Ethical Flashcards
doctor is coming to the end of his rotation and has asked you to complete an online assessment of his performance. During the rotation you’ve felt that the F1 has struggled with both the organisational and knowledge aspects of his role. Despite this you like the doctor personally and he is always polite and courteous to the staff on the ward.
agree to sign the report honestly but offer him some one to one feedback
agree to do report based on his abilities
honest feedback,reassessment in 4 weeks time
decline feedback
agree to do report with false inf
urgent chest X-ray at the request of your consultant, but he has now left the hospital for a clinic elsewhere. The radiology department refuses your request but doesn’t explain why.
call the radiology
go to radio in person
ask a senior in ward to put the request
change abbreviations and resend the request
A 78-year-old man presents to surgery with a cough. He smells of urine and faeces and has an unkempt beard. He is currently living alone and has son who calls in once a month.
ask first how are you coping and make a referral to social services
enquire about how often does he wash and offer to speak to his son
treat the cough and do nothing else
request him to shower more
send a warning formal
A 34-year-old woman presents to surgery. She is 12 weeks pregnant and requests a termination of pregnancy as she says she couldn’t cope with another child. From your records she has three children aged 3, 6 and 10 years and in the past has had five previous terminations, including one at 17 weeks. In the past she has refused to use contraception due to her perceived risks of side-effects. You are troubled by the terminations she has had previously and her reluctance to use contraception.
refer for termination of preganancy and arrange an appt to disscuss contraception
advise to see colleague(The key to the answer is to act in a non-judgemental way )
tell her u dont have any part in it and refer to BPAService
refuse to terminate
tell her it is dangerous and she should not get it done
You are on a mess night out when you see a ST doctor colleague who is a friend of yours taking what you believe to be cocaine. You also work with him daily and he is held in high regard amongst other staff.
speak to him the next day
get advice from ur educational supervisor keeping the name anonymous
confront him immdeiately,take cocaine from him and dispose it
ignore this time and keep a close eye on his work(it will put the pts at risk)
phone the police
which gifts should be recorded in the register?
if over £100 it should be placed on a register
under a value of £50 may be accepted and do not need to be declared
but those over that amount (50 to 100)should be treated with caution and only be accepted on behalf of an organisation and not in a personal capacity.
if gift Is of small value like a box of chocolates.what to do
thank, accept,share
Notifiable diseases
Acute encephalitis Acute infectious hepatitis Acute meningitis Acute poliomyelitis Anthrax Botulism Brucellosis Cholera COVID-19 Diphtheria Enteric fever (typhoid or paratyphoid fever) Food poisoning Haemolytic uraemic syndrome (HUS) Infectious bloody diarrhoea Invasive group A streptococcal disease Legionnaires’ disease Leprosy Malaria Measles Meningococcal septicaemia Mumps Plague Rabies Rubella Severe Acute Respiratory Syndrome (SARS) Scarlet fever Smallpox Tetanus Tuberculosis Typhus Viral haemorrhagic fever (VHF) Whooping cough Yellow fever
You are a GP registrar. During a busy morning clinic the receptionists phone you. They have triaged an urgent visit request for a man with metastatic prostate cancer who is in severe pain which is described as being ‘all over my body’. You are aware of the patient as he was recently discussed at the monthly palliative care meeting. You are running 20 minutes behind already and are not due to finish clinic for another two hours.
discuss with gp partners go to see the pt immediately finish surgery and go see the patient delegate the task to the practice nurse the the pt about relaxation techniques
being seen my the nurse is better than the relaxation techniques only
and being seen by the doctor himself is better than seen by the nurse
You are working in the emergency department and a female patient presents with a knife wound to her upper chest. She tells you that she got in a fight in the middle of town over some money that she owed. The man she was arguing with pulled a knife on her. This story is corroborated by the paramedics.
Fortunately, the wound is superficial, and you have no concerns about any bony injury. You are able to close it and treat her with a tetanus booster.
although the wound might be superficial, the GMC advises that any wound obtained in such a manner should be reported to the police.
1) It would obviously be a high priority to ensure that there are no other vulnerable adults or children at risk
2) report to the police
Although the story is one of a fight over money owed, it is important that as the patients advocate you
3)make her feels safe and give her the option to disclose if this is actually a case of domestic violence
You are a junior doctor working in a busy Emergency Department. The waiting times for patients can be very long, however, you are getting through your workload as quickly as possible. You are taking a 5-minute break to go to the toilet when a patient stops you, expressing his ‘annoyance’ and ‘frustration’ at having been made to wait for so long. What do you do?
apologise for the wait
offer to speak to him in a quiet place(This should all be done in a quiet room rather than the middle of the waiting room.)
tell him that the dept is busy and everyone has to wait for their turn(may sound patronising and is likely to aggravate the situation further.)
refuse to speak to him until he becomes calm
call security
You are a GP registrar on a weekend away with a close friend and his wife. Their young child has been unwell since the morning and has now become pyrexial with an evolving purpuric rash. You have a drugs bag in the back of your car.
WILL YOU GIVE BENZYLPENICILLIN OR NOT?
It is normally advised that doctors should not treat themselves or close family/friends. However, this question tests whether a doctor has the professional judgement to act appropriately in an emergency situation.
SO CALL 999 AND GIVE BP(EMERGENCY EXCEPTION) CALL 999 AND CALL INDEMNITY PROVIDER CALL 999 AND DONT GIVE BP ASK A PASSERBY TO GIVE BP TO THE PT REMOVE YOURSELF FROM THE SITUATION
You are a ST1 doctor working at the local genitourinary medicine clinic. A 16-year-old female patient is found to have Chlamydia. When she is called back in she refuses to give details of her previous or current partner.
EXPLORE REASONS WHY SHE DOES NOT WANT TO TELL DETAILS
TREAT HER BUT TELL HER ABOUT RISK OF INFERTILITY WITH UN TREATED PARNER
SUGGEST TO CO ME FOR CHECKUP WITHOUT BF KNOWING
REFUSE TO TREAT HER
GIVE A TABLET TO HER TO GIVE TO BF(THE LAST OPTION BECAUSE WE DONT KNOW THE MED HX OF THAT MAN,CAN ALSO CAUSE ALLERGY AND LEADT O LIFE THREATENING EMERGENCY FOR HIM)
4 points of duty of candour
Tell the patient when something has gone wrong
Apologise to the patient (or carer or family member where appropriate)
Offer an appropriate resolution
Explain the potential short and long-term effects of the error
You are a ST1 doctor in the children’s emergency department. A 6-year-old child is brought in by his father as he fell getting out of the car. When looking at his x-ray it looks as though the child has a twisting injury, however the x-ray has not been reported as yet. There are no alarming features to the fracture itself, and it could be managed with plaster casting. Furthermore, the x-ray reveals what looks like several old healed fractures, for which there are no notes to explain.
discuss with the emergency consultant take the history from the child call social services call police allow the child home but wait for the formal report of x ray
