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Question 1

policy for accepting gifts

Answer 1

NEVER accept money but small gifts ok

Question 2

(importance) patients wishes

Answer 2

very important?

Question 3

when are you allowed to breach confidentiality

Answer 3

• when patient has given consent
• if there is a potential risk to society (a doctor is obliged to infrom the DVLA if a patient has seizures and has not reported them as there is a risk when driving)

PATIENTS HAVE A RIGHT TO BE INFORMED OF ANY BREACHES OF CONFIDENTIALITY

if you do need to share information, only the required info should be given and in a private setting

Question 4

what are the top priorities for confidentiality

Answer 4

• stop the breach as soon as possible
• do not draw attention to the event (inappropriate but not awful)
• prevent any future breaches

Question 5

(importance) to do with confidentiality: how well you know the person

Answer 5

not important

Question 6

(importance) to do with confidentiality: how widely the information has been shared

Answer 6

not important

Question 7

(importance) to do with confidentiality: the intention of offender

Answer 7

not important

Question 8

(importance) to do with confidentiality: the usefulness of the information to others

Answer 8

not important

Question 9

(importance) the doctor’s wellbeing

Answer 9

important/very important

Question 10

(appropriate) asking a more senior member of staff for advice

Answer 10

always

Question 11

(approptiate) empathy

Answer 11

always very appropriate

Question 12

should details be kept confidential for minors from parents

Answer 12

YES unless risk of patient harm

Question 13

(appropriate) attend all required teaching

Answer 13

approptiate

Question 14

(appropriate) apologising on behalf of someone else

Answer 14

appropriate/but not ideal - you are apologising that they went through the situation, it is sometimes not ideal because the main issue is the behaviour of the other person

Question 15

importance - reputation

Answer 15

not important at all ALWAYS

Question 16

importance - whether or not someone has done something like this before

Answer 16

not important

Question 17

appropriate - expecting people to accomodate you rwithout notice

Answer 17

inappropriate

Question 18

appropriate - attending a tutorial with on prior notification

Answer 18

not ideal and could be counterproductive

Question 19

just because a patient is asleep, response should be the same as if they were awake

Question 20

importance - how you would use time if you missed any session you were expected at

Answer 20

of minor/no importance

Question 21

appropriate - confrontation in the context of teamwork

Answer 21

appropriate but not ideal - you are rasining an important issue but could raise tension or may not be received

Question 22

appropriate - offer suggestions that will indirectly solve a problem

Answer 22

very appropriate

Question 23

appropriate - trying to accomodate people where possible and appropriate

Answer 23

very appropriate

Question 24

appropriate - reassigning tasks without informing poeple

Answer 24

very inappropriate

Question 25

importance - a project needs to be completed by a certain date

Answer 25

important

Question 26

importance - (teamwork) people's roles/background/experience

Answer 26

not important

Question 27

importance - people's opinions of you (teamwork)

Answer 27

of minor importance

Question 28

importance - having/maintaining good working relationships (teamwork)

Answer 28

important but not very impotant

Question 29

in a scenario when it is unclear whether a person did or did not cheat/do something

Answer 29

you would still need to pursue the situation and find out more information

Question 30

appropriate - report possible cheating to the medical school

Answer 30

appropriate

Question 31

CHEATING

Answer 31

- the main factor of importance is the necessity for the problem to be reported most other factors are not so important as the issue should be raised regardless

Question 32

importance - whether or not an event happened a long time ago (cheating)

Answer 32

not important at all - should still be reported

Question 33

appropriate - to offer medical advice ,perform unsupervised procedures as a medical student

Answer 33

very inappropriate: must aslways be honest in your skills and work within your limits

Question 34

appropriate - being honest with your patients about what you can do

Answer 34

very appropriate

Question 35

CONTEXT IS CRUCIAL - a patient may look confused but not actually be so

Answer 35

appropriate: ask if they are ok or to alert a nurse inappropriate: give directions to help desk

Question 36

importance - a patients feelings when turning down a gift

Answer 36

important (not very important because you still need to turn it down)

Question 37

importance - whether or not someone has overheard a breach of confidentiality

Answer 37

not important at all - it should still be dealt with as though someone has

Question 38

NEVER DO ANYTHING TO SUPPORT DISHONESTY

Question 39

importance - patient's wish

Answer 39

very important

Question 40

THE DOCTOR IS RESPONSIBLE FOR THEIR SHADOWING STUDENTS' WORK

Question 41

importance - updating/maintianing medical notes

Answer 41

important

Question 42

CONSIDER URGENCY WHEN YOU OBSERVE SOMEONE MAKING A MISTAKE

Answer 42

if its a medical student ina harmless procedure then you can wait and inform them what they did wrong in private, if doctor and lifethreatening act immediately

Question 43

appropriate - find out what caused the mistake

Answer 43

appropriate

Question 44

appropriate - report a mistake if it did not cause harm/was not spotted

Answer 44

appropriate

Question 45

appropriate - escalating/reporting a scenario immediately when patients are at risk

Answer 45

very appropriate escalation - only relevant people should be told

Question 46

importance - reasons behind inappropriate behaviour

Answer 46

important

Question 47

IMPORTANCE: 1 = your health 2 = medical work 3 = other commitments

Question 48

appropriate - providing reassurance when giving advice

Answer 48

appropriate

Question 49

appropriate - offer to help someone to the extent you are permitted to

Answer 49

appropriate

Question 50

appropriate - reminding people of their commitments when giving advice

Answer 50

inappropriate

Question 51

importance - whether or not someone wants to talk about issues

Answer 51

NOT IMPORTANT when they are being rude/affecting other people, in this case it is appropriate to push the issue otherwise, respect the person's privacy

Question 52

importance - doctor not wanting to ruin christmas by bearing bad news

Answer 52

not important at all - doctors should not think selfishly when it comes to patients

Question 53

importance - the content of lectures when deciding whether or not to skip

Answer 53

not important at all - he should attend them anyway

Question 54

appropriate - asking someone else to deal with another person as the leader of the group

Answer 54

very inappropriate - they should deal with the situation themself

Question 55

appropriate - reporting a serious issue without informing the patient of a breach of confidentiality

Answer 55

appropriate but not ideal - reporting is the right move but ideally the patient would be told

Question 56

CONSENT MAY NEED TO BE GIVEN BY PARENTS FOR CHILDREN UNDER 16 YEARS

Question 57

SELF PLAGIARISM = REUSING YOUR OWN WORK THAT HAS ALREADY BEEN MARKED

Question 58

CONSULTANT DOESNT NEED TO KNOW ABOUT A POTENTIAL BREECH OF CONFIDENTIALITY

Question 59

importance - fiona is about to perform a procedure as part of an assessment when she gets a call about her grandma being sick. the welfare of fionas grandmother

Answer 59

important as it might impact on her ability to focus on the task

Question 60

consult more senior doctors on matters of confidentiality as seomtimes it is much more complicated due capacity of a patient so wihtholding information from a patient is a complex decision

Question 61

importance - considering a supervisor's instructions

Answer 61

very important

Question 62

ON ANY OCCASION THAT A PATIENT IS WORRIED ABOUT A PROCEDURE, THEY SHOULD BE REASSURED BY ANYONE INVOLVED IN THEIR CARE

Question 63

approproiate - telling a tutor that she must be allowed to switch tutor groups

Answer 63

very inapproripate - should never TELL a tutor what they must and must not do

Question 64

importance - a parent of a young child's wishes

Answer 64

important but not very important

Question 65

importance - a patient/patient's parent's right to make decisions about patient care

Answer 65

very important

Question 66

appropriate - suggesting rescheduling an appointment before any attempt is made to calm the patient down

Answer 66

appropriate but not ideal

Question 67

SHOULD PUT PATIENTS INTERESTS BEFORE OWN so do not push/persuade too hard to do something even if it would mean a missed opportunity

Question 68

IF SOMEONE IS SAID TO BE UNRELIABLE - in the case that a patient is involved it is of minor importance, assume what they are saying is true and treat the patient immediately - in the case of rumours/cheating, it is important as you will need to find out the truth before acting

Question 69

if someone is being agressive - whether or not there is someone else nearby to help

Answer 69

very important

Question 70

if a doctor does anything to compromise patient safety, breach of patient confidenitality or data handling - ignoring and monitoring would be very inappropriate, otherwise it can be inappropriate but not awful

Question 71

UNLESS THERE IS A MEDICAL EMERGENCY IT IS RARELY APPROPRIATE TO CALL SOMEONE IN OFF A BREAK