e-TBL3 - THP_1_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-08 12:28:22 UTC 2021-11-30 08:56:51 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/d6tkc36ic680ot2j/wish/1874841326 2021-11-08 12:28:22 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1874841326 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/d6tkc36ic680ot2j/wish/1874841328 2021-11-08 12:28:22 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1874841328 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/d6tkc36ic680ot2j/wish/1874841330 2021-11-08 12:28:22 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1874841330 confidentiality https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919860714 2021-11-30 08:24:32 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919860714 do not share the pts chart https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919862549 2021-11-30 08:25:46 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919862549 explain that you must maintain confidentiality https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919863434 2021-11-30 08:26:16 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919863434 Authority https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919863776 2021-11-30 08:26:30 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919863776 you do not share pt info and the doctor respects that https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919863872 2021-11-30 08:26:33 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919863872 keeping in mind respect and integrity i wouldn't share the chart https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919864205 2021-11-30 08:26:47 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919864205 speak to a higher level for patients privacy https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919866144 2021-11-30 08:27:59 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919866144 first, I would ask the consultant to explain his concerns. If he had valid points and the patient was at risk, then i will explain that to the patient, and gain their consent it its fine to share their information with the consultant https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919866348 2021-11-30 08:28:07 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919866348 Unprofessional interaction, confidentiality https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919866819 2021-11-30 08:28:26 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919866819 Respect for the patients privacy and wishes as he didn't consent https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919867416 2021-11-30 08:28:46 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919867416 patients respect and trust to healthcare professionals would be affected https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919868286 2021-11-30 08:29:20 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919868286 micro: tell the doctor your duty to the pt https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919871220 2021-11-30 08:31:17 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919871220 meso: tell your supervisor https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919871833 2021-11-30 08:31:42 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919871833 macro: duty to respect and maintain confidentiality https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919872615 2021-11-30 08:32:08 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919872615 Macro: Perhaps issue reaches ministerial level or court due to breach in privacy https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919873152 2021-11-30 08:32:29 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919873152 Patient Privacy https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919873824 2021-11-30 08:32:54 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919873824 Co-resident deleting his commenting and apologizing https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919874305 2021-11-30 08:33:13 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919874305 I might talk to the co-resident and ask him to delete his comment, talk to the appropriate person, and reflect on what he did. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919877304 2021-11-30 08:34:45 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919877304 patients' safety was disregarded by the resident. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919877946 2021-11-30 08:35:04 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919877946 honesty https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919883041 2021-11-30 08:38:31 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919883041 confidentiality https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919883350 2021-11-30 08:38:43 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919883350 inform the attending physician that the results were out, as sepsis is a medical emergency. once the patient is stabilised, report the resident https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919885448 2021-11-30 08:40:06 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919885448 Micro: the co-resident is trying to express his feelings in the wrong way, affecting other people. The co-resident must always apply his professional attitude at any time and cost. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919885599 2021-11-30 08:40:12 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919885599 Patient Safety https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919887327 2021-11-30 08:41:15 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919887327 Call him out on his dishonestly, "whistleblower", for the sake of the patient and his safety, and accepting whatever consequences. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919889298 2021-11-30 08:42:29 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919889298 Meso: there should be good communication between the institution and the healthcare workers to make sure everything is fine. Also, the institution (hospital in this case) has to always check on and remind the doctors about the rules and professional behavior. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919889804 2021-11-30 08:42:49 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919889804 Desired Outcome would be telling the truth by the resident even if he didnt do his job properly he should accept whatever punishment instead of lying and risking the patient https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919890480 2021-11-30 08:43:16 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919890480 Honesty, truthfulness, duty of care, patient-centered care etc. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919891346 2021-11-30 08:43:51 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919891346 Micro: resident tardiness, lazy and dishonest, slacking and risking safety https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919893249 2021-11-30 08:45:03 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919893249 no integrity https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919894316 2021-11-30 08:45:45 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919894316 Meso: The institute must take strict disciplinary action against the resident considering how serious sepsis is and the risk. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919894572 2021-11-30 08:45:56 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919894572 The resident should raise his concerns to the right person and who is in charge. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919894777 2021-11-30 08:46:05 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919894777 Societal: Dismantle this dishonest culture of lying https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919897031 2021-11-30 08:47:41 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919897031 Disclosure of Patient Information https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919897688 2021-11-30 08:48:05 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919897688 As future doctors, never let our feelings and concerns affect our professional behavior. Our professional behavior should be the influencer and not the opposite. https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919899308 2021-11-30 08:49:12 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919899308 we always need to keep patients safety, privacy and confidentiality as a priority. We should never breach their confidentiality regardless of what happens https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919901842 2021-11-30 08:50:51 UTC https://padlet.com/RCSI_MedProf/d6tkc36ic680ot2j/wish/1919901842