2. Treatment Refusal

Your chief resident in pediatrics must examine the results of Amy Smith, an 8-year-old girl diagnosed with a second relapse of Acute Lymphoblastic Leukemia (ALL). Amy was initially diagnosed at 2 years of age. She relapsed one month after finishing the initial course, and had a further 18 months of therapy. Prognosis given at the last visit: “if she relapses again, only a bone marrow transplant might save her, and even then, the chances of success are very slim.”

Her mother is deceased. The father is traumatized and is waiting to inform the resident of the family’s final decision.

2. Rank a series of choices. Drag and drop the choices in order of most advantageous to least advantageous statement with respect to assessing professionalism using ePortfolio in this situation.

  • a. a change in curriculum from previous pedagogic methods is required.
  • b. there is a reassurance that the effectiveness of actions can be based on the professionalism assessment results from ePortfolio.
  • c. I don’t feel comfortable using other preceptor’s evaluations as these should be specific for each individual situation.
  • d. several entries in ePortfolio provides a benefit to the measure of the professionalism.
  • e. there is an ability to view an agreement (transferability) of the stakeholders interpretations of professionalism in new contexts.
  • f. the provision of feedback about professionalism in ePortfolio provides additional, improved organization to data entry and future review.

In assessing this resident’s professional competence, you must complete a MINI-CEX and corroborate additional reflective comments from the resident’s current rotation preceptors in assessing this resident using e-Portfolio.

What reflective comments would you like to add?

info

When you are satisfied with your choices and reveiwed the FURTHER INSIGHT, proceed either to another situation or to FINISH.

Map: ePortfolio - Assessing Professionalism (617)
Node: 17606
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