TLE 3 Group_1.Sem2 by Eric Clarke https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1 THP_12_Case scenario discussion on themes of professionalism in practice en-us 2022-02-22 20:46:07 UTC 2022-04-06 12:03:58 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/9teun4ohuc6kuce1/wish/2061376542 2022-02-22 20:46:07 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2061376542 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/9teun4ohuc6kuce1/wish/2061376554 2022-02-22 20:46:07 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2061376554 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/9teun4ohuc6kuce1/wish/2061376558 2022-02-22 20:46:07 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2061376558 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132434122 Patient confidentiality- patient is not under their care
Ethical practice- we don't know what he wants with the charts
Communication- disrespectful, if he has a legitimate reason to obtain the charts, this needs to be stated


]]> 2022-04-06 11:28:44 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132434122 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132438645 Communication- ask why he wants the chart. Ask consultant for advice and whether dr. Ahmed was consulted regarding the patient
Respectfully decline to give the chart and state your reasons for not giving in to their request
Peer support- ask if this is a persistent behaviour 
If this is a persistent behaviour, this may be reported to the line manager



]]> 2022-04-06 11:33:02 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132438645 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132441430 Chart is not given unless there was a proper reason and the right channels for obtaining the chart were utilised.
Avoid conflict]]> 2022-04-06 11:35:48 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132441430 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132442346 Meso- contact line manager if this is a persistent behaviour]]> 2022-04-06 11:36:39 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132442346 create hospital protocols for obtaining patient charts https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132443407 2022-04-06 11:37:40 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132443407 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132444375 Ethical practice- unethical to withhold information that may be important for directing the patients care
Altruism- actions should be for the benefit of the patient
Advocacy for the patient
Patient centred care]]> 2022-04-06 11:38:28 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132444375 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132444796 micro - consultants should not speak to residents in such a disrespectful manner; create training to ensure more respectful behaviour irrespective of rank
 ]]> 2022-04-06 11:38:54 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132444796 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132446145 communication, honesty & integrity - resident was dishonest]]> 2022-04-06 11:40:09 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132446145 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132448411 Tell the attending physician about the culture results.
Don't throw anyone under the bus for not knowing the results of the culture
Resident should be honest and say that he hadn't checked the culture


]]> 2022-04-06 11:42:00 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132448411 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132451898 Results are communicated to consultant
Sepsis-6 is commenced in a timely manner
If this is a persistent behaviour where results arent being communicated, a private conversation with the consultant may be necessary.
The resident may need support, depending on your relationship with the resident you may be able to mention it to them directly]]> 2022-04-06 11:44:42 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132451898 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132456803 Individual- does the resident need support or advice about communicating on ward rounds. 
Institution- could a system be put in place to alert doctors about results that need to be checked quickly e.g cultures, troponin --> QI
Council- unless this is a recurring incident that is causing or could cause serious harm, escalation to a governing body would not be warranted yet. ]]> 2022-04-06 11:48:49 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132456803 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132465831 Patient confidentiality - the patient may be able to be identified from that information
Ethical practice- unethical (above)
Altruism - disparaging remarks about others 
Communication- this isn't the place to be discussing a patient information
Reflects badly on the profession


]]> 2022-04-06 11:56:12 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132465831 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132467894 Report to medical council for lack of e-professionalism 
Report to facebook or whatever social media platform
Message them to remove the post

]]> 2022-04-06 11:57:54 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132467894 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132470520 E-professionalism training and reflective practice on their actions
Open disclosure - inform the patient that their information may have been leaked online
Apologise that this happened to them and inform them on the actions that were taken to remediate the problem]]> 2022-04-06 11:59:59 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132470520 https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132475727 Individual- doctor needs to reflect on what has happened, understand how it was unethical, receive training on e-professionalism to ensure it doesn't happen again
Institution- Suspension, investigation, training for staff on how to raise concerns about patient safety and data protection
Council- GMC referral, fitness to practice hearing possibly]]> 2022-04-06 12:03:58 UTC https://padlet.com/RCSI_MedProf/9teun4ohuc6kuce1/wish/2132475727