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Core IM | Internal Medicine Podcast

#199 Privacy & Confidentiality: At the Bedside Segment

Core IM | Internal Medicine Podcast

Core IM Team

Education, Medicine, Health & Fitness, Mental Health

4.81.2K Ratings

🗓️ 28 January 2026

⏱️ 39 minutes

🧾️ Download transcript

Summary

Is patient confidentiality absolute or conditional? When does protecting privacy put others at risk? Can you follow a former patient in the EHR for learning? Should you post a compelling case online even if it’s “de-identified”? And when does the law force you to betray patient trust? In this episode of At the Bedside, learn how clinicians should act when ethics, law, and trust collide.


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🔹Transcript and Shownotes:

03:51 | What is the difference between Privacy and Confidentiality?

05:50 | Guidelines and laws

10:06 | Limits/appropriate breaches (competing principles/obligations) 

22:03 | Privacy vs education

35:34 | Conclusion



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Transcript

Click on a timestamp to play from that location

0:00.0

When I'm on service and a clinical question comes up, I've been using DocsGBT from Doximity. What I really appreciate is that it's built for people who really get our workflow. It's developed by practicing physicians and have designed an output that I really love, right? It has the bottom line up front, then bullet points, and tables underneath if you want more detail. So no digging, no scrolling. You just get what you need

0:21.1

right up front. And it's fast. They really work to make sure the output is there within seconds,

0:26.5

which matters when you're in between patients or about to walk into a room. It's simple, it's structured,

0:31.2

and also just respectful for our busy clinical life. If you want fast, focused answers that

0:36.4

feel made for clinicians, check out DOCSGPT in the Doximity app or visit DoxGPT.com.

0:42.5

As always, Doximity will be free for physicians, nurse practitioners, PAs, and medical students. Go check it out and have another resource at your tool belt.

0:57.0

Welcome back to At the Bedside. Today we're going to talk about patient privacy and confidentiality.

1:01.0

It's a topic that might make us think of mandatory online modules, but it also comes up in

1:06.0

meaningful ways in practice all the time.

1:08.0

For example, if a patient shares ongoing domestic abuse, would it be a

1:12.0

breach of her privacy to report it? What about sexually transmitted infections? And what if I took care

1:17.5

of a patient with a really interesting presentation a few months ago, and I want to see how he's doing

1:21.7

and to continue learning from his clinical course? Considerations around privacy and confidentiality

1:27.1

have big ethical, legal, and practical

1:29.1

implications and how we approach not only patients and their personal information, but also medical

1:34.3

education, research, and public health concerns. So let's jump in. I'm Tamar. I trained as an

1:40.4

internal medicine physician and am now a bioethics researcher. And I'm Joffere Lomondry,

1:46.0

a medical oncologist at a Nova Shore Cancer Institute near Washington, D.C., an assistant professor

1:50.8

of medical education at University of Virginia School of Medicine. And I'm Margot, a hospitalist

1:56.4

at Harborview Medical Center in Seattle, and an assistant professor of clinical practice at the

2:00.8

University of Washington School of Medicine. We're lucky to have two Review Medical Center in Seattle and an assistant professor of clinical practice at the University

2:01.2

of Washington School of Medicine.

...

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