You are an ER resident who specializes in trauma. One day, a martial arts sportsman is sent to your ER with an apparently throat injury. His coach said he was hit by the opponent in the throat during the semi-finals match. You are aware that in this type of martial arts, attacking unprotected areas of the head such as the throat is ground for disqualification.
Your attending physician (your boss in the hospital) told you that the opponent of the injured player is your countryman, whereas the injured player is a foreign contender of the champion title that your country values highly. He wants you to "examine the injury carefully" right after he remarks how important the match is for the country.
How would you handle this situation?
haha. This reminds me of Taiwan vs Korea competition =P
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I'm glad you liked it :)
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DeleteHi,
ReplyDeleteI am practicing MMI for a GP exam in Australia. being an overseas trained doctor i face dome challenges in ethical dilemmas for example " 14 year old wanting contraception with out telling her parents."
I find your blog to be extremely helpful. I have been working for only 6 months and donot understand a the ethical jargon of Australia. for example, i recently learned that there is something called conflict of interest etc.
can you recommend a book which summarizes such ethical issues.
regards
Hi there,
ReplyDeleteThanks for leaving a comment. A book that I was recommended when I prepared for MMI was "doing right" by Herbert.
plz somebody anwser it
ReplyDeleteThere seems to be two initial conflicting influences when addressing this question. Firstly, the coach, who has flatly stated that his fighter was struck in the throat (a move the coach undoubtedly knows is worthy of automatic disqualification). You cannot know whether the coach is interested solely in his fighter's well being or the outcome of the match. Secondly, your senior, who also appears to have an interest in the fight. He insinuates that should the examination favour the disqualification of the home nation's fighter, that it would be beneficial to falsify the results.
ReplyDeleteThe care and health of the patient is vital in this situation, Agendas aside, it must first be determined whether he is safe and has full capacity (a translator may be required). Following the fight, he may be confused and groggy, so it's important that he understands why he is there and what examinations you will be running on him.
Doctors must not unfairly discriminate against patients by allowing their personal views to affect the treatment they provide. The foreign fighter should receive a full examination, with any injuries fully documented and filed. If any further treatment is required this should be noted and relayed to the appropriate bodies. At this stage, the fighter must be made aware of the examination results, and you must ensure that he has understood the treatment options you have presented to him.
Regardless of any results you have obtained, you cannot divulge anything connected with the examination unless the patient has given you leave to do so. Your integrity and perhaps ultimately the public's perception of healthcare delivery are called into question if you lie at this stage.
Additionally, you should approach your senior and tell him that his prior remark made him feel uncomfortable in attending the patient. You may wish to contact other colleagues, your defensive body or your line manager for more information, as you have been made to feel as though they should compromise their integrity and duty as a healthcare professional.