“I was with a group of third year students on ICCM, being taught by a surgical registrar. He had admitted a woman with acute cholecystitis that morning and he thought it would be interesting for us to examine her. He showed us the typical examination findings in acute cholecystitis, and then told each of us – there were five students there - to examine her and elicit the findings for ourselves. The woman was pulling faces that showed me she was in pain and didn’t want to be examined, although she hadn’t said anything to the registrar. I was very unhappy about examining her but the registrar told me that it was an excellent case with classical examination findings, and I need to learn how to examine patients even when they’re in pain or distress. In the end I examined her because he was so insistent, but I tried to press really gently."
When the registrar had gone away, we were left on the ward. I think we were all a bit shocked at how oblivious he was to the patients pain. I know that practicing doctors see patients in pain every day, but that doesn’t mean they should just ignore it. We went back to the lady and told her how sorry we were if we’d given her extra pain. She was really nice about it and said we had to learn, but that just made us feel even worse. We decided to submit a report through the raising concerns website – we went away and did it immediately in the students cluster room. We all put our names on it.
Someone from the raising concerns working group emailed us all a few weeks later. She said that we were right to be concerned that the doctor was displaying unprofessional behavior but that it was the first time they had heard anything negative about this doctor. She said that other students have said what an enthusiastic teacher he is and maybe his enthusiasm for teaching clouded his judgment. She explained that she would keep our report on the secure database they have, and if they received other reports about him then they might pursue things a bit further.”
Page last modified on 27 mar 13 14:42