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My wake up call

My wake up call. Dr Harold Letsoalo Ellisras Hospital Limpopo Province. Background. Medical school life Fear Lack of knowledge Silence Internship Work overload Direct supervision. Community service. New working environment Responsibilities Hierarchy and pecking order

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My wake up call

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  1. My wake up call Dr Harold Letsoalo Ellisras Hospital Limpopo Province

  2. Background • Medical school life • Fear • Lack of knowledge • Silence • Internship • Work overload • Direct supervision

  3. Community service • New working environment • Responsibilities • Hierarchy and pecking order • Difficulties and frustrations • Experiences similar to previous background

  4. Defining moment • A 16 year old patient who was referred from a clinic with eclampsia • My senior wanted to perform spinal anaesthesia which I objected to for valid medical reasons • “I am a Senior and you are a junior in this hospital, so you will do as I tell you” • When he insisted, I realised the danger to the patient

  5. My journey… • I embarked on a journey to protect and promote human rights • Patients • HCPs • At that moment I was forced to speak out for the patient’s sake • I persisted and succeeded

  6. …journey • Tried to seek remedial measures from the system • Awareness of deficiencies in the system • Retrospective awareness • inaction in the past • Prospective challenges…

  7. Conclusion • How can human rights training alleviate the situation? • Victims e.g. students, junior HCP • Persons in positions of authority e.g. managers, senior HCP • Preventing perpetrators • Continuous monitoring and evaluation

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