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MEdIC Series | The Case of the Unseasoned Senior – Expert Review and Curated Commentary


SMACCLast week, we launched one of the cases which was developed at the ALiEM MEdIC workshop at SMACC 2015. The Case of the Unseasoned Senior brought together learners, teachers, and colleagues from across many disciplines and specialties to discuss professional responsibilities, autonomy, and clinical supervision. We are now proud to present to you the Curated Community Commentary and our 2 expert opinions. Thank-you again to all our experts and participants for contributing again this week to the ALiEM MEdIC series.

This follow-up post includes

  • The responses of our experts, Dr. Brent Thoma and Dr. Jacky Parker
  • A summary of insights from the ALiEM community derived from the blog discussions
  • Freely downloadable PDF versions of the case and expert responses for use in continuing medical education activities
Expert Response 1: Dr. Brent Thoma
Expert Response 2: Dr. Jacky Parker
Community Commentary: Dr. Sarah Luckett-Gatopoulos

MEdIC Series Case and Responses for Download

Download the case (469 kb PDF)

medic document

Teresa Chan, MD
ALiEM Associate Editor
Emergency Physician, Hamilton
Assistant Professor, McMaster University
Ontario, Canada + Teresa Chan
  • bo

    hi Teresa,

    Just wondering whether I can engage your experts for a discussion on this case.

    Personally, I think that it is not very useful just to use a deonotological approach in the matter e.g. stating Tom Beauchamp and James Childress 4 ethical principles in this case at all. Often this is type of situation being extremely contextual and relationship issues laden, it would be much better and more clearly explained by the model of ‘ethics of care’ by Joan Tronto, (in terms of Attentiveness, Responsibility, Competency, Responsiveness) whether you are the health care professionals: attendings , residents, interns, nurses managing and interacting with patients or colleagues under your supervision or needing your support.

    In terms of patient safety issues worth checking out beyond the checklist by Suzanne Gordon.

    In additions, simply highlighting a few terms e.g. like “professionalism” or “collaboration” from ACMGE and Canmed can be extremely problematic without any articulations what they truly means and there relevance and how they are relate to each other in this context

    Hope my opening statements have stimulate some more detail thoughts and grateful for any opportunity for further in more depth discussions with your experts on this case