TLE 3 Group_8_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-09 12:16:50 UTC 2021-12-01 13:10:05 UTC hello@padlet.com https://padlet.net/icons/png/1f353.png You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that 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/rcy6sxbex76ze8hg/wish/1878035428 2021-11-09 12:16:50 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1878035428 Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied. RCSI_MedProf https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1878035429 2021-11-09 12:16:50 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1878035429 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 specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were being described. RCSI_MedProf https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1878035431 2021-11-09 12:16:50 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1878035431 violating patient privacy https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922635908 2021-12-01 12:34:16 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922635908 disrupting confidentiality https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922636189 2021-12-01 12:34:28 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922636189 lack of clear communication https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922639293 2021-12-01 12:35:57 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922639293 working in partnership https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922640269 2021-12-01 12:36:35 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922640269 integrity and honesty https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922640716 2021-12-01 12:36:50 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922640716 tell the consultant that you would have to speak to the doctor in charge of that particular patient before handing over the chart https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922642240 2021-12-01 12:37:53 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922642240 Reject his request to obtain the charts https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922643767 Consider reporting this event to someone of higher authority]]> 2021-12-01 12:38:45 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922643767 get consent from doctor in charge of the patient https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922644440 2021-12-01 12:39:10 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922644440 get consent from patient https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922644888 2021-12-01 12:39:28 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922644888 Maintain confidentiality so that patients would trust us https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922648298 2021-12-01 12:41:37 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922648298 create a culture in the hospital where patient confidentiality is respected https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922648682 2021-12-01 12:41:51 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922648682 lack of communication https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922649510 2021-12-01 12:42:22 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922649510 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922650000 Integrity and honesty]]> 2021-12-01 12:42:39 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922650000 not working in a team https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922650102 2021-12-01 12:42:42 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922650102 Integrity and honesty https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922650460 2021-12-01 12:42:54 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922650460 ethical practice https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922651343 2021-12-01 12:43:28 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922651343 Just be honest https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922652776 Tell the truth to the attending]]> 2021-12-01 12:44:15 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922652776 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922653383 Micro: improve communication skills between healthcare workers, voice out own opinion appropriately
Meso: educate current/future healthcare professionals on leadership model and values
Macro: promote cultures and environment that allows for those above]]> 2021-12-01 12:44:38 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922653383 ask the resident to check again, as they may have been busy at the time the results were released https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922654185 2021-12-01 12:45:11 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922654185 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922654989 Everyone is clear with the patient's condition so that appropriate management and treatment plans can be made]]> 2021-12-01 12:45:38 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922654989 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922657834 not owning up to mistakes 

]]> 2021-12-01 12:47:24 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922657834 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922658241 The patient's care is optimized appropriately with the new information about cultures being available and if the resident's behaviour has any role to play in the lack of awareness about culture results, then it should be corrected

]]> 2021-12-01 12:47:39 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922658241 patient gets appropriate care in a timely manner (as sepsis is a medical emergency) https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922658715 2021-12-01 12:47:54 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922658715 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922661106 Micro: everyone should be empowered to speak up and be responsible for every patient
Meso: promote and integrate such culture amongst students and leaders
Macro: regulations and rules for oversight, positive environment with necessary resources to enable HCWs for timely assessment]]> 2021-12-01 12:49:06 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922661106 create a safe environment for staff to speak up truthfully (i.e. allow resident to be truthful if they were actually too busy to check the culture) https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922661956 2021-12-01 12:49:35 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922661956 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922663821 Ethical practice]]> 2021-12-01 12:50:43 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922663821 talk to resident to clarify the actual reason they did not check the culture, and encourage them to be honest https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922664011 2021-12-01 12:50:50 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922664011 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665367 lack of privacy, integrity and compassion]]> 2021-12-01 12:51:39 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665367 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665423 Breach of patient confidentiality

]]> 2021-12-01 12:51:40 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665423 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665890 lack of communication]]> 2021-12-01 12:51:55 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665890 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665978 speak up when needed, and encourage honesty for timely management ]]> 2021-12-01 12:51:58 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922665978 humiliating / demeaning https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922666287 2021-12-01 12:52:09 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922666287 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922666452 delete the comment and privately message them about their behaviour and highlight the problems]]> 2021-12-01 12:52:14 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922666452 advice co-resident to delete the post https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922667770 2021-12-01 12:52:59 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922667770 report unprofessional behaviour to HR https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922668460 2021-12-01 12:53:23 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922668460 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922669954 the resident deletes the post and talks to the team that they felt provided inadequate care for the patient]]> 2021-12-01 12:54:11 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922669954 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922670682 The problem is resolved without any escalation]]> 2021-12-01 12:54:35 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922670682 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922670844 gracefully hold hands 

]]> 2021-12-01 12:54:39 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922670844 The resident apologizes for his actions https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922672380 2021-12-01 12:55:31 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922672380 https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922676165 Micro: always be mindful of own actions and the consequences that they may bring
Meso: educating students about ethical issues on such actions its consequences for all individuals
Macro: rules and regulations on social media postings, policies to guide behaviours]]> 2021-12-01 12:57:32 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922676165 advise resident to apologise to patient https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922680339 2021-12-01 12:59:46 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922680339 protecc patient confidentiality https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922686201 2021-12-01 13:02:50 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922686201 disclosure is paramount https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922686806 2021-12-01 13:03:05 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922686806 do not post patient information on social media https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922687431 2021-12-01 13:03:24 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922687431 be mindful of how we act inside and outside of hospital/med school (including on cyberspace) https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922687831 2021-12-01 13:03:36 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922687831 be professional --> act in patient's best interest https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922687913 2021-12-01 13:03:37 UTC https://padlet.com/RCSI_MedProf/rcy6sxbex76ze8hg/wish/1922687913