. 18256601 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919873715 2021-11-30 08:32:48 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919873715 Macro- Educate the team about being honest in terms of communication and to speak up for any misconduct thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919873905 2021-11-30 08:32:58 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919873905 ask him in private to delete it, if not, seek higher authority https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919874790 2021-11-30 08:33:33 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919874790 It's hard to deny someone in higher authority and may have influence over your future career. But it is our duty as doctors to maintain our patient centered care which will benefit us in the long run. 18256601 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919876097 2021-11-30 08:34:20 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919876097 Micro - politely ask the co-resident to delete his post due to breech of patient confidentiality thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919877500 2021-11-30 08:34:48 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919877500 While it may be awkward to blatantly call out someone or outshine someone in a higher position, patient health and wellbeing take priority, always. 18256601 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919880855 2021-11-30 08:37:04 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919880855 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919881149 Failure to respect patient’s confidentiality ]]> 2021-11-30 08:37:15 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919881149 Meso - If he doesn't respond, I would inform the team involved to raise concern thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919881696 2021-11-30 08:37:36 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919881696 it is important to be honest with your colleagues when discussing things such as lab results because being dishonest may hinder the patient's safety https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919881748 2021-11-30 08:37:38 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919881748 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919882465 Tell the resident to delete his comment ]]> 2021-11-30 08:38:07 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919882465 It's our responsibility to take care of patient's rights thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919883842 2021-11-30 08:39:05 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919883842 It's easy to ignore "locker room" type chats in social settings like on social media group chats. As HCP however, peoples physical and psychological health is our priority and thereby confidentiality must be maintained at all times and at any place. 18256601 https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919884034 2021-11-30 08:39:13 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919884034 Gossip should not be encouraged, especially if it contains identifiable data. Confidentiality of the team should also be maintained thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919885895 2021-11-30 08:40:25 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919885895 Macro - Regulatory body can spread awareness of HCPs being professional online thinkscienceariel https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919890171 2021-11-30 08:43:04 UTC https://padlet.com/RCSI_MedProf/7g49w9o0d5a0mqqe/wish/1919890171