commonly encountered SJT

if a med student arrives late bc a friend told them the wrong time

if a med student arrives late bc a friend told them the wrong time

this is not important at all to consider as he should have checked himself

if a doctors religious beliefs will affect the quality of care

its highly appropriate to suggest to ask another doctor

after receiving negative feedback about docs communication skills - asking for examples

not getting a place as a mentor, emailing teacher asking why

this would be inappropraite but not awful as it could come across as challenging the supervisors judgment

however the negative consequences are minimal

if student leaves behind patient files, calling them back from the ward

very inappropriate - if hes local, just giving them to him would be better than causing a fuss

an upcoming deadline for the project is - to consider

very important

if a nurse is telling off other nurse for not wahsing hands, walking out room to give them privacy

appropriate but not ideal

if med student knows the next patient for a GP appt,

smiling as they enter and wait for them to say something

it would be very appropriate to explain situation to dr and then the patient as they come into room

inappropriate but not awful, shoudl tell the dr and may make the situation awkward

if there is a large fire, finding the fire warden would be inappropriate but not awful

it would waste time, pullimg the fire alarm would notify the warden

med/dent students should not do boxing (other similar activiyties) without headgear bc?

negatively impacts placements - eye injury is poor for his judgement when working

if a student finds confidential patient info it would be very inappropriate to:

keep the info in his notebook until he can find the doc

to do nothing about bruises on a child is

very inapporpriate

when not addressing a situation locally usually classifed as

inappropriate but not awful

when something goes wrong, it is very appropriate

to apologise

if a patient demands to know where the doctor is from, explaining a few details about where they come from is

inappropriate but not awful

responses that dont directly address situation are:

responses that dont address key part too

issues relating to patient safety or ethics are always very important

never very appropriate

if a patient doesnt want to take their meds, telling tthem the risks of doing so is

Telling the patient that they shouldnt take the meds if they dont want to is

very appropriate

very inappropriate

when with another doc its very appropriate to say that they should speak quietly and not mention patient names if discussing patient conditions

diverting the conversation is

“im not comfortable to talk about patients in this setting”

very appropriate

appropriate but not ideal

inappropriate but not awful - makes the situ awkward, and could be dealt with by not mentioning names

its okay to talk about patients, only without using identifying info

gp has never acted unprofessionally before

its not important at all

the fact that other student has a learning difficulty and has been only doing the easy tasks

the fact he wants a social life

this is of minor importance, doesnt excuse his behaviour

not important at all

a doctor with a conscientious opinion has the right to tell patient to see another doc

doc/dentist coming into work witth illness

very inappropriate

patient translating important info about procedure

very inappropriate - may be emotional, errors could be made

med students teahcing WEX student is

inappropriate but not awful

taking the work experience student around hospital after ward round would be

inappropriate but not awful

‘ i must say i am disappointed you are late again’

very inappropriate - not a constructive response and is overly emotional

student wasn’t informed about if there was a dress code

not important - they should dress appropriately anyway

doesnt matter if woman has dementia

should still be allowed to make choices in free will

should you always own up to actions

yes

too many visitors by the patient when the patient is critically ill

important

doesnt excuse behaviour

but maybe should move patient to quieter side room with less disruption to other patients

if you are taking steps to resolve a situ (even if its not ideal) ans is neevr usually very inappropriate

any resolutions that are dishonest are automatically

D

patients should be fully informed when an error is made

very inappropriate to report students to the tutor, before having a discussion with tehem

the fact that student will miss out on learning opportunities if he has a flu and stays home

not important

if a factor doesn’t address any of the issues in the situtaion it is

usually of minor importance

the fact senior staff asked student to do a task when they are overworked is

not important

if a factor isnt of the highest importance to the situation

it is just important

direct, local solution is

very appropriate /important

other patients are bothered by loud noise of patient with too many visitors

very important

in order to preserve confidentiality, offer that friend should visit patient instead of asking dr

very appropriate

asking patient to stop shouting

very appropriate

going to another consultant to ask for advice instead of asking for more feedback from supervisor

very inappropriate

seeking advice from friends about a situation is

appropriate but not ideal

if another dr makes inappropriate comments, telling the people he directed the comments at is

very inappropriate

disclosing private info on behalf of someone else

very inappropriate

if colleague is posting homo/sexist/racist stuff

report to supervisor

the new tool that student will use is more effective (even tho they havent used it before)

very important - patient safety and care is mots important

the fact that a student may react negatively if you dont show them ur coursework is

not important

the fact that a patient may be embarassed to speak about diet pills to doctors (when they may be affecting his health)

is important to consider - as it influences how the jr dr will approach the issue

even if a patient doesnt recognise that they know the dr,

the dr should still ask for consent

to improve working relationships is

of the highest importance

what is worse, turning up late as jr dr or turning up in wet clothes - breaking the policy dress code

turning up wet

sharing religious beliefs with patients

very inappropriate

direct responses are

most appropriate

notebook with patient info on the front

inappropriate to just tell patient to lock away for the shift - temporary measure

is tone of a response that important

no

offering inducemnets

very inappropriate

refusing to draw bloods (w/o providing info as to hwy)

is very inappropriate

emailing supervisor of placement to explain issues with receiving lack of clinical tasks is

very appropriate

the fact other passengers are becoming distressed when there is a medical emergency

minor importance

the fact that no patients have complained about treatment of dr

not important

the fact that med student may have drunking problem when they are about to complete patient exam and hes drunk

important - most important is the exam and patient saftey

asking a patient if theyd like to learn about stopping smoking services even when they said they dont smoke

very appropriate

discussing another students inappropriate comments at next academic tutor meeting

very appropriate

apologising when patient says he doesnt want to be examined by a jr doctor

very appropriate - could be a communication error

something is a good response however not direct

appropriate but not ideal

patient is shouting and screaming at med student and dr says “is there anything i can do to help”

“you need to calm down and stop abusing med students”

very appropriate

very inappropriate

monitoring behaviour/waiting a week

usually inappropriate

finding another doc for a patient after jhey have been xenophobic

appropriate

med student out with clinical supervisor

the fact that he has a reputation for flirting with female students

of minor importance - is irrelevant, he is senior

students mum is in a car accident , how close she is to the university

relationship iwth the lecturer

minor importnace - she should go no matter what

important - he can sympathise with her

tan is gay - but studnet making homophobic comments doesnt know this

not important at all - he shouldnt be saying it anyway

the fact that uni monitors attendance

the fact that lecture notes will be online

very important

not important at all

discussing concerns with group leader about behaviour of other students

to join a diff group

very appropriate

very inappropriate

if anything gives a bad impression about dental profession

very inappropriate

student was injured by a needle - but they have a tutorial to attend

not important - the needle injury is very important

the fact the patient is anxious about her test results

very important

hsouldnt socilaise with patients you treated in hospital

doesnt matter if they got on well

the fact the patient was admitted with a mental health condition - makes them vulnerable

or accept gifts from

jr doc smells alcohol on the consultants breath, however the colleague doesnt

not importnat - main issue is the jr dr smelling the alcohol

to say to childs mother “i would like to hear the child speak please”

is inappropriate but not awful

its confrontational however it aims to deal with the problem

med student sees patient smoking and says i will have to tell my supervisor

inappropriate but not awful - doesnt deal with the patient and explains the reasons why he shouldnt smoke on the medication

how speaking to senior doctor about his attitude towards patients could affect their relationship

of minor importance

there is a rare surgery to observe - but student is due to see his parents

• the surgery is very rare

• he already made a commitment to see his parents

very important

important

should not miss lectures to see parents

a patients rep is

not important

the fact the WhatsApp group (that shares patient info is private)

the info shared would be helpful for the students

not important - info could still be leaked

not imprtant

saw the dentist drinking from hip flask - report immediatley to practice manager

appropriate but not ideal - affects patient safety , however should speak to dentist first

privately asking the student to redo hios work quickly

very appropriate

encourage student to speak to med school about workload (even when theyve said they dont want to see med school)

inappropriate but not ideal

dont prescribe homeopathic medicine

no evidence

if the dr is drinking reporting him immediately to the relevant authority is

very appropriate

classmate has been taking illegal drugs -consider telling the supervisor

very appropriate as it affects patient safety

the patients view of the health profession is secondary to the doctor-patient relationship

how the situation will impact the patients ability to help with future teaching opportunities - important, however there are things or greater importance

• so it would be considered important, not very important

the supervisors negative reaction when raising the issue

not important at all

emma has had change in attitude, and become withdrawn and sometimes rude

the fact the situation may improve by itself

the fact she may not want to discuss the issue

of minor importance - cannot be guarenteed

of no importance as it affects others

there will be other clinical opportunities for the student whos supervisor appt clashes with a clinical opportunity

very important

letting a supervisor know that a patient has complained about beahviour regarding confidentiality of dr

“i think it would be better if you spoke to the dr yourself”

very appropriate

appropriate but not ideal - patient may be uncomfortable with this

patient says they dont want jr doc to do blood test

“dont worry i have done this many times”

“should i find you someone else”

“im the only person right now - there will be a delay if u wnat somoene else”

appropriate but not ideal - dissmissive or her concerns and doesnt solve fears

appropriate but not ideal - based on one comment, dr should explore concerns further, also may be time consuming

appropriate but not ideal - doenst explore the concerns

asking porter to assist lost patient

very appropriate

observing registrar in other situations to see if she talks about her patients

c - doenst deal with problem now