ucat stj set one

things that are appropriate

protecting patients

- providing help

- seeing if the person is willing to accept help

- raising concerns with seniors (depends on context)

things that are inappropriate

spreading rumours

-ignoring the issue

- creating havoc

- being judgemental

- tarnishing hospital/doctor reputation

approach to cheating

- report the cheat to the medical school

- always discourage cheating

- the reputation and relationship with drs or students is very inappropriate to consider

- always try to solve and address the problem

very important/appropriate approaches when coping with pressure

- recognising the problem

- talk about it/seek help

- arrange alternatives with staff

- medical students feeling underprepared

- offer as much help

- bring senior help

- collaborate to compromise

- encouraging to speak to educational supervisor

very inappropriate approaches when coping with pressure

- ignoring situation

- ignoring responsibilities

- keeping quiet about your problems

- being rude

- overburdening others

- ignoring policy

- suggesting/prescribing anti-depressants and other drugs to friends

- leaving people alone

- reminding of commitment

- expect someone else to act

- ignore problem

- miss class

what is not a consideration when staff or patient safety is at risk, especially if a patient is angry or aggressive to staff and/or other patients

the perception others will have of the hospital (it is not important at all)

if a doctor is feeling very stressed and co-workers seem like they are not/ are stressed as well, is it important?

it is of minor importance, as the doctors feelings does not reflect the others feelings but the other doctors could try and offer help towards the doctor in question

the possibility of damaging equipment

very important

leaving things for later

very inappropriate

explaining why an offensive joke/comment is inappropriate

very appropriate

encouraging to speak out to education supervisor when having troubles with studies as a medical student

very appropriate

leaving a patient when they are distressed

very inappropriate

when in very busy situations and mistakes have happened and they want to apologise

inappropriate, can do so later

telling patients anything that places mistrust in the hospital

very ima

a doctor that is unaware of the medical student being a student and not a doctor

very important

understaff ward

very important

sending photographs of patient notes

very ina

writing notes for patient

very ina must be typed

when a doctor in question has done something wrong, consider their ability in the job and their reputation

very ina / not important

a patient needs medical attention but doctor's shift is about to end

not important

confrontational and aggressive answers

very ina

a medical student telling doctor want they think they should do and need to do

very inappropriate

medical student telling a nurse to change patient notes or administer a different medication to patient because doctor may have made a mistake in patient notes

very ina

promising to keep a secret on something that is a risk to patient safety (THIRD PARTY RISK NO CONFIDENTALITY)

VERY INA

ignoring emails from teammate

very ina

seeing and leaving blood samples or any lab related samples where they are seen

very ina

doctor is under the influence and argues that the procedure is simple

very ina

apologising on someone's behalf

firm but not ideal

not wishing to appear impolite

appraiser

dealing with lost children, meaning leaving current patient

very ap

when patient is having second thoughts about procedure but the doctor doing the surgery is strict/in a bad mood or OR is already prepared

not important all

persuasion of patient

very ina

important considerations when dealing with drug misuse

- patient safety

- person might need help

- being discreet

- hospital policy

public trust in profession

appropriate approaches to dealing with drug misuse

protecting patients

- providing help

- willing to accept help

- raising concerns with seniors

inappropriate approaches to dealing with drug misuse

spreading rumours (telling everyone about it)

- ignoring the issue

- creating havoc

- being judgemental

unimportant factors when approaching mistakes

- reputation of the person that made the mistake

- history of doing something before

- person is a fault is friend or not well known

- others around who could talk

- places available on the course

doctor is having an affair with a patient/patient's partner, but they are married

not important

medical student to provide medical results because patient has asked them to

very ina

a consultant leaves patient awaiting results for an undisclosed time

of minor i’m

fearful patient

important

doctor is confident in the skills and knowledge of the medical student who is not qualified as a doctor to perform a procedure and has never done a procedure on a live patient before

important

word against word

not important

asking why patient doesn't believe diagnosis or test result

very app

finding out brand f drink or food patient has eaten before surgery

very app

telling a doctor that the patient they are seeing has made an inappropriate comment about them when they left the room

app but not ideal

patient is discussed in a derogatory way and patient over heard. How important is this

important

medical student is talking about patient in public but they are speaking quietly

minor

patient has been discussed in a derogatory way and the patient has overheard, the professional who was talking about the patient, knows them very well. How important is this

very

student/doctor is due to see a patient as part of a graded assessment but finds out loved one has had a medical emergency or upsetting diagnosis. is it important to take account of the impact of her actions on their assessment grade

no

two health professionals in a multidisciplinary team are former romantic partners and they will be working closely together to arrange treatment plans for patients. How important is this to take into consideration

very

medical student stressed about exams has started to eat less food and lose weight as a result, should their friend who is also a medical student encourage them to try and eat more food even thought hey have refused help

appropriate but not ideal, refusal of help suggests that they may be in denial about well being, therefore better to seek external help on their behalf

medical student telling a patient presented with symptoms, who asks medical student questions concerning their symptoms and treatment but student doesn't know if they the answer, to rebook an appointment with one of the doctors on another occasion so that they can answer their question

inaa but not awful

medical student is left with a patient who asks about diagnosis/test result and the doctor has left the room to attend to a call. How appropriate is it for the student to tell the patient that the doctor will speak to them soon

app but not ideal

clincal partners have been having agruments and one of them is worried about their performance during their placement for the rest of the year, how appropriate is it for one of them to Email her head of year to explain the situation and request a different clinical partner

ima but not awful

medical student has found out doctor has shown inappropriate behaviour while with a patient, how appropriate is it for the medical student to apologise on the doctors behalf

app but not ideal

a medical student who has seen a famous person at the hospital as a patient and their housemate is asking questions about the status of the famous person as they had heard from another medical student of famous person's presence in the hospital. How appropriate is it for the medical student to explain their housemate that the questions he is asking are inappropriate, and change the topic of conversation.

app not ideal

a medical student is approached by a pharmacist who queries the dose of medication prescribed to a patient as it appears to be unusual and just wants to double check if the prescribed dosage is correct. The medical student however does not know the reasoning behind the prescription to provide an answer and the doctor who prescribed the medication is not on the ward. How appropriate is it to ask the patient if they know why they have an unusual dosage.

very inappropriate

doctor sees the relative of a patient they have seen and they ask for the status of said patient. is it appropriate for the doctor to the relative to speak to the patient about their concerns

VERY

patient thinks that a medical professional has taken their belongings. how appropriate is it for a doctor to go into the locker room of the medical professional (eg nurse) to try and find their belongings

very ina

patient thinks that a medical professional has taken their belongings. how appropriate is it for a doctor to tell the patient that it is very unlikely that the nurse would have stolen the purse

ima but not awful

ability of patient to take a medication

very i’m

medical students family asks questions about their various symptoms. how important is it to consider that their family expects them to be well-infofrmed

not important at all

medical student has a placement at 2 and they went out for coffee with friends and the friends plan on taking a bus which will cause them to arrive at 2.15. How important is it to consider the medical students preference to travel with their friends

not important at all

a doctor/medical student has noticed that another doctor appears to be drunk and has posted about drinking the night before on social media. How important is it to consider the doctors friendship

not important at all

patient confidentiality has been breached but the patient and no other patients overheard

not important at all

patient nods in response to doctor but there is a language barrier between the doctor and patient

not important

word vs word

not important at all

searching through patient's belongs without consent

very inappropriate

turning up to a placement later and waiting for doctor to finish with a patient to then go in

app but not ideal

asking why patient doesn't believe diagnosis or test results

very app

reassuring patient that the doctor will follow up on hospital visit

very app

making sure patient is dead before filling in death certificate

very ap

reporting police of patient death if not suspicious

very ina

finding out brand f drink or food patient has eaten before surgery

very INA

undermining nurse duties as a medical student

very INA

telling a doctor that the patient they are seeing has made an inappropriate comment about them when they left the room

appropriate but not ideal

medical student has been mistaken for junior doctor and is asked to do a procedure but medical students can only do procedures with the authorisation and supervision of a consultant. There are no other healthcare professionals around that can carry out the procedure. is this important?

not important at all, medical students, despite how competent may be to carry out the procedure, should not allow such circumstance to influence their decision to go against policy

medical student mistaken as a junior doctor is told to do a procedure that they are not qualified to do, it is not urgent

of minor importance

medical student mistaken as a junior doctor is told to do a procedure that they are not qualified to do, but has done it before under supervision

not important at all, should still not carry out procedure if not qualified

there has been a breach of patient confidentiality, but the perpetrator has never done so before

not in wt all

there has been a breach of patient confidentiality, but no-one has read the notes of the patient's file

not i’m at all

there has been a breach of patient confidentiality, but the perpetrator took the patient's notes home for their own reasons stated in question

not i’m

patient is discussed in a derogatory way and patient over heard. How important is this

i’m

requesting tests or scans to prove a diagnosis to an unbelieving patient

appropriate but not ideal