TLE 3 Group_4_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-09 12:14:52 UTC 2021-12-01 13:25:54 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/ttpvrhgmn7zm3wdo/wish/1878031775 2021-11-09 12:14:52 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1878031775 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/ttpvrhgmn7zm3wdo/wish/1878031777 2021-11-09 12:14:52 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1878031777 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/ttpvrhgmn7zm3wdo/wish/1878031780 2021-11-09 12:14:52 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1878031780 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922641391 Confidentiality ]]> 2021-12-01 12:37:19 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922641391 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922642704 Respectfully tell the doctor that as a fellow physician, you are obligated to maintain patient's confidentiality. ]]> 2021-12-01 12:38:12 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922642704 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922642834 no consent from patient to disclose their case]]> 2021-12-01 12:38:17 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922642834 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922643245 I would advise it is unprofessional and should ask patient concent]]> 2021-12-01 12:38:31 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922643245 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922644194 No validation of confidentiality ]]> 2021-12-01 12:39:01 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922644194 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922645484 Public trust in health should not be broken ]]> 2021-12-01 12:39:52 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922645484 Allowed to check charts once the doctor are confirmed to be involved in that patient's care https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922645519 E.g. ask the consultant/ patient for consent/ confirmation]]> 2021-12-01 12:39:53 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922645519 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922645814 maintain peace among physicians]]> 2021-12-01 12:40:03 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922645814 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922646537 respectfully addressed that it would breached the patient's confidentiality and would also refer to the higher position for the valid protocol in getting the charts if still needed]]> 2021-12-01 12:40:31 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922646537 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922646704 Confidentiality is a professional behavior ]]> 2021-12-01 12:40:38 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922646704 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922647743 be sure to obtain patients consent before sharing any of their informations]]> 2021-12-01 12:41:17 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922647743 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922649176 confidentiality]]> 2021-12-01 12:42:09 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922649176 If you are confronting anyone with higher position than you, do it carefully and respectfully https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922649730 2021-12-01 12:42:27 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922649730 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922653298 honesty/integrity]]> 2021-12-01 12:44:34 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922653298 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922654444 compassion, honesty/integrity]]> 2021-12-01 12:45:21 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922654444 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922657760 not calling him out in front of other doctors/ patients but may confront later in private?]]> 2021-12-01 12:47:21 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922657760 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922658501 Although I know the result is ready, I might not embarrass the person by pointing out the mistake in front of everyone, instead, letting the person knows, afterwards that the result is ready?]]> 2021-12-01 12:47:48 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922658501 The patient would not be harmed by this https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922659145 2021-12-01 12:48:10 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922659145 Ethical practice? https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922659484 patient has sepsis --> culture result very important + time-sensitive --> not telling about this --> delay --> possible harm (you are not acting in patient's best interest)]]> 2021-12-01 12:48:23 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922659484 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922660466 the resident should have told the truth so immediate action can be taken as sepsis is a serious case]]> 2021-12-01 12:48:43 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922660466 Suggest check again right away. https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922660965 2021-12-01 12:49:01 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922660965 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922663661 be truthful even if the truth hurts]]> 2021-12-01 12:50:37 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922663661 Institutional level: promote positive safety culture and transparency in communication between staffs and staffs-patients https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922663958 2021-12-01 12:50:49 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922663958 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922664199 Covering up is unprofessional and could be learned and become a habit, the this could be brought up in private conversation with the doctor in issue.]]> 2021-12-01 12:50:58 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922664199 compassion https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922672904 2021-12-01 12:55:47 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922672904 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922674136 Loss of public trust]]> 2021-12-01 12:56:26 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922674136 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922674202 unethical practices; breach of confidentiality. lack integrity. dragging not only the hospital's reputation, but the reputation of a professional career in a public view. ]]> 2021-12-01 12:56:28 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922674202 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922675751 Preventing similar situations in the future ]]> 2021-12-01 12:57:19 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922675751 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922676312 report to the higher ups for disciplining]]> 2021-12-01 12:57:37 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922676312 Compassion, altruism and confidentiality https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922678320 - Negative comments reflect lack of compassion + protect and respect patient dignity.
- Altruism - lack of obligation to maintain hospital/ other's reputation?
- Revelation of patient's info - not maintain confidentiality]]> 2021-12-01 12:58:41 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922678320 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922679584 protecting patients rights to confidentiality]]> 2021-12-01 12:59:22 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922679584 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922681619 Report disciplinary committee/ HR manager]]> 2021-12-01 13:00:25 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922681619 Advocate e-professionalism. https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922683348 Importance of understanding that stuffs on internet = immortal]]> 2021-12-01 13:01:15 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922683348 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922686680 Patient confidentiality should not be breached ]]> 2021-12-01 13:03:01 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922686680 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922687476 institutional, clearly state to punish/penalise employees who do that]]> 2021-12-01 13:03:25 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922687476 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922688063 ranting out the problem in social media equals to sharing out information to the public. the public has a faith and respect towards doctors and seeing how a doctor publicise the information with lack of professionalism, ethics, would defo causing loss of the trust.

not only loss of trust towards the doctor but the medical profession as a whole. 

one's is responsible towards the others. ]]> 2021-12-01 13:03:42 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922688063 Micro (+Macro) https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922688408 Staffs should be aware of impact of their behaviours on social media. Not to project/ exhibit unprofessional behaviour that would damage public trust in physician and healthcare as a whole]]> 2021-12-01 13:03:54 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922688408 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922689425 Everyone should be aware of their social media misuse ]]> 2021-12-01 13:04:23 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922689425 create anonymous kpop spam acc https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922691562 2021-12-01 13:05:28 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922691562 Hello https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922697324 2021-12-01 13:08:27 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922697324 Working in partnership https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922704592 2021-12-01 13:11:56 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922704592 https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922723269 take down the post asap]]> 2021-12-01 13:20:48 UTC https://padlet.com/RCSI_MedProf/ttpvrhgmn7zm3wdo/wish/1922723269