e-TBL3 - THP_5_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8 THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:06:03 UTC 2025-11-10 00:33:15 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/g3soxjiarmqrhtk8/wish/1918465263 2021-11-29 17:06:03 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1918465263 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/g3soxjiarmqrhtk8/wish/1918465270 2021-11-29 17:06:03 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1918465270 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/g3soxjiarmqrhtk8/wish/1918465272 2021-11-29 17:06:03 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1918465272 Breach in patient's confidentiality https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862075 2021-11-30 08:25:26 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862075 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862213 Patient confidentiality. Patient data should be accessed by the relevant caregivers only.]]> 2021-11-30 08:25:31 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862213 confidentality https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862364 2021-11-30 08:25:38 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862364 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862626 Confidentiality breach]]> 2021-11-30 08:25:49 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919862626 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919863233 Discuss with patient's consultant]]> 2021-11-30 08:26:07 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919863233 Talk to your consultant https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919863923 2021-11-30 08:26:35 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919863923 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919864574 Patient's data remains confidential]]> 2021-11-30 08:26:59 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919864574 Tell Dr Ahmed that you aren't comfortable sharing info about the patient with him https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919865022 2021-11-30 08:27:18 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919865022 I would not share the chart with Dr Ahmad, and I would inform my attending https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919866008 2021-11-30 08:27:54 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919866008 confidentiality is maintained https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919866550 2021-11-30 08:28:14 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919866550 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919867672 Patient's data remains confidential and the consultant should understand the issue the lie behind giving up patient's data ]]> 2021-11-30 08:28:56 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919867672 No confidentiality breach https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919868285 2021-11-30 08:29:20 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919868285 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919868375 Patient's confidentiality ]]> 2021-11-30 08:29:23 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919868375 Consultant against professionaism of confidentality not maintained https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919868869 2021-11-30 08:29:45 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919868869 dishonesty https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919870016 2021-11-30 08:30:31 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919870016 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919872209 Dishonesty and mistrust]]> 2021-11-30 08:31:55 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919872209 Integrity and dishonesty https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919872382 2021-11-30 08:32:00 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919872382 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919873079 Reject Dr. Ahmed's request, and confirm with my consultant if my actions were right.]]> 2021-11-30 08:32:26 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919873079 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919873845 From a micro perspective students should not be afraid to advocate for their patients and to communicate any concerns to their seniors.

Meso: the hospital should be a positive culture where concerns are communicated easily and acted upon


]]> 2021-11-30 08:32:56 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919873845 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919873955 to protect the patient's confidentiality and maintain their privacy.]]> 2021-11-30 08:33:00 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919873955 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919874468 Inform the attending that the results are actually available]]> 2021-11-30 08:33:20 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919874468 at the micro level, I should maintain patients’ trust and enable patients to speak honestly and fully about their lives and symptoms without the fear of breach in confidentiality https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919874902 at meso level, the hospital should have protocols and policies in place to protect patient confidentiality and offer annual training to staff to remind them 

at macro, the government should enforce laws that would punish breach of confidentiality ]]> 2021-11-30 08:33:37 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919874902 Ask the resident privately about why they didn't check the results before rounds https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875042 2021-11-30 08:33:43 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875042 CONFIDENTIALITY https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875313 2021-11-30 08:33:51 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875313 Better honesty and integrity from the resident https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875794 2021-11-30 08:34:09 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875794 Tell the truth that you was unable to check https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875948 2021-11-30 08:34:14 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919875948 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919877397 Issue with integrity and honesty  ]]> 2021-11-30 08:34:47 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919877397 I would inform him of the truth https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919878105 2021-11-30 08:35:10 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919878105 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919879142 micro - have a direct conversation with Dr Ahmed/my consultant

meso - the hospital could conduct a seminar/workshop centered about patient's confidentiality

macro - strict rules must be implemented by governmental boards protecting patient's confidentiality, with serious consequences following ]]> 2021-11-30 08:35:53 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919879142 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919880371 Advocate for the patient's safety and be honest no matter what, since trustworthiness is an important aspect tonsure patient's safety and a positive culture for communication.]]> 2021-11-30 08:36:41 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919880371 Professional colleagues must be able to rely on me to be truthful and to act in patients’ best interests at all times. Truthfulness both in communication with patients and colleagues is necessary https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919880466 2021-11-30 08:36:46 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919880466 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919882191 Confidentiality]]> 2021-11-30 08:37:56 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919882191 I would inform the co-resident that its easy to figure out who is being described in his comment and ask him to delete it https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919882234 2021-11-30 08:37:58 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919882234 Better e-professionalism https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919882967 2021-11-30 08:38:28 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919882967 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883138 Discuss with resident, if they refuse to take action then discuss with hospital adminstration]]> 2021-11-30 08:38:35 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883138 Confidentiality is breached https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883452 2021-11-30 08:38:47 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883452 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883576 Integrity]]> 2021-11-30 08:38:53 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883576 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883907 Micro level: doctors should practice honesty at all time and to know its serious impact on patient's safety.

Meso: the hospital should have a clear framework to act upon those who are caught with dishonest behaviours.


]]> 2021-11-30 08:39:08 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919883907 at the micro level, I must be truthful under all and any circumstances https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919885912 at the meso level, the hospital should provide training to ensure professionals are reminded of the expected behavior 

at the macro, there should be laws that protect patient's in such scenario, and open investigations, as this delay could worsens the patient condition and even lead to death]]> 2021-11-30 08:40:26 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919885912 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919887425 Honesty and integrity are considered one of the crucial elements in a doctor, patients are also expecting their doctors to be honest and to advocate for their safety. 

dishonest behaviour could lead to serious issues with patient's safety.  ]]> 2021-11-30 08:41:18 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919887425 reject the request https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919887631 2021-11-30 08:41:25 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919887631 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919888421 Patient's confidentiality is breached ]]> 2021-11-30 08:41:56 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919888421 Integrity and dishonesty https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919888710 2021-11-30 08:42:07 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919888710 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919889260 Without embarrassing the resident, correct him/her and mention that there might have been a misunderstanding and the results are actually available]]> 2021-11-30 08:42:27 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919889260 Confidentiality is breached https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919889358 2021-11-30 08:42:31 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919889358 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919889978 Post containing confidential data should be removed/reworded as to not contain any patient/caregiver identifiers]]> 2021-11-30 08:42:56 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919889978 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919891358 Expecting doctors to act professionally and keep patients information confidential at all time.]]> 2021-11-30 08:43:52 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919891358 I would approach the colleague first and advise them to delete it. If they refuse, I have to bring it up to the attending physcian https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919892035 2021-11-30 08:44:21 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919892035 Doctors need to act professionally as posting anything realting tp patients is unprofessional https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919893247 2021-11-30 08:45:03 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919893247 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919894016 Honesty must be practiced in a healthcare setting.]]> 2021-11-30 08:45:33 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919894016 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919897816 Micro: expecting doctors to act professionally especially in matters that directly affect the patient, to know that information on social media once it's up it is forever there and one should be responsible while using it.]]> 2021-11-30 08:48:10 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919897816 at micro level, I must keep patient confidentiality at all times. https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919898427 at meso, the hospital should be extremely clear and serious about such behaviours 

at macro, this behaviour does not only jeopardises the patient safety healthwise, but also socially. this patient could be a victim of a serious situation and does not want to be known/found. Thus, the government should enforce serious laws that would punish such behaviour]]> 2021-11-30 08:48:36 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919898427 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919901680 Meso: hospital should be clear and have a framework to follow in these cases, where patient's confidentiality is breached to prevent it happening again in the future]]> 2021-11-30 08:50:45 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919901680 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919902814 micro - honesty must be practiced by all healthcare professionals


meso - hospital must ensure honesty is carried out by all its employees

macro - laws must be implemented to ensure integrity in the workplace]]> 2021-11-30 08:51:32 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919902814 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919903738 Patient's confidentiality]]> 2021-11-30 08:52:09 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919903738 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919907579 Acting professionally is expected from doctors even out side on the institution, patient's are trusting them with their information and all actions should be undertaken to prevent its leakage.

E-professionalism is an important concept especially with the fast developing use of social media, it is expected from doctors to act with their professionalism principals in mind]]> 2021-11-30 08:54:16 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919907579 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919909060 The doctors/ medical students, should not be afraid to voice their concerns if they saw something wrong.


]]> 2021-11-30 08:55:14 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919909060 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919917135 I would ask my co-worker to politely remove the comment.]]> 2021-11-30 09:01:07 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919917135 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919917805 Healthcare professionals must not display patient's information on social media platforms.]]> 2021-11-30 09:01:37 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919917805 https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919921536 micro - doctors are expected to practice patient confidentiality

meso - hospital body must make sure such rules are followed

macro - healthcare body must implement rules to ensure patient confidentiality, with serious consequences if not followed]]> 2021-11-30 09:04:29 UTC https://padlet.com/RCSI_MedProf/g3soxjiarmqrhtk8/wish/1919921536