• Team management of errors

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    Dr A is the consultant in charge of a team of junior doctors including a registrar, a medical officer and a houseman. At the outset, Dr A tells the team what is required of them and the standards he expects from all his team members. In the course of managing patients, the registrar Dr C

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  • Surgery on a Relative

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    Doctor Zoe is the most experienced surgeon in a surgical subspecialty. Her husband has developed an illness and is found to require a difficult surgery in Dr Zoe’s specialty. The most suitable person to perform the needed surgery is Dr Zoe herself. Dr Zoe decides that she will be the surgeon rather than risk her

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  • Risk communication of surgery

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    A patient, Ms B, aged 50, saw surgeon Dr E for a 2 cm nodule in the head of the pancreas found on routine ultrasound screening. After doing blood tests and MRI scan, the nature of the pancreatic nodule remained unclear and Dr E told Ms B so. Ms B was told that the tests

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  • Family Disagreement

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    Ms T was found unresponsive at home in April 2014. Paramedics were called and CPR was performed. She was intubated in the Emergency Department. Ventricular fibrillation was indicated as the cause of the cardiorespiratory collapse. CT brain scan showed a brain tumour — likely a meningioma. Ms T has been unconscious since her collapse due

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