AI attempts MMI prompts

ChatGPT answers MMI questions

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Beginner
Dr. Cheung recommends homeopathic medicines to his patients. There is no scientific evidence or widely accepted theory to suggest that homeopathic medicines work, and Dr. Cheung doesn't believe them to. He recommends homeopathic medicine to people with mild and non-specific symptoms such as fatigue, headaches and muscle aches, because he believes that it will do no harm, but will give them reassurance. Consider the ethical problems that Dr. Cheung's behaviour might pose. Discuss these issues with the interviewer.
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ChatGPT's answer ...

I believe Dr. Cheung's behavior is ethically questionable because, while he may believe that homeopathic medicines will do no harm, there is still no scientific evidence that suggests they will provide any benefit. Further, by encouraging the use of homeopathic medicines, Dr. Cheung may be providing false reassurance to his patients and leading them to forgo more effective treatments for their ailments. Additionally, this practice could be seen as deceptive and misleading, as Dr. Cheung is straying from accepted scientific norms.

Dr. Cheung should consider the ethical implications of his actions and be honest and transparent with his patients. He must openly discuss the lack of evidence for homeopathic treatments and explain their potential harm. Doing so will maintain the trust and respect of his patients, while still providing them with compassion. Furthermore, Dr. Cheung should focus on conventional medical treatments, recommending homeopathic medicines only when they are a patient's last resort option.

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Intermediate
Your friend tells you that a piece of expensive electronic equipment he had bought for $3000 just two weeks ago had stopped working. The store where he bought it had a 7-day return policy. Your friend goes to the store, buys a new piece of equipment and then returns the old damaged equipment in its place for a full refund. The store is owned by your uncle who is struggling to keep the business going. How would you deal with the situation?
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ChatGPT's answer ...

In this situation, the choices I would make would center on doing what's best for the business and protecting my uncle's financial interests. First, I would encourage my friend to find out what is wrong with their purchased equipment - in case a repair is possible - before purchasing a new replacement. If a repair is not possible and a new model is required, I would still encourage my friend to buy it from the same store owned by my uncle. This way my uncle would at least make a sale and it's possible he may even be able to offer a discount. My uncle would still benefit from the sale, while also safeguarding his return policy. I would make sure to discuss this plan with my friend, to ensure they understand their role in helping to support my uncle's business. Ultimately, I think it's important to keep in mind that this situation is challenging for everyone involved and it is important to act with integrity and empathy.

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Beginner
Imagine you are the principal of a full fee paying school. There has been an allegation by members of the public of an incident in a park in which at least two senior school students were seen verbally abusing a young person with intellectual impairment for the amusement of a group of other students. Two final year students are to attend a hearing with the principal to explain their actions in the incident. What are the issues the principal is likely to consider at the hearing?
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ChatGPT's answer ...

The principal is likely to consider a range of issues at the hearing. Firstly, the students' actions must be carefully evaluated in order to determine their culpability and whether their behaviour is reasonable in the circumstances. Secondly, the principal may take into account the students' age and experience, as well as their personal attributes, to assess the level of responsibility assigned to each student and determine the appropriateness of any potential sanction. Additionally, the principal will consider how the incident reflects on the school's reputation and the values it holds, and this will be compared to those of the offending students. Finally, the principal must consider the impact of the incident on the young person with intellectual impairment, as this will determine the kind of restorative action required to promote healing and reconciliation. All these factors are essential to ensure full accountability and an appropriate resolution to the incident.

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Advanced
The man who lives next door to you often rides his bicycle in the company of his two young children but without a helmet. In fact, on several occasions you have seen him riding with his helmet hanging by its straps from the handlebars. His young children sometimes wear a helmet, sometimes not. If the man fell off his bicycle and hurt his head in a way that would have been prevented if he had worn a helmet, would it be reasonable to ask him to contribute towards the treatment costs for his injury?
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ChatGPT's answer ...

This is a tricky situation, but it is important to remember that patient autonomy and safety is often the highest priority for a physician. The patient should be made aware of the potential risks associated with not wearing a helmet and be educated on the importance of wearing one. If he fell from his bike and hurt his head in a way that could've been prevented if he had worn a helmet, it might be reasonable to suggest that he contributes towards the treatment cost for his injury. I think it's important to approach this situation with empathy, understanding, and openness to ensure that the patient's wellbeing is always the primary concern.

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Beginner
The daughter of the interviewer is 16 years old. She is adamant that she have a tattoo next week. The interviewer is against letting her daughter have a tattoo and this is causing much friction in the household. What advice would you give the interviewer?
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ChatGPT's answer ...

I would start by advocating for open communication. It's important that the daughter and her parents talk about the implications of getting a tattoo before making a decision. This is especially important at 16-years-old, as tattoos may permanently mark her body. The implications of having a tattoo at a young age need to be discussed before the daughter makes a decision.

It's also important to understand why the daughter is interested in getting a tattoo. Does she feel like it expresses her identity? Does she want to feel more grown-up? It's important to explore any motivations that the daughter has for getting a tattoo.

In addition, it's important to recognize the legal implications. In Canada, minors (persons under the age of 18) must be accompanied by a parent or guardian to get a tattoo. The daughter's parents should think about what message they are sending by accompanying her to get a tattoo and consider if it is okay for them to consent for their daughter to get a tattoo.

Ultimately, it is the daughter's choice. She may make a decision to get a tattoo, and parents need to accept that she is ready to make that choice. However, it is important for her to fully understand the implications and make an informed decision.

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Intermediate
A couple has decided to have a child through artificial insemination. They asked the physician for sex selection of the child. What should a physician advise in this situation?
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ChatGPT's answer ...

As a physician, I would advise the couple that sex selection of a child through artificial insemination is not ethical. There are potential risks associated with this type of artificial insemination, including an increased risk of chromosomal disorders and birth defects. Furthermore, artificial insemination does not guarantee success, so it also potentially raises the costs associated with giving birth. Lastly, sex selection could lead to gender inequality, as selection may be based on outdated gender stereotypes or cultural biases. For these reasons, I would advise against this type of artificial insemination.

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Intermediate
You are part of a committee to decide where the money for health care in our province is spent. It is your turn to inform the committee of your opinion on what you think is the single most important area requiring funding.
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ChatGPT's answer ...

I believe the single most important area for healthcare funding in our province is mental health. We need to invest in mental health services, from supporting community-based mental health programs to expanding access to specialist care. We should put a priority on developing the infrastructure needed to support care for mental health in our region, including providing access to both emergency services and mental health professionals for follow-up care. Investing in mental health services can have wide-reaching impacts on our society, from reducing the impact of mental health issues on individuals and families to reducing healthcare costs. In addition, such investment would demonstrate a commitment to providing our citizens with the care they need to lead healthy and productive lives.

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Intermediate
A physician became sexually involved with a current patient who initiated or consented to the contact. Is it ethical for a physician to become sexually involved?
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ChatGPT's answer ...

As a doctor, it is never ethical for a physician to become sexually involved with a current patient. This is due to the power differential that is present in a doctor-patient relationship, which inherently means that it is impossible to guarantee consensual and equal contact between the two parties. Physicians must always maintain professional relationships with their patients, which is why engaging in any form of sexual contact is strictly prohibited.

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Beginner
You have a meeting set up with Frankie. He is the son of a family friend who moved to Thunder Bay about 20 years ago and so you have never met him. He has come down from Thunder Bay to look over "southern universities". He urgently needs some information on schools as he will have to make some serious decisions soon. He is happy to get this meeting as he realizes how tight your schedule is. In fact your next meeting is in 8 minutes. Frankie is in the room.
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ChatGPT's answer ...

Hello Frankie! It’s great to meet you. I can tell you a bit about medical schools in Canada that you may be interested in. Depending on your academic background and qualifications, there are some great programs available. First, you would need to check if there are any prerequisite courses you need to take in order to be eligible to apply.

Also, depending on whether you want to pursue MD or DO, you should start looking into programs that offer that. Additionally, look for programs offering specialties that you’re interested in and ones with a good track record for getting students into top residencies. Even if the university isn’t particularly well known, a good program can be a great fit for you.

Finally, don’t be afraid to ask around—reaching out to doctors, advisors, and current students in the program can help you get a better understanding of what a program offers.

Does that make sense? Is there anything else I can answer for you?

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Beginner
Your 5 year old nephew asks you, "Why is the sky blue?” How would you answer him using a series of simple scientific experiments?
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ChatGPT's answer ...

I'm glad you asked me that question! The sky is blue because of the way sunlight interacts with tiny particles in the atmosphere. We can prove this with a simple science experiment. First, we need some water and a white wall. Fill a cup with water and hold it up against the wall. You'll notice that the color of the wall is reflected in the water. Now, pour some blue food coloring into the cup. When you look at the cup again, what color do you see? Blue! Now, when sunlight passes through the atmosphere, it hits tiny particles in the air, like blue food coloring does with the water. This makes the sky appear blue.

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Intermediate
What is your opinion about stem cell research using fetal tissue?
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ChatGPT's answer ...

Stem cell research using fetal tissue has the potential to bring tremendous benefit to society. For example, it can be used to develop treatments for medical conditions such as Alzheimer's, Parkinson's and diabetes, and it can also help advance our understanding of diseases like Down syndrome, muscular dystrophy, and birth defects. That said, it is important to ensure that the tissues used are obtained in an ethical manner, so as to avoid any harm to the donor or respect the life of the fetus. I strongly believe that the potential benefits of stem cell research outweigh any ethical concerns, if those concerns are properly addressed.

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Advanced
You are on a day out in London with a group of friends. One member of your group, who has never been to London before, becomes separated from the rest of the group in the Underground. What actions would you take?
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ChatGPT's answer ...

If a member of my group became separated from the rest of us while we were on a day out in London, my first step would be to contact the London Metropolitan Police. I would explain to them the location where the group last saw the person, the time of the incident, and any distinguishing features or characteristics of the person we are trying to locate. I would then ask for their assistance and advice for how to carry out a search. I would also reach out to Underground staff if feasible and ask for their assistance in monitoring CCTV footage of the area. It would also be useful to scour nearby areas in hopes of finding the person, or posting creative fliers around town. Finally, I would stay in London as long as it is necessary to support the search.

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Advanced
Discuss one of these health care issues: human genome project, AIDS, abortion, the right to die, the cost of health care, and genetic engineering.
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ChatGPT's answer ...

I would choose to discuss the human genome project. The human genome project was a groundbreaking international research effort to sequence, map, and understand all the genes of human beings. This effort resulted in the generation of invaluable genomic data and technologies that has enabled us to better understand, diagnose, and treat many genetic disorders and diseases. Additionally, this database provides us with greater understanding of how the human body functions and how genetic variations might contribute to health and disease. As a medical professional, I understand the potential of this type of research to help us improve medical care and disease prevention, and I believe it is crucial to continue to support this kind of scientific innovation.

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Intermediate
You are a resident working in a team of several others for on call shifts. You and your partner just had a new baby. Would you re-adjust the call schedule? How? What problems do you foresee and how would you approach the problems?
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ChatGPT's answer ...

Given my recent life changes, I would modify the call schedule to ensure that I am attending to my own and my family's needs. I would ensure that I am well rested and follow guidelines to minimize fatigue while on call. I would encourage my team to work together to ensure that everyone has the rest they need to be well rested while covering our on call shifts.

I would foresee the potential issue of having to frequently ask my co-workers to pick up extra shifts which can be disruptive. To address this issue, I would communicate my concerns and expectations clearly with respect to my share of the workload so that everyone is aware and in agreement. I would also offer to pick up extra shifts in order to balance out the workload.

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Intermediate
In recent years, there has been an increase in popularity of full contact sports, such as Ultimate Fighting Championship (UFC) and boxing. Should doctors have a role in regulating such sports?
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ChatGPT's answer ...

Doctors should certainly have a role in regulating full contact sports such as UFC and boxing. As the healthcare professionals on the front lines of keeping athletes safe, doctors are well positioned to help guide regulations regarding such sports. We can help set standards for safety equipment, monitor and effectively treat concussions and other injuries sustained during fights, and provide medical advice on how to maintain the health of fighters. By working alongside sports governing bodies, doctors can help to keep athletes safe and promote the responsible practice of full contact sports.

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Advanced
You are a third year medical student involved in the research of Dr. A, a senior physician. He is testing the efficacy of a new drug on lowering cholesterol. This drug is not yet known be more effective that existing drugs on the market. He insists that you recruit patients for trials even though the clinical risks of the research are still undefined. What are the issues involved for the patients? For yourself?
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ChatGPT's answer ...

The issues involved for the patients include both clinical and ethical considerations. Clinical considerations include the risks associated with taking an unknown drug and the potential for side effects or other negative outcomes. Ethically, it is important to ensure patients are fully aware of the risks involved and that they are giving their informed consent.

For myself, I would need to ensure that I was upholding the best interests of the patients and was acting responsibly and professionally. I would also need to address any ethical concerns that might arise and conduct myself in a way that reflects the core principles of medical ethics.

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Advanced
Discuss the social, legal, medical implications of a needle-exchange program with the interviewer. (Consider a needle exchange program to be a free service in which screens for STIs are provided, along with immunizations, physician referrals, and exchanging used needles for new ones). Follow up question: What are some viable alternatives?
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ChatGPT's answer ...

In regards to needle exchange programs, there are many social, legal, and medical implications to consider. On the social side, educational campaigns need to be launched to raise awareness about programs like needle exchange. This will allow for support from the community, and help the public become more aware of the services and treatment needed for those suffering from substance abuse. On the legal side, to prevent the distribution and illegal use of drugs, law enforcement should take measures to ensure that needle exchange programs are as safe and beneficial as possible. Finally, from a medical perspective, needle exchange programs provide access to medical services such as screenings for STIs, immunizations, and referrals to physicians. This can help to reduce the spread of infection, reduce risky behaviors, and save lives.

In regards to viable alternatives, one option could be to provide referrals to addiction treatment centers and other social programs, where those in need can receive the help and services they require. Additionally, there could be more resources put into education, research, and prevention efforts to address the underlying causes of substance abuse. Finally, clinics and hospitals could be established specifically to address addiction issues, as well as provide resources and support to those with substance abuse issues.

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Advanced
Dr. Who is a physician for Mr. Bean and his wife. Dr. Who discovers that Mr. Bean has an STI. Mr. Bean does not wish to tell his wife . What should Dr. Who do? Explore the ethics surrounding this scenario.
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ChatGPT's answer ...

As a physician, it is my ethical responsibility to act in the best interest of my patient. In the case of Mr. Bean, I would first make sure he understands the importance of informing his wife of his STI and the risks associated with not doing so. I would also make sure he understands she has the right to make her own judgement on how to best protect her health. I would also recommend that he seek counseling to explore the best way to approach his wife.

Additionally, I would provide Mr. Bean's wife education on STIs and the risk of contracting it if it is not treated properly. I would also recommend that she seek testing, as it is possible she contracted the same STI from Mr. Bean.

It is my duty to protect and advoate for the health and wellbeing of both of my patients. The ethical decision here is to provide education, resources and support in a safe, confidential manner. The patient's wishes and rights must be respected, while also advocating for the health of all involved.

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Intermediate
You are shift supervisor at McDonalds fast food restaurant. The owner of the franchise has called you over. He is very upset as he has received 3 complaints in the last 30 minutes about the meat in the hamburgers being poorly cooked. There are two people (one male, one female both 15 years old) who have been cooking the meat for the past two hours. The female is the owner‟s daughter. How would you handle the situation?
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ChatGPT's answer ...

Thanks for the question. As shift supervisor at McDonalds, I have experience dealing with similar situations. When I am confronted with a situation like this, I always take into account the safety of the customers and employees.

The first step I would take is to investigate the situation. I would ask the owner questions to try to understand the exact complaints, like the nature of the issue and who reported them.

Next, I would discuss the concerns with the two employees who were in charge of the hamburger cooking shift to understand the process more thoroughly. I would ask about their process for preparing the meat, what temperature the meat had been cooked to, and if there are any additional safety measures that could be taken.

Depending on the answers, I would then put in place measures to rectify the situation. I would ensure that the customers who complained were provided with satisfactory compensation and that the issue was resolved correctly. I would also look into measures that we could put in place to ensure the same issue does not occur in the future, such as looking into the cooking temperature, staff training and development, and additional safety training.

At the end of the day, safety is always my number one priority. I believe that the best course of action in this case would be to investigate the situation, and then put in place measures to ensure the problem is corrected and doesn't recur. Thank you.

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Beginner
The man who lives next door to you often rides his bicycle in the company of his two young children but without a helmet. In fact, on several occasions you have seen him riding with his helmet hanging by its straps from the handlebars. His young children sometimes wear a helmet, sometimes not. If the man fell off his bicycle and hurt his head in a way that would have been prevented if he had worn a helmet, would it be reasonable to ask him to contribute towards the treatment cost for his injury?
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ChatGPT's answer ...

I would not recommend asking the man to contribute towards the treatment cost for his injury if he had fallen off the bicycle and hurt his head. It's important to remember that no matter what he may or may not be doing, this man and his children are still our neighbors and should be treated with respect and compassion. In addition, if I were to ask him to contribute to the treatment cost for his injury and he were unable to pay for it, it could create a heavy financial burden for him and potential resentment towards me if I forced him to pay. As a physician, I believe it is my duty to advocate for the health and well-being of my patients, and I believe that the best approach for this issue would be to suggest to the man the importance of protecting himself and his children with helmets while riding their bicycles.

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Advanced
Mrs. Jones has signed a donor card indicating that she is willing to donate her body to science without notifying her husband and son. She gets into an accident and it is determined that she is brain dead. The family doctor, who is on call that afternoon, reviews the chart and determines that she would be perfect for medical students to practice the removal of organs for transplantation purposes. The doctor then talks to the family to discuss the procedure and to confirm their consent. They both oppose the procedure and refuse to allow their doctor to move forward. The doctor points out that Mrs. Jones could be helping hundreds of people by educating the medical students and that technically consent has already been provided. The husband understands how beneficial the educational experience is but is too emotional to allow them to continue. The son, a medical student, refuses because he knows the bodies are not treated with dignity. If you were the doctor, how would you proceed? Why?
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ChatGPT's answer ...

If I were the doctor, I would proceed by asking the family to take a few days to fully consider their decision. I would explain to them that it may be hard to make their decision immediately, but remind them of how Mrs. Jones had taken the time to think out her own decision ahead of time and sign a donor card. I would also explain to them what a tremendous gift donating their loved one could be for so many people.

At this point, it would be important for me to maintain an understanding, professional attitude throughout this conversation. Having empathy towards the family's emotions and doing my best to provide support and understanding is essential. I would keep open lines of communication, and allow them to talk through their feelings as much as they need.

Once they have had some time to process, I would then speak with them again and provide additional information, if necessary. If their decision is still to deny this donation, I would confirm that the last wishes of their loved one to donate their body to science should be honored, and that I will be respectful of their wishes.

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Advanced
You are on duty in the ER when an unconscious three–year-old girl is brought in. It‟s clear that she needs an immediate blood transfusion to survive, but her Jehovah‟s Witness parents are adamantly against it. What would you do and why?
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ChatGPT's answer ...

In the instance of an unconscious three-year-old girl who needs an immediate blood transfusion to survive, I would assess the situation to determine the most efficient and humane way forward. While respecting the parents' beliefs, it is our medical duty to assess and consider a variety of treatment options. In this situation, perhaps alternative treatments or therapeutic approaches may be available that could be discussed with the family. If the family is unwilling to consider other treatments, then I would clearly and thoroughly explain why a blood transfusion is medically necessary and the potential outcomes of not undertaking the procedure. Hopefully, by providing a clear explanation of the medical advantages and disadvantages of different treatment options, the family can make an informed, responsible decision that is in the best interest of the child. If a decision is not possible due to the urgency of the situation, I would advocate on behalf of the child and convince the family of the necessity of the transfusion.

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Intermediate
A message that recently appeared on the Web warned readers of the dangers of aspartame as a cause of an epidemic of multiple sclerosis. The authors claimed that aspartame remains on the market because the food and drug industries have powerful lobbies in Congress. They quoted Dr. Russell Blaylock, who said. "The ingredients stimulate the neurons of the brain to death, causing brain damage of varying degrees." Critique this message, in terms of the strength of the arguments presented and their logical consistency. Your critique might include an indication of the issues that you would like to delve into further before assessing the validity of these claims.
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ChatGPT's answer ...

My critique of this message in terms of the strength of arguments and logical consistency is that the claims presented appear to be based on one source, the opinion of Dr. Russell Blaylock. While his opinion carries a certain degree of weight, I do believe that a more thorough assessment requires further investigation. I would like to delve into more research on aspartame, including studies and data to back up Dr Russell Blaylock's claim. It would also be important to consider the potential reasons that Congress would have for allowing aspartame to remain on the market and the potential advantages or disadvantages that their lobby might constitute. Finally, to fully evaluate the claims made by the message, it would be critical to consider potential alternative explanations for an increase in multiple sclerosis, as the claims without examining these wider considerations would be too narrow to draw any significant conclusions from.

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Advanced
It has been argued that wait times for organ transplants can be significantly sped up through surgeries and donations from other countries. You are a physician working with a patient who you noticed had recently gone to the Mexico to receive a liver transplant. What are the ethical issues involved?
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ChatGPT's answer ...

Ethical issues involved with a patient receiving an organ transplant from another country include: informed consent, safety standards and regulations, quality of the organ, and reasonable cost.

In the case of informed consent, it is essential that the patient understands the risks and benefits of travelling abroad to receive a transplant, and that they understand that they are taking a risk by travelling outside of their home country, as health regulation and safety can vary.

Regarding safety standards and regulations, it is essential that the patient is aware of the standards and regulations of the countries or organizations they are travelling to receive their transplant from. This includes being aware of how the liver -- or other types of organs -- were initially obtained, and if the donor provided their informed consent for the organs to be transplanted.

Quality of the organ is also an ethical issue, as the patient needs to be aware that the organ they are transplanting may not be up to the same standards as if they had received an organ from their home country.

Finally, reasonable cost is an ethical issue associated with organ transplant. The patient needs to understand the cost of the transplant, and potential additional costs such as travel and accommodations associated, to ensure that the cost is reasonable and not exploitative.

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Intermediate
A 14 year old patient requests birth control pills from you and asks that you not tell her parents. What would you do?
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ChatGPT's answer ...

I understand your wish to remain confidential, but I do have an ethical responsibility to ensure the best decisions are made for your health. I would be willing to discuss hormonal contraception options with you but in order for you to use them safely and without informing your parents, I will need a comprehensive medical history and a review of any possible medical risks. I also need to discuss consent, since a 14 year old may not be fully capable of making an informed decision. It would be important to make sure your health would be well managed and that you fully understand the risks associated with using hormonal contraception. In addition, I would discuss other methods of contraception (for example, condoms) that could be used in the absence of hormonal contraception if appropriate.

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Intermediate
A patient requests needles and syringes at his/her local pharmacy. They do not present with a prescription, and based on the records you can access, they are not receiving treatment for diabetes. Do you sell the syringes or not?
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ChatGPT's answer ...

I would not sell the syringes without a prescription. Needles and syringes require careful consideration when used outside of standard medical care, and without a medical diagnosis, it is too risky for me to provide them. I understand that a patient may need syringes and needles for a variety of reasons, but I cannot make a judgement call on what may be medically necessary in that instance. It puts both patient and pharmacy at risk of liability if an incorrect determination is made. I would recommend talking to your doctor first to determine the need and get a prescription if necessary.

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Advanced
There are two people in the next room that are in a conflict. Mediate the discussion and find a way to resolve the situation.
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50
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ChatGPT's answer ...

If I were mediating a discussion between two people in conflict, I would begin by encouraging and creating a safe space for conversation. I would explain the importance of listening intently and without interruption to each person's perspective. Then, I would ask each person to speak in turn to create an understanding of both sides. After each person has had a chance to express their point of view, I would help them identify any common ground and ways to move forward. I would also help them explore different perspectives, looking for gaps or misunderstandings. Finally, I would collaborate with each person to develop a mutually beneficial resolution and create an action plan to ensure that the conflict is managed over time.

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Advanced
A 18-year old man is diagnosed to have suspected bacterial meningitis. He refuses therapy and returns to the college dormitory. What should a physician do in this situation?
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10
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ChatGPT's answer ...

If a patient is diagnosed with suspected bacterial meningitis and refuses therapy, it is important to follow-up with the patient and ensure proper safety measures are taken. First, the physician should ensure the patient is aware of the severity of their condition and potential consequences if they do not seek proper medical attention. It is also essential to inform the patient of the risk they pose to those around them, should they choose not to receive treatment.

In addition to continuing to explain the dangers of their condition, it is important to research the patient's options regarding proper care and treatment, including any financial aid or support groups that would provide meaningful assistance. Lastly, the physician should ensure that there is a strong support system in place at the patient's college dorm. This would include the availability of resources such as counselors, mental health professionals, and other home remedies if possible. Through continued conversations with the patient, the physician should work to ensure that the patient receives the care they need and that their safety is prioritized at all times.

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Intermediate
A 40-year old schizophrenic patient needs hernia repair. Surgeon discussed the procedure with the patient who understood the procedure. Can the patient give consent?
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34
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ChatGPT's answer ...

As a doctor, it is important to consider the patient's mental competence when deciding if they can give consent for a procedure. In this case, the patient has schizophrenia and is 40-years-old. In order to determine their mental competency, a thorough evaluation would need to be completed. This evaluation process should assess the patient's understanding of the procedure and risks in addition to their decision-making ability. If the patient is deemed to be mentally competent, they can provide informed consent and proceed with the operation. It is important to ensure that the patient gives consent voluntarily, as coercion and undue influence could affect the validity of the consent.

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Advanced
Some people think that the new or younger generation of physicians are not as hard-working (i.e., wanting to leave right at 5:00 p.m., not wanting to put in as long of a work week) as previous generations. How do you feel about this perception?
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ChatGPT's answer ...

I strongly disagree with this perception. As a fourth-year medical student, I have seen firsthand the dedication and hard work of my peers. We are motivated to provide the best care to our patients by staying up-to-date on the latest discoveries in medicine and spending many extra hours studying and researching. On the other hand, I understand that it is important to achieve a balance between work and personal life. Perhaps this is where the perception stems from - that we want to work smarter, not harder. In any case, I believe the commitment to patient care among my peers is unwavering.

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Intermediate
How would you advise patients who are interested in visiting an acupuncturist or a chiropractor?
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15
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ChatGPT's answer ...

I believe that both acupuncture and chiropractic care can offer patients some great benefits. However, they are not typically offered as medical treatments in the traditional sense, so I advise my patients to first consult with their physician before engaging in either practice. It's always important to make sure that any visit to an acupuncturist or chiropractor is safe and that no conditions exist that may be made worse by the treatment. Additionally, make sure that the practitioner is qualified and experienced in providing those services. Lastly, I would advise patients to discuss their condition with the practitioner and consider their advice before deciding what practice is best for them.

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Advanced
Your best friend and partner are undergoing in vitro fertilization to have a baby. The technique allows for the selection of certain characteristics for the child by identifying them in the embryo before implantation. Your friend asks for advice on the characteristics they should select. How would you respond to your friend?
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16
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ChatGPT's answer ...

I would tell my friend that they should make the best decision for them and their partner based on their personal values. I would make sure they understand the legal and scientific implications of their decision and be sure they have been fully informed by a health care provider of the potential short and long term implications of their decisions. Ultimately, I would encourage my friend to trust their instincts and make the decision that feels right for them.

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Intermediate
One of the key competencies for medical practice outlined by the Royal College of Physicians and Surgeons of Canada is the need to develop and maintain self-assessment skills. Describe the strategies you employ when assessing your ability.
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ChatGPT's answer ...

When assessing my ability, I use a combination of self-reflection and feedback from others. In terms of self-reflection, I take the time to think about my individual strengths and weaknesses and how they factor into the job I’m performing. I make sure to question my decisions and actions and consider alternative options. This approach allows me to stay aware of how effectively I am performing and how I can continue to improve.

In addition to self-reflection, I also use feedback from my peers and mentors. I usually ask for constructive criticism and I welcome feedback with an open mind. I feel that again, this provides me with a valuable insight into how I am performing and ways in which I can grow as a doctor.

Overall, I’m constantly engaging in self-assessment in order to be the best doctor I can be.

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Intermediate
Do you think general practitioners have an obligation to report their patients' health status to a public health agency, if their patients have active infectious diseases?
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35
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ChatGPT's answer ...

Yes, I believe that general practitioners definitely have an obligation to report their patients' health status to a public health agency when their patients have active infectious diseases. This is important because it can help protect and reduce the spread of infectious diseases, thereby protecting the overall public health of a community. Furthermore, reporting these health statuses can help to ensure that the most efficient public health interventions are implemented and can result in better outcomes for patients with active infectious diseases.

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Advanced
Data has shown that doctors who smoke are less likely to make good role models for patients. Should doctors be allowed to smoke? Do doctors need to be role models?
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48
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ChatGPT's answer ...

I don't believe that doctors should be allowed to smoke. As healthcare professionals, we have a responsibility to provide the best example of healthy lifestyle choices to our patients by leading healthy lifestyles ourselves. We should also encourage our patients to make healthy choices, which smoking contradicts. I think that doctors should take on the role of patient advocate and need to be role models to set good examples for our patients. If a doctor were to smoke, they would be sending an irresponsible message and would be setting the wrong example.

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Intermediate
A 17-year old boy lives independently. He is married and has one child. He wants to participate in a medical research study. Does he need his parents‟ permission?
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29
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ChatGPT's answer ...

The answer will depend on the guidelines set forth by the research study that the 17-year-old is interested in participating in. Generally speaking, since he is married and has a child, the 17-year-old is considered to be a legal adult in the eyes of the Canadian government, and therefore does not need his parents‟ permission to participate in the study. That said, I would suggest that the 17-year-old thoroughly review the guidelines set forth by the research study to ensure that he meets all of the necessary requirements and that his participation is in compliance with the regulations of the study.

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Beginner
What is the difference between Medicare and Medicaid?
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44
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ChatGPT's answer ...

Medicare and Medicaid are two health insurance programs available in the United States. Medicare is a federal health insurance program aimed at individuals who are 65 years or older, although certain individuals of any age may be eligible for coverage. It provides hospitalization insurance and covers other costs for health care such as doctor visits, preventive and outpatient services, mental health care, and prescription drugs. Medicaid is a jointly-funded federal and state health insurance program that helps people with low incomes and certain disabilities obtain health care. It generally provides comprehensive coverage of medical, hospital, and long-term institutional care, as well as preventive and rehabilitative services. Medicaid also provides additional benefits and services that may not be covered by Medicare.

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Advanced
You are a 3rd year medical student doing hospital rotations. A fellow medical student who is doing rounds with you often show up to these sessions tired, messy, hung over, or even drunk. One day you found him in the lunch room unaccompanied, so you decided to talk to him. Please enter the lunch room.
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ChatGPT's answer ...

As I entered the lunch room I saw my fellow medical student sitting at a table. I walked up to him and said, “Hi, I noticed you were alone. Is everything alright?” I could see from his red eyes and disheveled clothes that something was wrong.

He shook his head, looked away and replied, “No, it’s been a tough few weeks.”

I sat down next to him, looking around at the empty lunch room, and said, “I know you don’t want to talk about it, but I just wanted to let you know that I’m here to listen if you need somebody to talk to. I understand that things can get really tough when you’re on rounds and I just want you to know that I’m here for you.”

He was quiet for a minute but eventually looked at me with a hint of a smile and said, “Thank you. It means a lot.”

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Advanced
You are working on a group project with 5 other students. One of the students doesn‟t show up for meetings or if they do show up - they are late and leave early. They have put no effort into the group project but show up on the day of the presentation and try to take credit for the project. What do you do in this situation?
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ChatGPT's answer ...

When I am working on a group project with other people, I try to ensure that team dynamics are positive and productive. In a situation like this one, where a team member is not contributing, I would approach the situation with a calm and collected demeanor and bring it to their attention. I would give them a fair chance to explain their behavior and express any issues they may be having, while also emphasizing the importance of the group project and the need for everyone to give their full effort.

If they cannot or do not offer any valid explanations, I would make it clear that their lack of participation is having a negative effect on the team dynamic, as well as the project's outcome. I would employ problem-solving strategies to work through the situation and might suggest alternate deadlines for their tasks or rearranging their workload. However, if the behavior persists, I would ask for a team leader or supervisor to intervene and help address the issue.

Ultimately, in any project, it is important to recognize and appreciate the effort of every team member and to ensure that everyone is contributing equitably. Strong and effective communication is key to any successful team project, and it is important to create an environment where all team members feel supported and heard.

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Beginner
You and your best friend try out for the varsity track team. You just find out you got in, but your friend was rejected for the 3rd time. Enter the room.
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35
Answer now
ChatGPT's answer ...

I was so excited when I got the news that I had made the varsity track team. Unfortunately, seeing the disappointment on my best friend's face when they found out that they had been rejected for the 3rd time was heartbreaking. Knowing that I was the one to make it when they hadn't made it for the third time really stirred up thoughts of guilt. I wanted to be supportive of my friend, so I immediately hugged them and told them that it was going to be okay. I told them to keep their head up and that I would be there for them no matter what. I could then see a trickle of hope in their eyes as we moved forward together, both of us having faced different outcomes.

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Advanced
If you have the choice of giving a transplant to a successful elderly member of the community and a 20 year old drug addict – how do you choose?
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12
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ChatGPT's answer ...

If I had to choose between giving a transplant to an elderly member of the community versus a 20 year old drug addict, there is no easy answer. In my experience, treating a patient with an organ transplant is always a complex process and merits an individualized approach. Ideally, in such a situation, I would want to ensure that the person who is most likely to have the best overall outcome, with the highest likelihood of leading a full and satisfying life, would be the recipient of the transplant. In making the decision between the two people, I would need to carefully consider a wide array of factors, including the physical and mental health of the patients, the patient's post-transplant prognosis, their family and community dynamics, and their individual circumstances. This determination would be based on an evidence-based, ethical framework that aimed to provide the best outcome for both the individual and the greater community. Ultimately, my decision would be guided by the well-being of those involved and by the Hippocratic Oath, which I would strive to uphold to the best of my ability.

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Intermediate
You learn from your best friend that she was involved in a hit and run accident one night when she had too much to drink and had hit a person crossing the street. She feels badly about this incident. What do you do if anything?
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Answer now
ChatGPT's answer ...

If my best friend confessed this to me, I would first listen and provide empathy and understanding. I would advise her to speak to a professional such as a mental health provider or lawyer for further help and guidance. I would also encourage her to come forward and speak to the police as a self-reporting of the incident. In any case, I would remind her that she is not alone, and that no matter the situation, I am here for her as a friend and source of support.

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Beginner
You are given a list of items that you would want to take in your suitcase for a two-week holiday. You are told that you can only pack half of the items available.
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ChatGPT's answer ...

If I'm given a list of items to take on a two-week holiday and can only pack half of them, I would pack the items that I will use more frequently and those that are lighter weight. For instance, I would bring clothes that are easy to layer and coordinate, so that I can mix and match to create different looks. I would also bring items such as toiletries, a first aid kit, and any medications that I may need. I would also include any necessary documents and paperwork to make the trip smoother. Finally, I would bring whatever electronics I will need, such as a laptop, cell phone, and any charging cords. That way, I can stay connected with family and friends and not miss a beat.

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Advanced
An actor plays the role of your elderly neighbor. You have just accidentally run over your neighbor's cat whilst reversing your car. You have 5 minutes to break the bad news to her.
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ChatGPT's answer ...

I would first take a deep breath and take the time to prepare myself to deliver the news. Before breaking the news, I would pay attention to my neighbor's body language and prepare myself to handle an emotional reaction. When ready, I would explain calmly that there had been an accident and that her cat was unfortunately involved. I would offer my condolences and let her know that I am sorry and ask if she wants to talk about it. Depending on the response, I would provide emotional support and if possible, offer to pay for any veterinary bills. Furthermore, I would let her know that if she needs any help with the arrangements for the cat, I would be there for her.

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Advanced
Recently, certain hospitals in the Vancouver Area have been charging patients $29/day for their hospital fee on top of the fees charged to MSP. What are the implications of this policy? Discuss both positive and negative impacts with the interviewer.
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ChatGPT's answer ...

The recent $29/day hospital fee policy has far-reaching implications for the hospitals in the Vancouver area. On the positive side, this fee may help encourage financial responsibility in patients. By paying for part of their care, financially literate patients can ensure that they are contributing to their medical care in a responsible way. Furthermore, these fees can help cover some of the costs associated with medical care, offsetting the burden on public healthcare funds.

On the other hand, the $29/day fee may have some negative implications. This fee could lead to some people delaying care, as they may not be able to afford this extra cost. Additionally, some people may struggle to pay the fee when coupled with other costs such as prescription medication. These fees could also have a disproportionate impact on those on low incomes, people with chronic conditions, and those who are uninsured.

To mitigate the financial impact, it is important to ensure that appropriate arrangements are in place to support those who cannot afford to pay. This could include flexible payment plans, discounts, and subsidies to ensure financial access. Banks and credit unions may also be able to provide financial assistance to cover these fees. Finally, an evaluation of the policy should be conducted to determine the efficacy of the fee and its impact on patients.

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Advanced
You are a current undergraduate student. During the week of graduation, you attend a number of parties around the Lower Mainland with your best friend, Kelly. The last party is held at a camp ground in Squamish. The morning after the party, you receive a call from Kelly. She asks that you come over and talk. Kelly reveals that she left early and drove home despite drinking that night. Enter the room and talk to Kelly.
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ChatGPT's answer ...

Hi Kelly. It's so nice to see you. What about graduation was so upsetting for you?

It's clear to me that something has been troubling you. I'm here to listen and talk if you want to share. Nothing you say will leave this room.

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Advanced
You are a genetic counsellor. One of your clients, Linda, had a boy with a genetic defect that may have a high recurrence risk, meaning her subsequent pregnancies has a high chance of being affected by the same defect. You offered genetic testing of Linda, her husband, and their son to find out more about their disease, to which everyone agreed. The result showed that neither Linda nor her husband carry the mutation, while the boy inherited the mutation on a paternal chromosome that did not come from Linda's husband. In other words, the boy's biological father is someone else, who is unaware that he carries the mutation. You suspect that Linda nor her husband are aware of this non-paternity. How would you disclose the results of this genetic analysis to Linda and her family? What principles and who do you have to take into consideration in this case?
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ChatGPT's answer ...

In a situation like this, I believe that empathy and sensitivity are the most important guiding principles. In the counselling session, I would start by affirming the emotions Linda and her family are feeling and expressing understanding of the difficult news. I would explain to them the results of the genetic analysis in a fact-based, non-judgmental way and acknowledge that education, support and counseling may be necessary for this process.

I would also make sure that I present the facts to Linda and her family in a nuanced way, as to respect the privacy of both sides. In such a delicate situation, it is important to make Linda and her family feel like their feelings and worries are valid, while also giving a responsible and educational conversation on the subject.

Throughout the conversation, I would take into consideration the possibility of psychosocial and psychological distress among those involved, which is often brought on by ethical implications like this one. I would also tell Linda and her family that resources can be available if they choose to take them (e.g. counselling).

In the end, regardless of what they choose to do, they need to all be comfortable with the decision they make.

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Intermediate
Universities are commonly faced with the complicated task of balancing the educational needs of their students and the cost required to provide learning resources to a large number of individuals. As a result of this tension, there has been much debate regarding the optimal size of classes. One side argues that smaller classes provide a more educationally effective setting for students, while others argue that t makes no difference, so larger classes should be used to minimize the number of instructors required. Discuss your opinion with the examiner.
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ChatGPT's answer ...

I believe that while larger classes may minimize the number of instructors required, it should not be the guiding factor when determining the optimal size of classes. Ultimately, smaller classes provide a more educationally effective setting for students, in my opinion. Not only can students learn more effectively due to more individualized instruction, but they are also more likely to stay engaged in the learning process. Larger classes can often be impersonal and resulting in a lack of student engagement. Furthermore, with smaller classes, instructors have an opportunity to assess any learning gaps and intervene quickly as needed. All these benefits become much harder to achieve in larger classes. Thus my opinion is that smaller classes are the optimal size for universities to strive for.

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Beginner
Your company needs both you and a co-worker (Sara, a colleague from another branch of the company) to attend a critical business meeting in San Diego. You have just arrived to drive Sara to the airport. Sara is in the room.
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ChatGPT's answer ...

I have arrived to drive Sara to the airport. I'm pleased to report that Sara is in the room and ready to go. We have discussed what we need to do at the meeting and I'm confident that she is well-prepared. We both understand how important this business meeting is and we want to do our best and make sure the meeting is a success.

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Intermediate
In June 2011, the Vancouver Canucks lost the Stanley Cup and riots broke out in Downtown Vancouver. Discuss the impact on the community and the range of health care professionals at St. Paul‟s Hospital.
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ChatGPT's answer ...

The event of the Vancouver Canucks' 2011 Stanley Cup loss had a devastating impact on the community, and it put a strain on the professionals at St. Paul’s Hospital. From what I recall, the emergency room and trauma teams were busy all night treating non-life threatening injuries resulting from the riots. It was a very stressful night for the health care team at St. Paul’s, as they had to take urgent care of people who had been injured in the riot as well as continue their usual duties.

The most significant impact of the Vancouver Canucks' 2011 Stanley Cup loss was on the mental health of the community. Students and young adults were the most affected, many showing signs of depression or anger issues. The event was a huge blow to the city’s morale, and the professionals at St. Paul’s had to work around the clock to provide care and support to those affected. A range of health care professionals, such as psychiatrists, psychologists and social workers, were necessary to address the mental health needs of the community following the riots.

Overall, the Vancouver Canucks' 2011 Stanley Cup loss had a major impact on the community and the demands on the care staff at St. Paul’s. The event highlighted just how vital experienced health care professionals are in times of crisis and unrest, and it was a powerful reminder of the importance of mental health care.

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Intermediate
Recently, the Prime Minister of Canada suggested the idea of deterrent fees (a small charge, say $10, which everyone who initiates a visit to a health professional would have to pay at the first contact) as a way to control health care costs. The assumption is that this will deter people from visiting their doctor for unnecessary reasons. Consider the broad implications of this policy for health and health care costs.
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ChatGPT's answer ...

I believe the idea of deterrent fees may be well-intentioned to help control health care costs, however, I do not think it is the solution to this issue. The proposed fee would create a financial barrier for some individuals to access care when they need it. This could further marginalize those from lower socio-economic backgrounds and those in rural regions who may already have limited or no access to health services. This could lead to greater health disparities in Canada, as those who can’t afford the fee may forgo treatment that could have prevented unnecessary medical costs in the long run. Secondly, this policy could lead to people delaying necessary care for fear of the added cost and lead to more serious health problems that would cause greater strain on overall health care costs. In conclusion, though this policy may have the potential to help reduce health care costs, it may have far more serious implications with regards to health disparities in our country.

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Your friend is of Chinese descent and fluent in Mandarin. You both want to get into medicine. She registers for Mandarin 101, a course in Chinese language for beginners. The course coordinator asks that students who can already speak just a little bit of Mandarin should leave because this is a course for beginners. Your friend remains but makes a sufficient number of deliberate mistakes in the classroom discussions, in the required homework and in the examinations that she will not be detected and yet still receive an excellent grade. What would you do in this situation?
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You are a young, single doctor working in a small town of 1500. You meet an attractive male/female at the bar that you are interested in. What problems do you foresee?
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It has been argued that wait times for organ transplants can be significantly sped up through surgeries and donations from other countries. You are a physician working with a patient who you noticed had recently gone to the Mexico to receive a liver transplant. What are the ethical issues involved?
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33
others
Open GPT Response
Your 5 year old nephew asks you, "Why is the sky blue?” How would you answer him using a series of simple scientific experiments?
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39
others
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Discuss any topical health care issue that is unique to the Pacific Northwest region (or region for Med School you are applying to)?
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Open GPT Response
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