e-TBL3 - THP_8_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:07:48 UTC 2021-11-30 09:18:28 UTC hello@padlet.com https://padlet.net/icons/png/1f346.png 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/7ow9huwrig1z1dwd/wish/1918469449 2021-11-29 17:07:48 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1918469449 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/7ow9huwrig1z1dwd/wish/1918469451 2021-11-29 17:07:48 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1918469451 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/7ow9huwrig1z1dwd/wish/1918469457 2021-11-29 17:07:48 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1918469457 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919839940 Lack of respect for patient confidentiality]]> 2021-11-30 08:11:09 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919839940 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919844980 Honesty and integrity]]> 2021-11-30 08:14:31 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919844980 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919861953 Ask the consultant why exactly he needs the patient chart for, what purpose will he use it for. ]]> 2021-11-30 08:25:21 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919861953 lack of respect for co-worker trying to uphold and maintain ethical practice https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919865533 2021-11-30 08:27:37 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919865533 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919867037 Patient confidentiality should be maintained and their information is to be shared primarily with staff who are involved in their care]]> 2021-11-30 08:28:34 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919867037 Confront Him 18251935 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919867976 Confront the attending and report about the resident as his delay in reporting the case could be potentially fatal ]]> 2021-11-30 08:29:07 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919867976 Taking Responsibility and Making sure it doesn't happen again 18251935 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919870266 The desired outcome would be for the resident to accountability for his own actions and make sure it doesn't happen again. Maybe even setting up some future training programs or lectures for new incoming residents to make sure this doesn't happen again ]]> 2021-11-30 08:30:40 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919870266 Inform the attending physician, as the patient's safety would be compromised without knowledge of the test results https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919870353 2021-11-30 08:30:43 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919870353 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919871053 Tell the doctor I feel uncomfortable not following the rules ]]> 2021-11-30 08:31:10 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919871053 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919873405 Lack of respect for confidentiality of patient, doctors, nurses, and hospital as a whole]]> 2021-11-30 08:32:39 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919873405 Individual (Micro) 18251935 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919875263 A good word to the resident from a the hospital disciplinary authority (if one exists?) to let him know the potential consequences ]]> 2021-11-30 08:33:49 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919875263 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919875568 Misuse of power and authority (for consultant)]]> 2021-11-30 08:34:03 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919875568 Institutional (Meso) 18251935 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919876762 Set hospital wide policy possibly against such infarctions]]> 2021-11-30 08:34:36 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919876762 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919878109 Explain that until he becomes the patient's doctor, he will have to wait to access the information ]]> 2021-11-30 08:35:10 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919878109 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919878345 Honesty and integrity are crucial as patients trust doctors and rely on them to be truthful]]> 2021-11-30 08:35:21 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919878345 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919878880 while explaining, maintain a courteous relationship with the doctor ]]> 2021-11-30 08:35:42 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919878880 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919879290 that the consultant understands the intentions behind the residents approach and concern with handing over the information]]> 2021-11-30 08:35:59 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919879290 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919880722 Doctors should be aware of patient's test results and check them to make sure the patient receives all relevant information in order to get the best possible care ]]> 2021-11-30 08:36:58 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919880722 Societal (Macro) 18251935 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919881802 Possible policies to be put in place?]]> 2021-11-30 08:37:40 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919881802 Micro 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919881840 Doctors and HCW should uphold their values and resist when someone else tries to disregard it. ]]> 2021-11-30 08:37:41 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919881840 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919882419 The resident not checking and communicating the results of the culture can put patient safety at risk]]> 2021-11-30 08:38:05 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919882419 micro https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919883352 uniform understanding on patient respect and confidentiality between all health care professionals should be upheld ]]> 2021-11-30 08:38:43 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919883352 Confront him 18251935 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919883382 If you know the co-resident, report him to the hospital authorities and let them know what's going on ]]> 2021-11-30 08:38:44 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919883382 Meso 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919883808 Workshops should be put in place at institutions to keep reminding HCW about the rules and how to maintain ethical practice.]]> 2021-11-30 08:39:04 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919883808 Accountability and Change 18251935 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919884068 Ideally the co-resident takes accountability and changes their behaviour ]]> 2021-11-30 08:39:14 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919884068 macro https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919886298 hospital regulatory bodies and ministry of health should put policies/ procedures in place to ensure institutions have access to resources to ensure this aspect of healthcare is maintained appropriately ]]> 2021-11-30 08:40:42 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919886298 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919886776 working in partnership and advocacy ]]> 2021-11-30 08:40:58 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919886776 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919888249 Ask and warn co-resident to delete their post or edit it to omit specific details that can be used to identify patient, staff, or hospital. Remind him that such posts about cases he has seen need to be as vague as possible if posted for educational purposes ]]> 2021-11-30 08:41:49 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919888249 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919889807 Not everyone will practice with integrity, it is our responsibility to maintain our own ]]> 2021-11-30 08:42:49 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919889807 17227232 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919890462 If we resist and change the way we practice, it will have a ripple effect and other people around would also do so ]]> 2021-11-30 08:43:15 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919890462 Co-resident deletes the post and apologize for invasion of privacy and confidenciality https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919890509 2021-11-30 08:43:17 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919890509 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919894314 ask the resident why he didn't have the time this morning (could it be poor time management, laziness or perhaps genuinely could complete all tasks before rounds) 

perhaps have a chat with him about time management and explain the consequences and detrimental effects if something important is missed ]]> 2021-11-30 08:45:45 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919894314 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919895115 Talk to the co-resident privately, and simply ask him to delete the post before escalating the matter further ]]> 2021-11-30 08:46:18 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919895115 https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919900152 Importance of e-professionalism when using social media to post about work-related situations. Posts should not disclose patient or staff information (especially if you don't have consent)]]> 2021-11-30 08:49:47 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919900152 Breaching confidentiality https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919900959 2021-11-30 08:50:15 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919900959 Micro https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919908251 The co-resident was trying to vent or express his feelings/reflect on a negative experience he had at work. However, he should be more mindful about how his detailed description of the situation can breach confidentiality of patient, staff, and hospital. Might put him at risk of losing his job.]]> 2021-11-30 08:54:43 UTC https://padlet.com/RCSI_MedProf/7ow9huwrig1z1dwd/wish/1919908251