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thepromise
so you're not gonna conceal the abnormality and act like its their fault? since they touched it last
+31
tinydoc
How on earth would they expect the parents to conceal a malformed upper extremity from the grandmother and the aunt of the child in a family that is close enough to allow these people to be in the room during the delivery. As always the ethics questions seem to make sense in retrospect, but always seem to have a ludicrous action on your part that you wouldnt do in practice.
+11
llamastep1
It's not just conceal but it's a private and sad moment, gotta give the parents some time to process it.
+9
tinydoc
I thought about that but then I ruled it out as with the NBME ethics questions the answer is almost never to defer to someone else. The question doesn't ever tell you what type of doctor you are for you to be referring to a different more specialized physician. Also I assume that they think if there was something wrong you could handle it.
+4
llamastep1
Out of all the questions (UWorld,NBMEs etc.) I can only think of 1 question where you had to refer.
+1
targetmle
even i thought pediatrician should be called as after all, every newborn is screened by pediatrician and in this case, he had abnormality! i still wonder why would gynaec comment on that!
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submitted by โyotsubato(1208)
This is a question about patient privacy. The patient here is the child. The proxy for the patient is the mother and father. They must know whats wrong. Sister and mother are just lookyloos, and parents may not want to tell them (stupid I know, but whatever) so you send them out and then tell the parents the situation.