Scenario #5 - Al Arrogant

Al Arrogant: I want to check out this patient. He is coming in with an upper respiratory infection. Same old, same old. Is that O.K.?

Attending: I noticed on the chart, he is a smoker.

Al: Yeah, all of the patients in our clinic smoke.

Attending: I don't know about that, but have you talked with this patient about quitting smoking?

Al: It won't do any good.

Attending: It especially won't do any good if you don't try it. What do you know about smoking cessation?

Al: I know about the nicotine patches.

Attending: Maybe there are some things that you need to learn about smoking cessation.

Al: (Laughing) I doubt Cecil's has anything say about that.

What are Al's prejudices in medicine?

What is the likely limitation of Al's knowledge base?

What could a preceptor do to increase Al's self-insight

Al Arrogant