e-TBL3 - THP_6_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/d3iahtz214i30htr THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:06:48 UTC 2026-03-17 09:39:29 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/d3iahtz214i30htr/wish/1918467040 2021-11-29 17:06:48 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1918467040 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/d3iahtz214i30htr/wish/1918467042 2021-11-29 17:06:48 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1918467042 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/d3iahtz214i30htr/wish/1918467044 2021-11-29 17:06:48 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1918467044 patient's Confidentiality https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919876356 2021-11-30 08:34:28 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919876356 Confidentiality Breach +Hierarchy pressure https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919878676 2021-11-30 08:35:33 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919878676 will refuse to give him the information https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919878818 2021-11-30 08:35:39 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919878818 patient's privacy respected https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919880392 2021-11-30 08:36:42 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919880392 Politely decline, explain rationale behind behavior, further investigate the matter. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919883795 2021-11-30 08:39:03 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919883795 doctors must respect patient's privacy (micro), must harshly implement the rules for patient privacy(meso), people must understand that every individual conditionality must be protected https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919885357 2021-11-30 08:40:03 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919885357 patient's privacy must be respected https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919885844 2021-11-30 08:40:23 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919885844 Physician appreciates my professional behavior, accepts my response then accesses the chart after he acquires consent. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919887866 2021-11-30 08:41:34 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919887866 the resident wasnt honest https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919888135 2021-11-30 08:41:45 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919888135 i will tell the attending that the result are ready and they are positive https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919888919 2021-11-30 08:42:15 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919888919 that every doctor is honest about what he knows and what he dont know https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919889771 2021-11-30 08:42:47 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919889771 doctors must be honest, hospital culture must be forgiving and not judgmental, same with society https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919892479 2021-11-30 08:44:38 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919892479 Patient Confidentiality is susceptible to breach during routine interaction of health providers, measures should be placed to increase resistance to unauthorized information access. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919892827 2021-11-30 08:44:50 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919892827 honesty is an integral part of being a good doctor https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919893223 2021-11-30 08:45:02 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919893223 Lack of honesty and Decreased competence https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919894294 2021-11-30 08:45:44 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919894294 patient's information/confidentiality is breached https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919894928 2021-11-30 08:46:12 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919894928 will talk to the resident first if he didnt delete the comment ill inform the hospital https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919896659 2021-11-30 08:47:24 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919896659 I will attempt communicating with the resident, try to understand the factors that lead to him being unable to check the results, advice and support him, then ask him to inform the attending about the results. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919898602 2021-11-30 08:48:44 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919898602 that patient's information must be protected https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919898720 2021-11-30 08:48:49 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919898720 Ideally, the resident would be honest that he didn't check the results, explain his behavior to the attending,attending physician excuses behavior , measures placed to prevent similar future occurrences https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919901408 2021-11-30 08:50:33 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919901408 A lack of capacity to be responsible, could lead to subsequent reduction in honesty, thus a forgiving supportive environment is key to maintaining both competence and honesty. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919904450 2021-11-30 08:52:36 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919904450 Disrespect, confidentiality breach. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919908117 2021-11-30 08:54:38 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919908117 Attempt to communicate with the resident, try to discuss the matter with him/her, explain the importance of removing the comment and the consequences of behavior, assess for response, when found consistently unresponsive, id inform the authorities within the hospital. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919912826 2021-11-30 08:57:53 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919912826 Resident would acknowledge the consequences of his action, clearly show remorse and attempt reversing action. https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919917192 2021-11-30 09:01:09 UTC https://padlet.com/RCSI_MedProf/d3iahtz214i30htr/wish/1919917192