Professional Documents
Culture Documents
Clinical Scenario
1. Yes, I agree with the attending. It is doctors prerogative to conceal a mistake 2. No, I do not agree with the attending. Doctors are obliged to disclose medical errors.
Background
As medical students proceed through the clinical rotation at medical school, they meet tremendous challenges to their professional development The "culture of medicine" on the wards and in the clinics takes its toll on our students
Background
Most students survive these threats to their well being and become acculturated to the world of medicine, albeit, often with residual feelings of anger, resentment and hostility Others go on to perpetuate the same practices on those trainees more junior
Background
In an effort to make the experience of clinical rotation more humane, and allow for discussion and reflection, new policies and educational programs will be developed at UGM
Culture
(Merriam-Websters Collegiate Dictionary)
a. The integrated pattern of human knowledge, belief, and behavior that depends upon man's capacity for learning and transmitting knowledge to succeeding generations
Culture
(Merriam-Websters Collegiate Dictionary)
b. The customary beliefs, social forms, and material traits of a racial, religious, or social group
Culture
(Merriam-Websters Collegiate Dictionary)
c. The set of shared attitudes, values, goals, and practices that characterizes a company or corporation
In addition to acquiring a great deal of knowledge, your years in medical school are an intense process in acculturation The culture of medicine has its own norms, rules and expectations
Paternalism
(Merriam-Websters Collegiate Dictionary)
1. A system under which an authority undertakes to supply needs or regulate conduct of those under its control in matters affecting them as individuals as well as in their relations to authority and to each other 2. A policy or practice based on or characteristic of paternalism
Whistleblower
There are many reasons why doctors remain silent in similar situations, though two in particular have impeded openness in the past:
Firstly, the culture of medicine has been one in which you shouldn't let the side down, and in which whistleblowing is seen as sneaking on your colleagues Secondly, confidentiality clauses in NHS trust contracts effectively gagged employees