Scenarios Flashcards
Someone isn’t behaving well (too loud or upset) in your group. You are the leader
You are leading a PBL session. A student isn’t doing enough work in your group. What do you do?
Approach in a non-confrontational manner
Figure out the reason why
Offer appropriate support- counselling/ personal tutor
Remind student PBL is a team activity and
their contribution is valued
If student continues being unprofessional,
remind them again
If it happens a third time -> flag to tutor
2 people in CBL aren’t getting along and you are the leader of the group. How would you deal with it?
- In the moment (in room), I would remind them of the rules- make sure everyone listening and progressing with the task at hand
- If disruption continued, I would organise an individual meeting with both to discuss the matter
- This would be in a private setting- Could be personal issues and dont want to expose them to everyone)
- I would take an open minded and non-judgemental approach
- Could be different reasons (not listening, undermining them)- I would encourage them to politely speak to each other on a 1 to 1 basis
- Could be more serious underlying issue (family problems/ mental health problems)- provide numbers for services that uni provides (councillor service in the SU- doctors can do the same via a concerned colleage form) can raise a concern via the GMC, they have a confidential hotline.
- Ensure long term plan is in place- give them each my number
- If the problem still persists- speak to my tutor
- Reschedule meeting Ensure the others in meeting get the points - It is the leaders responsibilty to ensure everyones learning is accommodated
Conclude - Speak to them
- Find reasons why
- Offer solutions
- Long term plan
- If problem persists- escalate to tutor
Problems within the team-working environment of a MDT could occur- important for a doctor to be able to navigate through the situation to ensure best patient care is being provided
Friend asks you to sign her in because she cant go due to personal reasons. How do you react to this and what should friend do?
My first step would be to find the reason why friend is not going to lecture.
To do this I would privately speak to them, I would do this sensitively, keeping an open mind and a non-judgemental attitude
Based on what she tells me I would decide whether to escalate the matter or not. This would involve speaking to someone at a higher level, e.g. personal tutor or uni councillor. At st georges we are lucky to have a councillor service in the student union and I would direct them towards that if appropriate.
I could also fill in a concerned colleague form to inform the hospital of any worries I may have anonymously. I would only do this in extreme cases however, if e.g. if she is in danger herself or could cause harm to someone else.
If reason is 1 I deem isnt appropriate. I would speak to friend and remind her of her responsibilities as a student and as a future healthcare professional. Which involves attending all lectures. I would remind her that it goes against professionalism and GMC guidelines for good medical practice.
- I would also ensure that a long term plan is put in place to check up on friend. I have seen this in my GP work experience, where a doctor booked in another appointment for a worried patient to see how she was getting along along with her new medications in a few weeks time. In the same way, I would provide that continuity of care.
I would not sign as it goes against the honesty and integrity that a practitioner should have and it could in fact be a safety hazard, as you wouldn’t know the whereabout of a student in an emergency.
Summary:
Speak to friend in a non judgemental way in a private place
Decide whether to escalate matter or not
Remind them of their responsibilities as a student
Finally, I would set in place long term plans to ensure it doesn’t happen again
A friend takes photos of cadaver and uploads them
Dont have high level of authority, so approach in a calm and supportive manner
Remind of rules
Breaching confidentiality
A friend gives you MMI questions * Why did we ask you this
As a future med student and doctor it is important to act professionally
You see a colleague taking medicine from the cupboard
Practicing without supervision could potentially lead to them causing harm to themselves
If I don’t report it then I am also not acting in accordance with standards of a doctor as outlined in gmcs tomorrows dr
First action- approach student in a calm and supportive way
I would then encourage them to see dangers and put back equipment
I would try and support them emotionally with any difficulties that may have led them to do such a thing in the first place.
Report to faculty
You see a colleague prescribing the wrong medication
You see a drunk patient in hospital who is suffering with his liver. How do you react
A friend asks you about a sibling who is your patient
Role as a doctor- stick to gmc good medical practice rules
Dont break confidentiality
Take an empathetic approach
Encourage friend to go and talk directly if they are worried make sure to not give any information
You are a medical student observing in a hospital when you notice a senior doctor making a mistake in patient care. What do you do?
