e-TBL3 - THP_2_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:04:29 UTC 2021-11-30 09:20:42 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/g33hc7emfym9jadq/wish/1918461332 2021-11-29 17:04:29 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1918461332 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/g33hc7emfym9jadq/wish/1918461339 2021-11-29 17:04:29 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1918461339 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/g33hc7emfym9jadq/wish/1918461344 2021-11-29 17:04:29 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1918461344 Violation of patient's privacy and confidentiality. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919862232 2021-11-30 08:25:32 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919862232 I would stop him from sharing the chart and tell him the importance of maintaining patient's privacy and confidentiality as a part of the medical professionalism commitment. If he does not respond, I will inform the supervisor about this violation. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919865307 2021-11-30 08:27:29 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919865307 As patient privacy is breached trust with the doctor /s will reduce https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919867413 2021-11-30 08:28:46 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919867413 1-To avoid such a behavior from occurring in the future. 2-Maintaining the trust with patients. 3- adhere to medical professionalism commitment. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919869237 2021-11-30 08:29:58 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919869237 Micro: Patient looses trust with the dr, as there is a breach in ethical principles. Meso: the patient will loose trust in with the institution and will not be comfortable to verbalise their 'true' history next time. Macro: regulatory body should insure that information cant be accessed by any staff members other than the ones directly involved with the patient. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919879171 2021-11-30 08:35:54 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919879171 Respecting patient's privacy and confidentiality is important part of the medical professional commitments as it help to build the trust and improve patient centered service. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919879184 2021-11-30 08:35:55 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919879184 Higher consultants need to be reminded of the basic ethical standards also.... not just medical students. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919881540 2021-11-30 08:37:29 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919881540 As a resident i would clarify and state clearly that i haven't seen the results yet... and ask if anyone in the team checked the lab results; this is the true definition of 'working in collaboration'. As a medical student, being part of team makes me eligible to speak inform the physician about the result. Doing so would save the patient and avoid preventable harm. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919896048 2021-11-30 08:46:57 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919896048 Breaching the integrity and the honesty of the medical professionalism commitments. Lying about the results because of inability to check them. This will make the trust with other colleagues become lost. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919896459 2021-11-30 08:47:16 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919896459 To maintain the trust with colleagues and help to maintain the quality of patient centered service. delaying the results and lying because lack of responsibility, could delay the treatment and effect the patient management plan negatively. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919908213 2021-11-30 08:54:41 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919908213 Integrity and honesty are important parts of the medical professional commitments as they help to build the trust and improve patient centered service. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919911462 2021-11-30 08:56:53 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919911462 Micro: the team looses trust with the resident if they find out that he was not being honest. Meso: such malpractice can cause harm to patients that are easily preventable. Macro: society looses trust with the professional in healthcare as they projected dishonest and harmful behaviour. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919911512 2021-11-30 08:56:54 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919911512 Breaching patient's privacy and confidentiality by disclosing their information indirectly. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919920433 2021-11-30 09:03:36 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919920433 Since the information are already posted, I will ask the co-resident to remove them as soon as possible and inform the hospital about it. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919927233 2021-11-30 09:07:36 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919927233 To maintain the patient information privacy and confidentiality, and avoid any further harm that could be done to patient indirectly. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919931077 2021-11-30 09:10:15 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919931077 At micro level: patient loses the trust with the co-resident and feels distressed. At Meso level: Other doctor and nurses will may avoid the co-resident as they may see him/her irresponsible, not trust worthy, disrespectful, and irresponsible. At macro level: could be disciplined because failure to maintain patient's information confidentiality. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919936448 2021-11-30 09:13:35 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919936448 Patient information must be confidential to maintain patient safety and centered quality. All are responsible and should adhere to medical professional commitments. https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919947615 2021-11-30 09:20:42 UTC https://padlet.com/RCSI_MedProf/g33hc7emfym9jadq/wish/1919947615