{"id":973,"date":"2011-03-04T14:02:59","date_gmt":"2011-03-04T13:02:59","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=973"},"modified":"2011-03-04T14:02:59","modified_gmt":"2011-03-04T13:02:59","slug":"msf-dilemma-4-acting-beyond-competence","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2011\/03\/04\/msf-dilemma-4-acting-beyond-competence\/","title":{"rendered":"MSF Dilemma # 4: Acting Beyond Competence"},"content":{"rendered":"<p>This is the fourth of the dilemmas considered\u00a0<a href=\"http:\/\/jme.bmj.com\/content\/37\/3\/162.full\">here<\/a>.<\/p>\n<p>Our doctor has previously assisted in caesarean sections but has never taken sole responsibility for one. The doctor who is responsible for surgery is on holiday and transport to the next surgical facility takes 7\u00a0h, which is too long for this mother who is clearly in obstructed labour. The doctor is confronted with doing something that she has never done before. She knows that she could do a lot of harm by doing the operation badly, but doing nothing guarantees that the baby will not survive and may result in dangerous complications for the mother. The staff are waiting for her plan of action. What should she do?<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This is the fourth of the dilemmas considered\u00a0here. Our doctor has previously assisted in caesarean sections but has never taken sole responsibility for one. The doctor who is responsible for surgery is on holiday and transport to the next surgical facility takes 7\u00a0h, which is too long for this mother who is clearly in obstructed [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2011\/03\/04\/msf-dilemma-4-acting-beyond-competence\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[443],"tags":[],"class_list":["post-973","post","type-post","status-publish","format-standard","hentry","category-jme"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>MSF Dilemma # 4: Acting Beyond Competence - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2011\/03\/04\/msf-dilemma-4-acting-beyond-competence\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MSF Dilemma # 4: Acting Beyond Competence - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"This is the fourth of the dilemmas considered\u00a0here. Our doctor has previously assisted in caesarean sections but has never taken sole responsibility for one. The doctor who is responsible for surgery is on holiday and transport to the next surgical facility takes 7\u00a0h, which is too long for this mother who is clearly in obstructed [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-ethics\/2011\/03\/04\/msf-dilemma-4-acting-beyond-competence\/\" \/>\n<meta property=\"og:site_name\" content=\"Journal of Medical Ethics blog\" \/>\n<meta property=\"article:published_time\" content=\"2011-03-04T13:02:59+00:00\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2011\\\/03\\\/04\\\/msf-dilemma-4-acting-beyond-competence\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2011\\\/03\\\/04\\\/msf-dilemma-4-acting-beyond-competence\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"MSF Dilemma # 4: Acting Beyond Competence\",\"datePublished\":\"2011-03-04T13:02:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2011\\\/03\\\/04\\\/msf-dilemma-4-acting-beyond-competence\\\/\"},\"wordCount\":122,\"commentCount\":6,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/#organization\"},\"articleSection\":[\"JME\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2011\\\/03\\\/04\\\/msf-dilemma-4-acting-beyond-competence\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2011\\\/03\\\/04\\\/msf-dilemma-4-acting-beyond-competence\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2011\\\/03\\\/04\\\/msf-dilemma-4-acting-beyond-competence\\\/\",\"name\":\"MSF Dilemma # 4: Acting Beyond Competence - 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