e-TBL3 - THP_7_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:07:15 UTC 2021-11-30 09:14:41 UTC hello@padlet.com https://padlet.net/icons/png/1f346.png 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/kpgst3qr485qwt0j/wish/1918468093 2021-11-29 17:07:15 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1918468093 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/kpgst3qr485qwt0j/wish/1918468097 2021-11-29 17:07:15 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1918468097 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/kpgst3qr485qwt0j/wish/1918468102 2021-11-29 17:07:15 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1918468102 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919863585 Issue of confidentiality]]> 2021-11-30 08:26:22 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919863585 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919864076 disclosing patients information to a doctor that does not have the right to have such information]]> 2021-11-30 08:26:41 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919864076 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919864643 Explore reason information is requested
if valid reason can share if not decline politely]]> 2021-11-30 08:27:02 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919864643 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919865046 consultant using his status to overstep rules and boundaries 
 ]]> 2021-11-30 08:27:20 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919865046 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919866351 patient information and privacy protected while the relationship with the consultant remains professional and respectful]]> 2021-11-30 08:28:07 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919866351 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919866669 obtain patient's consent before information is provided to another doctor]]> 2021-11-30 08:28:19 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919866669 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919867009 Awareness of the criteria for confidentiality]]> 2021-11-30 08:28:33 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919867009 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919868181 Institutional sensitivity to culture of information sharing]]> 2021-11-30 08:29:16 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919868181 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919868594 to open the situation up to a full investigation, and coming to a reasonable solution which is in the best interest of the patient.]]> 2021-11-30 08:29:34 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919868594 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919869668 Public and patient trust in doctors is based on confidentiality]]> 2021-11-30 08:30:16 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919869668 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919870929 micro: stay accountable for rules and regulation and do not preach them under pressure 
meso: a clear set of rules must be in place to allow staff to know what is expected of them 
macro: a person of a high status must not be "above the law" ]]> 2021-11-30 08:31:05 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919870929 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919872910 it is the importance of maintaining integrity and confidentiality while communicating with colleagues in a sensitive way]]> 2021-11-30 08:32:20 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919872910 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919873676 Should voice concerns in cases of unprofessional behaviour]]> 2021-11-30 08:32:48 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919873676 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919876524 Ensure that the patient's safety and confidentiality is always a priority]]> 2021-11-30 08:34:33 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919876524 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919877597 Lack of communication which could delay urgent patient care]]> 2021-11-30 08:34:51 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919877597 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919878104 Miscommunication between the resident anf consultant ]]> 2021-11-30 08:35:10 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919878104 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919878477 urgent patient information not conveyed properly ]]> 2021-11-30 08:35:26 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919878477 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919878629 No morning briefing before rounds]]> 2021-11-30 08:35:31 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919878629 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879305 I would quickly inform the doctors that the results are published and I would imply the urgency of the results ]]> 2021-11-30 08:36:00 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879305 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879377 Patient care is compromised]]> 2021-11-30 08:36:03 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879377 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879531 Step aside and disclosure of the blood results especially since sepsis


]]> 2021-11-30 08:36:10 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879531 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879880 the patient gets the adequate care they need in a critical situation like such 

]]> 2021-11-30 08:36:21 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919879880 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880048 issues with integrity]]> 2021-11-30 08:36:27 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880048 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880411 Everyone should be comfortable advocating for the patients best interest


]]> 2021-11-30 08:36:43 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880411 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880724 Change any hierarchies that may compromise safety]]> 2021-11-30 08:36:58 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880724 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880752 it is important to speak up when you witness shortcoming from colleagues ]]> 2021-11-30 08:36:59 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919880752 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919881886 working in partnership and advocating for the best interests of the patient

]]> 2021-11-30 08:37:44 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919881886 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919882313 Immediately inform the resident of the results, and if no action is taken, come forward to the attending physician.]]> 2021-11-30 08:38:00 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919882313 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919882336 miscommunications can be fatal therefore, an efficient stream of information-sharing must be in place  ]]> 2021-11-30 08:38:01 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919882336 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919882402 improve services with morning briefings]]> 2021-11-30 08:38:04 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919882402 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919884406 Not making excuses for own shortcomings and situations of lacking punctuality. The patient's needs should always be above the doctor's "image"]]> 2021-11-30 08:39:28 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919884406 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919884470 Sensitive information is being shared on social media


]]> 2021-11-30 08:39:30 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919884470 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919886119 Negative comments are disrespectful]]> 2021-11-30 08:40:35 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919886119 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919887029 Lack of compassion]]> 2021-11-30 08:41:04 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919887029 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919887562 Have a conversation with co resident about e-professionalism]]> 2021-11-30 08:41:22 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919887562 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919887758 micro: speak up when it is needed
meso: make people of "lower" hierarchal positions feel comfortable to voice their inputs as they might notice things other staff members do not recognize
 ]]> 2021-11-30 08:41:29 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919887758 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919889000 If a pattern emerges can refer to senior management]]> 2021-11-30 08:42:19 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919889000 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919889267 preach of patient's dignity and privacy ]]> 2021-11-30 08:42:27 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919889267 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919890231 make sure this colleague understands why this is wrong to prevent the situation from recurring ]]> 2021-11-30 08:43:06 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919890231 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919891428 No sharing of private patient information in public spaces whether online or in-person


]]> 2021-11-30 08:43:55 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919891428 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919891831 education on the relevance of e-professionalism especially in this day and age]]> 2021-11-30 08:44:12 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919891831 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919892053 - patient's level of care is not compromised
- patient's dignity and privacy are not preached 
- the resident understands his mistakes and corrects it 
- the relationship with that doctor remains positive and professional  ]]> 2021-11-30 08:44:21 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919892053 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919892749 Importance of keeping discussions about patients respectful and always private]]> 2021-11-30 08:44:48 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919892749 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919893537 there must be regulation on what is posted to social media]]> 2021-11-30 08:45:14 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919893537 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919893932 Reporting system for the miss-use of social media]]> 2021-11-30 08:45:30 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919893932 https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919896532 micro: stay accountable to one's social media profiles
meso: there must be rules in place to regulate the staff's behavior on social media. that must be communicated clearly 
macro: the law must adapt to the recent changes and must be able to cover cyber-crimes and preaches of privacy

]]> 2021-11-30 08:47:19 UTC https://padlet.com/RCSI_MedProf/kpgst3qr485qwt0j/wish/1919896532