TLE 3 Group_5_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-09 12:15:27 UTC 2021-12-01 13:12:00 UTC hello@padlet.com https://padlet.net/icons/png/1f353.png You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that 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/7k0hram0tsrhafnh/wish/1878032821 2021-11-09 12:15:27 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1878032821 Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied. RCSI_MedProf https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1878032826 2021-11-09 12:15:27 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1878032826 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 specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were being described. RCSI_MedProf https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1878032827 2021-11-09 12:15:27 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1878032827 breaching confidentiality of patient zakariamohd11 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922636282 2021-12-01 12:34:30 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922636282 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922636382 Lack of communication as Dr Ahmed did not give a valid reason for checking the chart

]]> 2021-12-01 12:34:35 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922636382 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922640397 Lack of reflective practice as the consultant undermines with "Fine give me the charts anyway"]]> 2021-12-01 12:36:41 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922640397 Dishonest about why he needs to use the graph zakariamohd11 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922640963 2021-12-01 12:37:00 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922640963 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922641219 Lack of integrity

]]> 2021-12-01 12:37:11 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922641219 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922641907 Not give him the charts and/or ask for a valid reason for viewing them]]> 2021-12-01 12:37:38 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922641907 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922645312 If he continues this behaviour report him to someone higher up]]> 2021-12-01 12:39:45 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922645312 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922646623 That patient confidentiality would not be breached]]> 2021-12-01 12:40:34 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922646623 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922647412 That the consultant would reflect on their own behaviour and recognise what went wrong]]> 2021-12-01 12:41:04 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922647412 The charts did not go into the wrong hands zakariamohd11 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922647537 2021-12-01 12:41:09 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922647537 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922649939 On an individual level patient confidentiality could be breached and you as an individual are put in a difficult position]]> 2021-12-01 12:42:37 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922649939 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922651935 Lack of honesty and integrity from the resident's part ]]> 2021-12-01 12:43:49 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922651935 working in partnership - speak up if there's a mistake zakariamohd11 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922652949 2021-12-01 12:44:21 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922652949 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922653493 Delay in care

]]> 2021-12-01 12:44:42 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922653493 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922653582 Patient safety compromised and possible delays in patient care]]> 2021-12-01 12:44:46 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922653582 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922654889 Perhaps bring up the matter in an non-conformational way]]> 2021-12-01 12:45:34 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922654889 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922656307 Bring up the matter so that the patient gets best possible care quickly]]> 2021-12-01 12:46:28 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922656307 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922657520 Promoting advocacy and patient centred care by putting the patient on the right treatment and not supporting an environment where someone is blamed]]> 2021-12-01 12:47:12 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922657520 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922659123 Talking with the resident and asking about why he said the results weren't available or why he felt like he could not tell the truth]]> 2021-12-01 12:48:10 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922659123 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922660179 Resident would reflect on their own practice]]> 2021-12-01 12:48:31 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922660179 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922661237 Safe, supportive, welcoming environment in which you can speak up]]> 2021-12-01 12:49:11 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922661237 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922662998 Micro level - patient and best possible care, institutional level - environment in which to raise issues]]> 2021-12-01 12:50:13 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922662998 Confidentiality zakariamohd11 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922671884 2021-12-01 12:55:13 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922671884 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922672985 Lack of working in partnership as this will put your colleagues/healthcare staff in a bad light and also hinder the hospital's reputation which could lead to lack of trust in the public]]> 2021-12-01 12:55:49 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922672985 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922673994 The person who posted it was not acting in a compassionate way]]> 2021-12-01 12:56:23 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922673994 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922674239 lack ethical practice, not preserving patient confidentiality ]]> 2021-12-01 12:56:29 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922674239 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922676105 Bring up the matter with the co-resident first and ask to reflect on their practice and remove the post]]> 2021-12-01 12:57:30 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922676105 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922677190 In case the post is not removed report it on the social media website and to hospital management]]> 2021-12-01 12:58:05 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922677190 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922679116 Advice the co-resident on e-professionalism and hopefully get him to realise their unprofessional behaviour]]> 2021-12-01 12:59:07 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922679116 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922680335 Taking down the post as soon as possible]]> 2021-12-01 12:59:46 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922680335 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922681225 Promoting good communication and aspects of e-professionalism so this does not happen again]]> 2021-12-01 13:00:13 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922681225 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922682427 Making sure that the patient confidentiality is not breached in this case]]> 2021-12-01 13:00:52 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922682427 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922682975 posting about it would not improve the situation]]> 2021-12-01 13:01:02 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922682975 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922683253 Advise resident on how to bring matters of concern to light. By reporting etc - not posting on social media]]> 2021-12-01 13:01:12 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922683253 https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922687489 Micro - individuals that could be recognized from the post, possible patient confidentiality breach, Meso - hospital reputation suffering, Macro - could lead to diminished trust in healthcare on a larger level if the post spreads]]> 2021-12-01 13:03:25 UTC https://padlet.com/RCSI_MedProf/7k0hram0tsrhafnh/wish/1922687489