TLE 3 Group_10_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4 THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-09 12:18:05 UTC 2026-03-20 20:08:33 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/u1at19ujj1dy2tt4/wish/1878037611 2021-11-09 12:18:05 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1878037611 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/u1at19ujj1dy2tt4/wish/1878037613 2021-11-09 12:18:05 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1878037613 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/u1at19ujj1dy2tt4/wish/1878037614 2021-11-09 12:18:05 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1878037614 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922640715 Working in partnership 

1. Authoritarian threat to the resident to provide information. 

2. There was a lack of understanding & collaborative approach to solve any ambiguity 

3. Lack of communication as well]]> 2021-12-01 12:36:50 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922640715 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922642165 Notify the consultant responsible for the patient]]> 2021-12-01 12:37:50 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922642165 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922642984 1. Report to HR 
2. Do not comply with Dr.Ahmed, ask for a second opinion from management first]]> 2021-12-01 12:38:20 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922642984 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643159 talk and get advice from the consultant in my department ]]> 2021-12-01 12:38:27 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643159 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643233 Everybody hold hands and be happy]]> 2021-12-01 12:38:30 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643233 confidentiality https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643579 the patient has a right to have their information kept confidential
there is no consent from the patient to share the charts ]]> 2021-12-01 12:38:39 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643579 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643605 Get him reported and replace him as the consultant 

]]> 2021-12-01 12:38:39 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643605 Privacy and hierarchy https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643898 The patient's confidentiality is being breached. 

The consultant is using his positional power to impose his ideas and belief's onto others without taking the resident's feelings into consideration. They also did not communicate their reasons for doing so properly as well.]]> 2021-12-01 12:38:49 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922643898 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922646551 The consultant apologises & owns up to his mistake. 

There would be a change in culture at the workplace]]> 2021-12-01 12:40:31 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922646551 Clear communication https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922647053 There may be a valid reason for the consultant to ask for the chart, it is important for communication to be established as to the reason, patient should also have as say first (consent) if they would like to have the charts shared once they are aware of reason ]]> 2021-12-01 12:40:50 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922647053 Approach https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922647861 Approach the consultant again about the same issue, consult other residents about how to handle the situation or speak to your consultant.

Anonymously approach HR and report the Consultant's behaviour]]> 2021-12-01 12:41:21 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922647861 RESULTS https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922648946 Dr Ahmed realises his mistake and does not repeat this behaviour

]]> 2021-12-01 12:42:00 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922648946 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922650806 Lack of honesty and integrity]]> 2021-12-01 12:43:08 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922650806 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922651345 Did not own up to his own mistake 

]]> 2021-12-01 12:43:28 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922651345 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922651430 stop lying]]> 2021-12-01 12:43:31 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922651430 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922658552 Confront the resident & ensure no miscommunications had occured.

Let the attending physician know 

Report to management if necessary ]]> 2021-12-01 12:47:49 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922658552 Report the resident https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922659099 Report the action to the physician, so that further actions can be taken by more senior colleagues]]> 2021-12-01 12:48:09 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922659099 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922661998 the resident should recognise and own up to their mistakes ]]> 2021-12-01 12:49:37 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922661998 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922662126 Resolve miscommunication
Reflect on own bad practices & how they might affect patient safety in the future 
Happy happy joy joy

]]> 2021-12-01 12:49:42 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922662126 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922662724 talk to the resident about their dishonesty and report to the physician ]]> 2021-12-01 12:50:04 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922662724 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922665171 self reflection ]]> 2021-12-01 12:51:32 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922665171 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922666597 reinforce the patient's right for confidentiality and consent]]> 2021-12-01 12:52:20 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922666597 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922668357 A breach in patient confidentiality via social media 

This brings a lot of bad rep to the hospital leading to wrong assumptions & stigma. ]]> 2021-12-01 12:53:19 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922668357 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922669369 Please be nice to people =( 

Treat others like how you would want to be treated yourself]]> 2021-12-01 12:53:53 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922669369 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922670637 report it to the right authority ]]> 2021-12-01 12:54:33 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922670637 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922671069 Talk to the co-resident 
Report the action ]]> 2021-12-01 12:54:46 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922671069 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922673217 Recognise the breach of confidentiality ]]> 2021-12-01 12:55:57 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922673217 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922673327 Reflect on mistakes done & apologise. 

Avoid sharing complaints & experience publicly on social media. If need to vent, communicate with a close colleague and avoid using patient related information ]]> 2021-12-01 12:56:00 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922673327 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922676364 It is more humiliating & embarrassing to be caught telling a lie. 

Avoid all that hassle & just tell the truth & own up to your mistakes]]> 2021-12-01 12:57:39 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922676364 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922679961 Trust needs to be enforced in between colleagues, HCP and patients to promote patient safety ]]> 2021-12-01 12:59:34 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922679961 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922680066 Social media can be easily misused for wrongful reasons. 

Be mindful of the consequences & implications of posting experiences as they are forever recorded & saved.]]> 2021-12-01 12:59:37 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922680066 https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922681454 any disagreement or dissatisfaction with colleagues should be resolved privately for the benefit of the patient. venting will not solve any problems ]]> 2021-12-01 13:00:20 UTC https://padlet.com/RCSI_MedProf/u1at19ujj1dy2tt4/wish/1922681454