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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 surgery 00:28 Defining unsafe colleague behaviour 00:55 Why “safety first, feelings second” matters 01:30 Core GMC duties 02:00 Red flags requiring instant action 02:40 No need for proof before escalation 03:10 The ACTED framework overview 03:35 A – Assess the risk 04:00 C – Cease unsafe duties 04:40 T – Tell a senior with authority 05:10 E – Engage support once risk is contained 05:40 D – Document objectively 06:20 Common traps and low-scoring exam options 07:10 Who to escalate to and when 07:40 Handling hierarchy and senior colleagues 08:20 Confidentiality and formal channels 08:50 Balancing patient safety with compassionate support 09:20 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 you ACTED Framework A – Assess the risk C – Cease unsafe duties T – Tell a senior E – Engage support D – Document Links: • 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