Case 94: Dr. X and the Disappearing Clinical Trials Money

I NEED A CASE WRITE UP DONE BASED ON THIS CASE! AN EXAMPLE HAS BEEN PROVIDED ON THE LAYOUT OF HOW IT NEEDS TO BE DONE

Dr. Xavier, or Dr. X, as he liked to be called, was a newly hired oncologist at a large cancer center at Upstate New York Oncology Center (UNYOC). During his negotiations for the job, he displayed a propensity for the finer things in life and demanded those things be moved from his farm in North Carolina to his new one in New York. The list of his favorite things included: a rare book collection, an antique clock collection, three antique cars (a Bentley, a Rolls Royce, and a Mercedes), a dozen black Orpington show chickens, and two dozen Marino sheep. In addition, his 1,500-bottle wine collection had to be transported from North Carolina to New York in a refrigerated truck. All of these demands were met by UNYOC because Dr. X had a reputation for bringing in clinical trial money for new cancer treatments. In exchange for his hefty salary and transportation costs, the revenues from pharmaceutical firms for his research were to be handed over to UNYOC.

Dr. X worked hard, and as expected, the money began to roll in from the research trials. At his first annual review, Dr. X met with the managing partners of UNYOC and informed them that he felt it was time for them to make him a full partner. After all, hed brought in revenues from the trials, plus he was a productive member of the team. In his opinion, his net worth to UNYOC far exceeded the salary he received. If they didnt accede to his request, then he was going to leave and take his huge revenues with him.

The partners were taken aback, to say the least. The senior partner was most vocal with his annoyance. Youve got a lot of nerve, Dr. X. You conveniently forget that we have a very high overhead in this practice. Look at all the staff we have. They take care of your every whim. We have state-of-the-art equipment, as well as the best supplies for our patients needs. This past year, youve barely covered your salary and your direct and indirect costs of services. Full partner, indeed. Harrumph.

Dr. X was chagrined. Hed expected the partners to cave in, just as they had to his demands during the hiring process. Truth be told, he had been bluffing. There was no other job offer on the table. And his expensive chickens and sheep were eating him out of house and home. He had to do something.

Dr. X thought it best to placate the old man and buy some time. Im sorry. Im really not a business person. I hadnt considered all the overhead costs. Please forgive me.

The senior partner raised a shaggy eyebrow, then shrugged. Well, thats why were here, Dr. X, to keep us all on track. Apology accepted.

The meeting adjourned. Everyone went back to work, but Dr. Xs mental wheels were spinning. He needed more money. But where would he get it? He was working 60 hours a week;it wasnt as if he could moonlight. He wasnt about to give up his books, clocks, cars, and wine. That was unthinkable. And the show chickens were like his children. He couldnt sell them. Pretty soon it would be time to shear the sheep and get a bundle of cash for their fine wool. But he needed money right now. Where was he going to get it?

He sifted through the mail in his inbox and opened three envelopes with the latest four figure checks from several big drug companies. He realized what he needed to do. The checks from the pharmaceutical firms were all made out to him, not UNYOC. He put the checks in his pocket, walked across the street to his bank and deposited the money to his personal checking account. As he walked back to his office, he felt as if a weight had been lifted off his chest. Soon hed find another job elsewhere, one where hed be able to live the lifestyle that hed become accustomed to and deserved. Problem solved.

USE INFORMATION FROM CASE TO DO A WRITE UP (PLEASE INCLUDE DETAILED EXPLANATION AND COMPLETE ALL 6 STEPS)

1 - Write a background statement

2- What are the major problems and secondary issues?

3- Your Role

4- Organizational Strengths and Weaknesses

5- Alternatives and Recommended Solution

6- Evaluation

THEIR IS AN EXAMPLE BELOW OF HOW THIS SHOULD LOOK!!!!

Case Write-Up

Background Statement

A Wiccan patient who visited a nondenominational community hospital was discussing her religious beliefs with her primary care nurse, Penny Baker, when suddenly another nurse, Ruth Goose, walked into the conversation and rudely stated, Thou shalt not suffer a witch amongst you. The Wiccan nurse felt offended and complained that she was discriminated in the hospital because of her religious beliefs.

Major Problems and Secondary Issues

The major problem is that the two nurses, Penny Baker and Ruth Goose, made the patient feel unwelcomed in the nondenominational community hospital because of her Wiccan religious beliefs. The secondary issues that the nondenominational community hospital may face is that the Wiccan patient is threatening to go to the media. This means that there may be news coverage that your hospital engages in religious discrimination. This may make people, especially Wiccans, look down on your medical services.

Your Role

In this case, I am the Vice President of Nursing Services. As stated in the text, it writes, You are the Vice President of Nursing Services in a nondenominational community hospital, and you receive a complaint from a patient, who is a Wiccan. The advantages of this role are that I can sit down with Penny and Ruth to let them know that religious discrimination is not to be tolerated while we are caring for the patients. The disadvantages of this role are that I must decide how I am going to discuss this matter with Penny and Ruth because theyre passionate about being against the Wiccan patient. I need to let Penny and Ruth know that our patients care matters above everything else, not what religion they practice.

Organizational Strengths and Weaknesses

As the Vice President of Nursing Services, my strengths are that I can hold a training on racial, ethnic, and religious diversity. This training can supplement nurses with the information they need to work in a diverse environment. Nurses need to know that they must treat their patients justly despite their identity. The weaknesses I may face are that the two nurses are very religious themselves. They may not listen to what I have to say about religious discrimination because the two nurses try to justify their act by saying, She did the right thing. We dont have to pray with witches. They worship Satan. Its blasphemy. Whats next? Human sacrifice?

Alternatives and Recommended Solution

As a solution for this problem, I will make sure to provide all the nurses working in the hospital with diversity training. It is important that I sit down with the nurses and make it clear that discrimination will not be tolerated while they are working in our hospital. I can also offer every patient visiting the hospital with a survey. The patient can fill out the survey to let us know how they felt about their stay. Nurses whove been accused of any sort of discrimination, will have to speak with management. We would keep these incidences of discrimination in a file, and it the dilemma does not change, I would have to begin writing up the nurses. Discrimination would not be tolerated while the patient is in the hospital trying to recover from a medical condition. I would also recommend Penny and Ruth write an official letter of apology to the Wiccan patient before she decides to go to the media. Writing the official letter of apology would be my first recommended solution to Penny and Ruth, so that the patient does not feel unwelcomed to our hospitals services in the future.

Evaluation

If there are enough surveys to prove that our medical treatment is getting better and there are less patients coming from the patients about discrimination, then I would know that the instances of discrimination have stopped. The goal is to aid in the medical recovery of patients. Patients must also feel welcomed to our hospital services despite their identity. By getting fewer, or even better, no discrimination complaints, I would know that my diversity trainings and meetings have worked.