Medico-Legal Society of Queensland Podcast

Inappropriate workplace behaviour or resilience building?

Medico-Legal Society of Queensland (MLSQ) Season 2 Episode 3

Inappropriate workplace behaviour or resilience building?
This session is chaired by MLSQ committee member Dr Catherine Yelland

 

The Scenario

The setting is a large regional hospital in a relatively disadvantaged town.  There is difficulty attracting staff, and most positions are filled by locums, newly arrived IMG’s and rotating registrars.

A patient presents on a Friday evening, another victim of drug related gang violence.  He had been pinned to a wall by a car and sustained multiple injuries. He was resuscitated by the ED and then whisked off to theatre by the enthusiastic surgical registrar, who happened to be walking past the ED on his way home.

Unfortunately, while performing surgery, the patient deteriorated and died on the table.  This led to a Coroners notification, investigation and plenty of media attention.  All staff were interviewed by police, hospital and external investigators.

The surgical consultant says he wasn’t properly informed of the patient.  The registrar indicated that he isn’t really supervised, and just told to “get on with it”.  Rumours around the hospital are that this registrar is a bit gung-ho and overconfident.

During the investigation, the surgical resident revealed that she had been exposed to racial and sexual harassment and bullied and belittled by the surgical consultant.  She had made the surgical registrar aware of this, but nothing had been done.  She had mentioned it to the DMS, who chalked it up to a “personality clash” and told her she needed to harden up.  The consultant denies all allegations and angrily indicates he intends to sue for defamation.

 

Mrs Sonya Black in this episode will cover

  • Ethical and legal responsibilities and consequences of clinical leaders
  • Vexatious complaints