Factors Influencing Physicians’ Continuous Blogging: A Survey

Background: Health information can be more easily transmitted and diffused through the Internet, but questionable online health information often misinforms patients. Physicians have a duty to inform patients how to achieve positive health outcomes. Many physicians often write blogs to provide patients with the right health information. However, most articles available on this subject only describe the blog phenomena without providing a theoretical background and an empirical analysis of doctors using blogs. Methods: This study based on social cognitive theory (SCT) explores the factors influencing physicians’ intention of continuously blogging. A total of 887 physician bloggers were invited to participate in an online survey and 128 valid responses were received. Results: The SCT was proven to be useful in explaining 36.8% of the variation in physicians’ continuous intention to blog. Conclusions: We provide references for platform developers with different strategies to motivate doctors to blog, and the implications and limitations of this study are discussed.

An audit: fitness to drive assessment in inpatients of general adult and old age psychiatry

AimsTo determine if fitness to drive is assessed on admission and discharge, if applicable, and for this to be documented during clerking and on discharge notifications.To determine if patients are being educated about the impact of their condition on the ability to safely drive.To ascertain if patients are aware of the duty to inform the DVLA if they for any reason are not fit to drive.BackgroundRisk factors include social, behavior and iatrogenic factors such as social withdrawal, increased likelihood of substance abuse and side effects of anti-psychotic medication.MethodThis trust wide audit involved the random sampling of a total of 71 case notes, 4 case notes per Consultant team in general adult psychiatry and old age psychiatry across Dudley and Walsall sites (total of 3 sites). A data collection tool was developed and included relevant questions regarding fitness to drive. Data were collected between October and December 2019.Result18/49 patients had physical health screening prior to medication initiation.ConclusionAn important aspect of good medical practice is to educate patients about their condition, this includes their fitness to drive as this can be affected both by their diagnosis and medication. It is clear that clinicians also need to be educated about this responsibility to ensure assessment is performed especially on inpatient discharge.

Behind the Scenes with the Snowden Files

This essay examines how the Washington Post dealt with the tension between its duty to inform the public and its desire to protect national security when it received documents leaked by Edward Snowden. The essay describes the push-and-pull between the media and the government. Journalists try to advance the public’s right to know, particularly about potential government encroachment on civil liberties, and the government tries to defend the security of the country while respecting civil liberties. Reporters with a bias for public disclosure voluntarily withhold certain documents and details based on a careful consideration of harm, and intelligence officials with a bias toward secrecy do not fight every disclosure. The Post’s coverage of the Snowden leaks provides an opportunity to gain insights into how to navigate the inevitable conflicts between journalists’ desire to inform the public and the government’s desire to protect its secrets from foreign powers.

Medical negligence and diagnosis: further inroads into Bolam?

The Bolam test allows medical professionals to set the standard of care in medical negligence litigation. There is growing recognition that the medical professional’s duty to the patient is complex and multifaceted and that Bolam may not be appropriate with respect to some aspects of the duty. Significantly, it has been rejected with respect to the duty to inform. Recent cases involving diagnosis and cancer screening raise questions about its application to these aspects of the medical professional’s duty. It is timely to consider further inroads into Bolam by curtailing its application to diagnosis and rejecting its application to screenings tests.

Boomchee

At what point in a date do you owe the other party the duty to inform them you are engaged? Is marriage an exercise in love, or practicality? In this work of philosophical short story fiction, the law school student narrator working at a summer factory job decides to set up her shy female friend, Susie, with her boyfriend’s shy brother, Barry. They go on a double date and everything seems to be going fine. Only later does the narrator and her boyfriend find out that Barry is engaged to a mail-order bride from Southeast Asia that will be arriving shortly. The shy Barry, it turns out, wanted to “practice” going on a date before his new wife arrived. The law student narrator is embarrassed, and struggles with the moral duty both she, and Barry, owe to Susie.

Is There a Doctor in the House? Medical Ethics and the Doctoral Honorific

The proliferation of professional doctorates has reinvigorated debate over the use of the doctoral honorific. Doctorate holders are often addressed as “doctor” in academic contexts, but idiomatic American English associates “doctor” with physicians—licensed clinicians with doctoral degrees in medicine. The possibility of patient confusion has historically justified proscription of the doctoral honorific by others, including nurses, but recently such proscriptions have been withdrawn. An examination of history, language, and ethical reasoning leads us to conclude that, in the context of patient interaction, clinicians should eschew the doctoral honorific entirely. We think it appropriate for professionals to rely on training-pathway titles as part of their professional duty to inform. In particular, we argue that licensed clinicians with doctoral degrees in medicine should embrace the title of “physician.”