“The guy was fine, he was just super you know anti-coagulated for a little while, which was probably a good thing for him, you know he had a thrombus basically”
“Well it was a chain of errors.. nursing staff on this ward are more proactive in getting things done.. the wrong test was ordered.. I took over the care, checked it on the computer, saw it was low, prescribed the bolus and then did not realise till next morning”
“There was a complication during the procedure which caused the patient to have too much propofol or have a reaction to the medication..”
“…or was it because the medication and his underlying condition, bradycardia, was a risk factor for him to have that situation arise or was it completely due as a side effect”
"I think you know in life what's a good thing to do and what's a bad thing, and I did a bad thing. And there you have it.“
NOT CRITICAL REFLECTION
‘It is almost impossible for practicing physicians to deal with their errors in a psychologically healthy fashion.. The climate of medical school and residency training, for instance makes it nearly impossible to confront the emotional consequences of mistakes..
“little wonder that physicians are accused of having a God complex; little wonder that we are defensive about our judgements; little wonder the we blame the patient or the previous physician when things go wrong, that we yell at the nurses for our mistakes”
"I think you know in life what's a good thing to do and what's a bad thing, and I did a bad thing. And there you have it.“
NOT CRITICAL REFLECTION
“Virtually every doctor knows the sickening feeling of making a bad mistake..
You feel singled out and exposed..
You agonise about what to do..
You question your competence..
But fear being discovered..
You know you should confess..
But dread the prospect of potential punishment and of the patient’s anger”
You made a mistake.. Critically reflect.. Don’t rationalise it.. Accept that it is a mistake and you need support
Reflective competence is what you require to negotiate stages of learning, and maintain it..
What do believe is your professional identity and what does professionalism mean to you?