me007
Forum Guru
Topics: 72
Posts: 803
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i had to listen again Steven Daugherty.
...The best standard on the exam is higher than legally required...
if you are thinking thit is what the law requires, but that is most ethical...
make that choice
... think - What is mother Theresa would do in this instance and pick that as your answer..
also
• Rule #20: Focus on what is the best ethical conduct, not simply the letter of the law
could it be used to proof B as a correct answer?
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| Luckyall
Forum Guru
Topics: 11
Posts: 593
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the thing is that if in a real life you report colleagues & attendings you ARE OUT of that program !  More of a complex discusion here and is not the right place &time, but you'll soon see it ( few years for you)
You ideally report it to the supervisor !!!
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| me007
Forum Guru
Topics: 72
Posts: 803
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this is a q what better be answered..
and here is why
http://www.prep4usmle.com/forum/thread/47815
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| Luckyall
Forum Guru
Topics: 11
Posts: 593
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ascertain which ward the patient is on so that he can review the chart thats option B)
Now, you guys, vote ...what are the circumstances said by Steven Daugherty in his lectures... where YOU CAN BREAK tha pts confidentiality and go & look up in his chart just b/c you feel he s at BIG time danger !!! NONE, you have to ask pts permission regularly, or you can ask pts permission thru his MD in charge, having him a written consent so that you can see his chart ! This is a big time rule that cannot be lived otherwise nor in exam conditions, or real life
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| Luckyall
Forum Guru
Topics: 11
Posts: 593
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i meant to say having his MD in charge getting a written consent from our pt.so that you can see it and maybe take over
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| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
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If you saw filatinos he said he got atleat 10 -15 ethics questions, he said that screwed him.
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| unique1
InGodITrust
Topics: 19
Posts: 1,407
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OK guys , I asked this q to a person who should know the answer or at least his opinion should carry some weight . He is an attending physician  (and had scored in high 90's in USMLE )
He says the answer should be G .
This question actually tests if we know that we should keep our patients info confidential and if we disclose any info , it is violation of HIPAA .
___________________
I can't change the direction of the wind, but I can adjust my sails to always reach my destination.
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| Luckyall
Forum Guru
Topics: 11
Posts: 593
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i checked it out with few PGYs friends....the unique asnswer was G...
now unless Steven Daugherty himself tells me otherwise, i dont believe it
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| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
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http://www.prep4usmle.com/forum/thread/36803 New question
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| Luckyall
Forum Guru
Topics: 11
Posts: 593
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yeah, for this new Qs i guess i'd go with A... althought weekend days you gotta be ready to do anything anytime for YOUR patients... correct ?
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| werther
Forum Senior
Topics: 11
Posts: 110
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Yes Luckyall, i totally agree on that. I have just heard SD lecture, and that is the rule to follow, Mother Theresa would not take time off on saturdays.
You just tell her to come over... after all, how long can it take you an intraarticular injection?
I believe A is the correct.
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| quansar
Forum Newbie
Topics: 6
Posts: 26
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A can not be right. tell me how could the pt get to your office with her husband out for work and she is so weak that she could not even use the toilet. unless you go to her door for the shot...
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| valentino
Forum Junior
Topics: 10
Posts: 52
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well the question doesnt imply that the patient isnt being taken care of (in which case the physician would definitely had to intervene) .The patent is still under observation of the physicians who will deal with the drug reaction in the appropriate way.
this seems to me to be a plain case of stressing patient confidentiality preservation ; so i would go with G.
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