SJT: Handling an Impaired Colleague ACTED Framework (passthemsra.com) - Free MSRA revision

This episode teaches you exactly how to respond when a colleague’s behaviour poses an immediate risk to patient safety. Using the ACTED framework, you’ll learn the high-yield GMC-aligned steps for stopping unsafe practice, escalating through proper channels, and supporting colleagues fairly without compromising safety. Clear, structured, and essential for MSRA SJT scoring.0:00 Scenario: impaired surgeon before surgery00:28 Defining unsafe colleague behaviour00:55 Why “safety first, feelings second” matters01:30 Core GMC duties02:00 Red flags requiring instant action02:40 No need for proof before escalation03:10 The ACTED framework overview03:35 A – Assess the risk04:00 C – Cease unsafe duties04:40 T – Tell a senior with authority05:10 E – Engage support once risk is contained05:40 D – Document objectively06:20 Common traps and low-scoring exam options07:10 Who to escalate to and when07:40 Handling hierarchy and senior colleagues08:20 Confidentiality and formal channels08:50 Balancing patient safety with compassionate support09:20 Final three professional imperatives• Safety overrides hierarchy, relationships, and discomfort• Act immediately — delays score poorly and endanger patients• Use formal escalation routes, not informal chats or WhatsApp• No proof needed — concern based on observation is enough• Keep actions confidential and fair once risk is controlled• Avoid traps: keeping it quiet, waiting to “monitor”, or public shaming• Documentation protects patients, colleagues and youACTED FrameworkA – Assess the riskC – Cease unsafe dutiesT – Tell a seniorE – Engage supportD – DocumentLinks:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedEd #UKDoctors #MedicalRevision #passthemsra #freemsra #msraio #Professionalism #GMC #RaisingConcerns