Not all residents are smart...

[spotty_dog]

Re: Not all residents are smart...

Alison, are the ones that know him just scratching their head and saying "what was he thinking?"

Sounds like it. The impression I got is that this is perceived to be a colossal lapse of judgment, and the calling of the press is generally considered to have been a dick move.

[SuzySunshine]

Re: Not all residents are smart...

Alison may be able to address that better then I but according to the Scottsdale paper they were having more meetings and investigation today, including talking to management here to determine what to do with him. I've checked the paper website a few times and it hasn't been updated since last night.

[Sheherezade]

Re: Not all residents are smart...

Here, there is no "official photographer" rule. DH said that's a great idea. Surgeons here also record their own cases with personal cameras usually bought by the department in equipment budgets. DH also has several surgical movies in rotation; those have been made by the AV department. I think this must differ from state to state or institution to institution. Maybe the standard medical consent also differs? I wonder how this is covered in HIPAA. I know that personal cameras wee also used at MGH in Boston.

This is probably one of the reasons I wasn't so shocked. With DH in gynecologic surgery, you wouldn't believe some of his work photos.

[Stella]

Re: Not all residents are smart...

This is probably one of the reasons I wasn't so shocked. With DH in gynecologic surgery, you wouldn't believe some of his work photos.

I'm guessing he doesn't make crude jokes and show them to his friends, though, no?

[SuzySunshine]

Re: Not all residents are smart...

I think every system is different on the photos though I'm sure there has to be some consent statement somewhere in your paperwork. DH can't remember how things were done at his med school.

[alison]

Re: Not all residents are smart...

I have a question... What about work stories, not just work photos.
I mean, we've been out in public where stories about men who have "accidently" fallen onto objects that in turn have to be extracted from orifices are the topic of discussion. As long as these stories aren't attached to names of people, is it fair game?

[SuzySunshine]

Re: Not all residents are smart...

I don't know if "fair game" are the words I would use but I think its normal for people to talk about their work regardless of what that work is. Its when you violate someone's privacy that I think it becomes an issue.

Donatello Versace was in my mall a few months ago b/c a family member was at the clinic. There were several rumors about who it was and why but I think scuttlebutt like that is going to follow anyone that people are going to recognize, etc. Now if one of her family member's docs had done something to make public who was here and why then yes, I think it would be just as bad as the photo.

Re: Not all residents are smart...

I think there are stories that are told all the time. As long as you don't identify the person, I think technically it's kosher. As far as photographing goes, I assume the patient has to have signed a release, but it's probably part and parcel of the stack they sign when they're admitted to a teaching hospital.

Wow. He's a "sweet Mormon guy"?? That is the last description I expected to hear.

ETA: I totally agree w/whomever mentioned the others in the OR when the guy snapped the pic. Where were they? Yes, he's responsible - he did it. But I find myself wondering if they were saying "yeah dude - take the pic", or if anyone even thought to say "uh - not okay"

[planet]

Re: Not all residents are smart...

I still don't see how the hospital can avoid firing him, especially with HR pissed. Perhaps in the beginning he could have come up with a better approach. "Hot Rod dude, I thought you might find it cool to have some memorabilia of your surgery, but if you aren't interested I'll delete it." Kind of too late for that though.

With nothing identifying then there's not a violation...that's my understanding. I think there's a good amount of grey area.

[alison]

Re: Not all residents are smart...

I think there are stories that are told all the time. As long as you don't identify the person, I think technically it's kosher. As far as photographing goes, I assume the patient has to have signed a release, but it's probably part and parcel of the stack they sign when they're admitted to a teaching hospital.

Wow. He's a "sweet Mormon guy"?? That is the last description I expected to hear.

ETA: I totally agree w/whomever mentioned the others in the OR when the guy snapped the pic. Where were they? Yes, he's responsible - he did it. But I find myself wondering if they were saying "yeah dude - take the pic", or if anyone even thought to say "uh - not okay"

Uh, I think I was the one who mentioned that. I can totally see other people egging him on to take the photo. "Hey, do you have a camera? We should get a shot of this!" "Yeah." "So what are you waiting for? Get a picture!" "Um, ok."

[SuzySunshine]

Re: Not all residents are smart...

According to my information the resident's appointment has been terminated.

The statement basically says that both the resident and the paper's source are being held responsible but it sounds like at this point they don't know who went to the press.

ETA: The short statement basically says it is because of a violation of policy and the need for absolute patient confidentiality to continue TWFMC's tradition of patient care.

ETA: TWFMC is what those that work for it call it jokingly, not seriously.

Re: Not all residents are smart...

According to my information the resident's appointment has been terminated.
.

OMG. I feel so sorry for his family. I can't imagine the stress they are feeling.

Re: Not all residents are smart...

Sorry if this has already been addressed, but here is one of my questions. If the resident was scrubbed in for the procedure, how would he be toying with the phone and keep the sterile field? Did someone other than him pull the phone out of his scrubs and actually take it? Please feel free to let me know if that was a dumb question - I can take it.

[SuzySunshine]

Re: Not all residents are smart...

Kevin, no I don't think that has been addressed. The statement was the he took the photo while putting in a catheter, how he did that in a sterile field I don't know. Maybe he took the picture, then scrubbed and put the catheter in. :huh:

[SuzySunshine]

Re: Not all residents are smart...

Our local tv station just ran a story on this and the resident has said he will grant an interview after the decisions are made.