Wednesday, January 23, 2019

Lesson learned: HUMBLE PIE




I learned something new tonight, reading Williams Obstetrics 25th edition, while mentoring resident Dr Kristina Plaza:

OBSTETRIC CARE CONSENSUS COMMITTEE
1. Prolonged latent phase is not an indication for CS
2. Protraction disorder is not an indication for CS
3. Active phase of labor begins at 6cm cervical dilatation
4. CS for active phase arrest should be reserved for women at or beyond 6cm of dilatation with ruptured membranes who fail to progress despite 4 hours of adequate uterine activity, or at least 6 hours of oxytocin administration with inadequate contractions and no cervical change

Doctors continually study.

There is no shame in admitting that you do not know everything, that even at the level of consultants we should continually study because the field of medicine is ever-changing.

Admitting to medical mistakes

There is no shame either, in admitting humbly when a mistake is committed. This is the first step to finding a solution to rectifying the mistake and learning from it.  So long as patient safety is considered and the medical mistake can be rectified, mistakes can become our teachers.

Smooth Relationships more important than pride

We remember that it is easier to admit a mistake, rectify it and say sorry than to insist you did not a mistake then end up with a broken relationsbip because of pride.



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