You are on clinical rotation with Dr. A and admire how highly professional and compassionate they are with patients. However, you notice that after patient interactions, Dr. A makes jokes about their patients with other physicians and residents. Dr. A notices your shock at this and mentions that "everyone does this” and “as long as you are good with the patients in person, it’s just private fun". Do you see any issues with this behaviour? Would you say anything to Dr. X? What would you do if Dr. A refused to change their behaviour?