bs 2 - doctoria

[ArchivalUser]

Medical students at a major teaching hospital are routinely assigned to observe obstetric patients and to assist
during delivery. When a male medical student introduces himself to an obstetric patient, the patient becomes
agitated and requests that no students be present during her delivery. The patient had been informed, prior to
admission, that this was a teaching hospital and that a student would be assigned to her case. When informed of
the patient's refusal, the attending physician in charge should


A. ask the patient's husband for his consent

B. assign a female medical student to observe

C. not allow any medical students to observe this patient

D. have the patient's nurse seek permission

E. have the student approach the patient again and explain the necessity for student observation

F. have the student observe in the background as a part of the health care team.

G. meet with the patient and discuss the value of observation in medical training

[ArchivalUser]

C. not allow any medical students to observe this patien

[ArchivalUser]

E. A reasonable approach. We may not win over every pt, but it is worth explaining to pt. There could be some success or may be not. If we take no for an answer, there would not be any male OB or GYN doctors.

[ArchivalUser]

SHOULD BE C

[ArchivalUser]

C the patient wishes comes first

[ArchivalUser]

Yeah C seems to be better answer.

[ArchivalUser]

always n always patients wishes first ..PATIENT FIRST

[ArchivalUser]

Explanation:

The correct answer is C. The patient has the right to decide who will or will not be present during her care. This
includes the right to refuse to be a part of a student's educational experience. The desires of the patient, not
the physician or training facility, come first. If the patient does not want a medical student present during the
delivery, respect the patient's wishes.

Choice A is incorrect because the patient's consent, not her husband's, is required. The husband cannot give
consent for an alert, competent patient.

Choice B is incorrect because the patient is not rejecting male students, but all students.

Choice D is incorrect because the patient has already refused. Sending the nurse to get permission suggests
that the physician is not respecting her expressed wishes.

Choice E is incorrect because the patient has already refused. Having the student go back and ask again will
only make the student uncomfortable and may make the patient angry.

Choice F is incorrect because sneaking the student in to observe in the background is a direct contradiction of
the patient's wishes.

Choice G is incorrect because meeting with the patient to discuss the value of teaching encounters suggests
putting pressure on the patient to change her mind. The purpose of the medical encounter is to seek the
greatest benefit for the patient, not seek the best educational experience for the student. The patient's wishes
predominate here.