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Casper

I did make a promise to Sammy, however, although it would be difficult considering I am his friend, I should probably break it because of the legal implications and to maintain justice in society. It would not be just for Sammy to be unpunished for his crime while another person is. Furthermore, I am not a doctor, lawyer, etc. who has a duty to respect confidentiality. I would therefore have to denounce Sammy to the police if he doesnt himself.

student-310

Casper

I would start off by exploring all my options first in order to decide whether to give the refund or not. I would ask my manager or a person in charge if there was any way to by pass the store policies and make an exepection in this case as it is for a medical issue. If there was no way, I would try to provide the customer with other means or resources to financial help such as government provided resources or help them myself in this situation.

student-306

Casper

I would check my station's policies and see how much the fine is for trespassing on private property and fine the teens that amount. It is important that those in Brightonville are treated equally and it is not my decision to decide on an appropriate fine. The town has guidelines in place to try and be as fair as possible. The system in place in most cities is a predetermined fine that is no different based on age, or income and despite my personal feelings on the situation it is my responsibility to obey by the policies put in place.

student-648

Casper

A chemistry textbook isn't unique to one student. A lot of students use them so it could very well be likely it is just another student with a chemistry textbook and that I have lost mine somewhere else. I would try to retrace my steps to find the textbook and try to borrow one from the library instead while I try to look for mine.

student-457

Casper

My main concern is the safety and welll being of this client and all others living in this nursing home. I would first try to inquire more on the situation from a non-judgemntal perspective from all parties, if it is appropriate to do so. If there is abuse occuring based on what I have uncovered, then I would advise the resident's and workers of my intention to report this to leadership as it is a danger to all who live there.

student-269

Casper

Although it must be difficult for Jessica, it would be unethical for Richard to tell Jessica about the database. That would be a form of cheating, as she would be using answers that she did not come up with herself. However, I believe that Richard should offer her assistance in any way that he can in order to better Jessica's grades and knowledge about the subject. For example, he can offer to study with her to strengthen her knowledge.

student-252

Casper

This issue is one of ethics and morals, and even though he is my friend, I cannot discount the fact that he would be cheating, and putting others at a disadvantage because of that. I understand the my friend needs to pass this exam very badly, but on the other hand, other people also need to pass this exam and would be at a disadvantage if he cheated. I also understand why Sarah would want to help him, as he is her friend, but this would also put her liable for his cheating, because she would be contributing to an unfair academic environment.

student-61

Casper

My interpretation of the quote is that to be seen as a professional in a field, one needs to act like they know what they are doing, even if they are unsure sometimes, and if they have doubts and usnure, then they would be seen as unknowleduage, therefore unprofessional

student-424

Casper

My interpretation is that if people see a person who appears to be competent and someone who is trustworthy, they'd be more likely to work with them and trust them to help them as an image or personal brand is created.

student-595

Casper

My main concern is to ensure fairness is maintained to all patients for treatment. Although I understand that the father has contributed a great deal financially for the hospital, leading to the advancement of the hospital in areas such as training, equipment, capacity etc., ultimately leading to increased patient satisfaction, we need to treat all patients equally and should not treat the father in a different matter than other patients. Treatment is decided by need and severity first. Instead, we can later apperciate his contributions in a different, ethical manner.

student-505

Casper

I think either way is acceptable. If Sarah does it, then it is coming straight from the boss who oversaw his poor work ethic. If human resources does it, then he may be more accepting because the third party is also

student-651

Casper

All individuals are different and may have different perspectives, or may function differently and are more effective suing different manners. Perhaps some individuals feel a loss of control with mindfulness or do not understand how midnfullness can be effective.

student-621

Casper

In this situation I would try to speak privately with the individual as it stated that I am a reltively good friend of the coworker. I would explain to them what I saw and would try my best to maintian sensitivity. I would explain that while I know they are experiencing financial and emotional struggles, that it is against store and company policy to be pocketting cash from the register. I would really want to be a friend to this individual and try my best to also turn them over to social support netwrks or research financial assitance programs that may be availble for them to ultilize.

student-154

Casper

When i was in undergrad there was a time when I was working for a professor that I wanted a reference letter from as well i was taught by. They would ask me to do many additonal tasks after working hours (i.e., data entry, email me, aks for quick reports) and I would do them without any question since they had a lot of power over me. MEaning that they had the ability to greatly influence my life, so I did not question affecting my work-life balance for them. The work was due for a conference that i was not aware of and the request came out of no where

student-317

Casper

I like to think that he meant that curiosity is an innate quality. It is not like many other human emotions like pride or envy which derive from relations with people, but instead that curiosity is this fundamental human element which is simply part of us and drives us forward for no reason other than our curiosity about the world around us.

student-235

Casper

I agree that frontline workers deserve all the respect and appreciation. However, I would have to agree with the bystander about not wearing scrubs outside of the healthcare facility. This is because scrubs can carry all sorts of pathogens that can spread quickly, especially in a crowded place like a subway. This is especially true while the COVID-19 pandemic is rampant and even more risk is incurred by wearing a scrub outside the workplace.

student-635

Casper

I beleive that corporate tax being lower is fine however the way that individuals are using it to escape personal tax is a flawed system and there should specific laws that target the misuse of funding yourself through a corporation.

student-535

Casper

No, I would not drive away, because morally it would be wrong to leave this situation. There is a chance that there is damage to the other person's car that I didn't notice, and leaving them to deal with it alone, when it was completely my fault, would be wrong. I would leave a note on the person's dash with my name and phone number so they can contact me to discuss what happened, if they wish to.

student-322

Casper

I would approach the teenagers and immediately tell them to stop what they are doing. I would pull them aside away from the cat and have a private non-confrontational conversation as to why they think this behaviour is acceptable. I would get their perspective on why they think this was necessary. I would educate them on the importance of being kind and merciful with the animals and nature around us, even if they did something wrong such as scratch us.

student-477

Casper

While I understand this is a difficult situation, where I do empathize with the student as a TA and feel bad seeing as she has struggled, put the effort in and still felt the need to resort to cheating, I also understand that this behaviour is not fair to the rest of the student body who is not cheating. I would likely single the student out after the exam and inform of what I saw, and tell her that I have to notify the professor about this. I would advocate for the student to the professor and suggest that her reasoning for cheating be explained prior to a punishment being given to her as she may have extenuating circumstances at home that lead to this, Iw Ould explain her history of being a diligent student who comes to office hours.

student-240

Casper

A professional that does not look confused in his job would give reassurance to customers because they put their trust into the professional to get a job done. For example with a physician, they should not put unecessary stress on a patient when they already have a lot on their plate.

student-417

Casper

Littering with mal-intent is a behaviour that represent a lack of respect for the environment and those around you. I would want to approach the individual in an open, non-confrontaitonal manner, and ask them why it is that they have littered. It oculd be the case that they put the trash down momentarily to do something and intend to pick it up, or they may not be from the area, and may not understand our littering laws. If they had the intention of leaving it there I would inform them of the negative consequences this may have on the environment, the wildlife in the park, and for the other people who want to enjoy the park.

student-202

Casper

First, I would want to gather more information about what is happening. Is the person searching for something they lost in the garbage can? Is the items not really garbage but maybe a personal belonging the person accidentally dropped? If the person did intentionally throw garbage on the grass, then I would want to approach the person in a friendly, non-judgemental manner and let them know what I saw. I would politely ask the person to pick up their garbage to keep the park clean for everyone else. If the person refuses and walks away, then I would pick the garbage myself if it was appropriate (e.g. if I had gloves, or a tissue) because I believe it is a ethical obligation of citizens to look after the park.

student-156

Casper

My mother and my sister have a very tough relationship. They are often fighting, which compounds due to my mother's physical and mental health issues. I promised my sister that we would call every weekend over zoom to work together (ever since I moved to university) so that she wouldn't feel alone in the house. However, during exam season, I found myself cancelling as I felt like I needed private time to study hard. Looking back, although my sister very kindly understood my position,m I feel very remorseful for having taken that time from her, as I now realize how important it was to her. I have committed since then to always showing up, even if it's with my camera off and just typing in chat, because I know how much she needs me.

student-144

Casper

This is a very challenging situation for my friend. I would pritorize his well-being and ensure that his academic success is maintained. I would first ask him more questions to get to know his mothers condition and how he feels about it. Undoubtedly this situation is extremely difficult for my friend and I would assure him that I am there for him every step of the way and will be willing to help with whatever he decides. I want to learn about what he values more and then give an advice based on that. If being with his mother means to him than school, than I would encourage to talk to the academic counselor and look at getting a gap year rather than dropping out. If school means more to him, then I would encourage to not drop it but also call his mother everyday to make sure she is fine and feels cared for. My advice will be based on my friends value system.

student-214

Casper

I believe someone would make this statement based on understand that volunteering is looked upon as a beneficial thing to raise someones values for their betterment. It will help them when they are applying to jobs and professional schools. Showing others and the administration that they are people who has a value to be of service to others.

student-580

Casper

Yes, I would immediately try to make them stop. I would let them know that as a friend we need to respect our friends boundaries and privacy. It is not within our right to look through their phone without permission. I would encourage them to speak to the friend directly if they are looking for something specifically as that is the right thing to do.

student-463

Casper

I think that there are a lot of pros and cons to the subjects taught in high school. For instance, I think that students think that the topics are \"useless\" when they get into unversity because university is much more specific and a lot of the topics while high school is much more broad. While I agree that not all the topics that were taught in high school were of use to me in university, I do not think they are \"useless\" topics because it could be a useful topic to someone else. I think that the topics are not useless, they are just broad as most students do not know what they will study in university so there is no way to know which topics will end up being useful. THe quadratic formula is useful to a math major.

student-109

Casper

A person may not agree with this statement because, for many years, post-secondary education has cost money in the United States. Many feel that this should continue and disagree with the idea that education is a right because it is something you have to pay for.

student-476

Casper

There are many situations when an individual may have other obligations, preventing them from going to school, such as young parents or females in third world countires who are forced to stay home and be home makers for their husbands. If an individual feels that a person has other commitments that outrank the need to go to school then someone may disagree with the statement.

student-652

Casper

Il faut convaincre le collègue de ne pas prendre l'auto, c'est très dangereux. la consommation d'alcool au volant est une des principales causes d'accidents mortels sur la route. Tous ont droit à la sécurité, et ce droit est violé par l'acte de ce collègue. De plus, les clients ne sont pas au courant de cette consommation d'alcool, ils sont donc complètement vulnérables aux conséquences de ses actes

student-560

Casper

One likely reason may be that the public does not see these people in action - they work behind the scenes making sure everything is safe and running smoothly. On the other hand, healthcare workers are individuals people see often for personal care.

student-296

Casper

According to me, the quote suggests the importance of being confident. I agree that confidence is the key to any profession. It makes the job trustworthy and knowledgeable. It makes the professional look understanding. In the case of the medical field, patients trust and give more information to doctors who appear confident and know what they are doing as they seem to have more knowledge and experience.

student-338

Casper

No. I belive that instilling equity into a child's life is important. I would educate my child on the I'm[oratcne of realizing differences in financial status, social status and work status, however, deep inside we are all individuals and we all feel the same emotions and similar interests in life. If my 'poor' child had the same interests as the 'rich' one and enjoyed spending time with him for who he is and not what he owns, i would be a very proud parent.

student-192

Casper

I would first read the local municipal guidelines for my town of Brightonville. I will not immediately fine the teens as what they are doing may not actually result in a fine. For example, many places let you get off with a warning before any official punishment takes place. If I have to fine them, I will fine the minimum amount according to local guidelines, as they are teenagers and are doing this for a good cause, I will afford them the benefit of the doubt. I admire them for doing work for their community.

student-181

Casper

This is a very difficult situaiton and more information is required to make a decision. First off, I would need to gather more info to confirm my friend has actually plagerized. If they admit to it, I would suggest that they reach out to the professor to extend their deadline and change all the plagerized materials in order to abide by the universities academic integrity policy. Altough I empathsize with my friends difficult situation and perhaps they plagerized due to the lack in time or knowledge in the area, I would suggest they do not submit any plageriszed work since it is unjust and against the rules of the university, thus having very large consequences.

student-126

Casper

I was paying for work done on my car, the shop owner, someone id known for a few years & trusted his service gave me a discount on parts. Towards the end of the conversation he made a remark that came across as racist

student-587

Casper

During the Covid-19 pandemic, my family and I weekly provided sandwiches to a homeless shelter to provide a meal to those who are less fortunate. The sandwiches would contain typically turkey and cheese and the next morning the mother would bring them to the shelter. In addition to such during the winter time we collected bed sheets from people in the local neighbourhood to provide the shelter with proper bedding for the homeless during the winter season.

student-170

Casper

I do not think this is counter-intuitive because, generally, applicants who bring strong leadership skills show that they are adept at picking up this skill. If a program seeks those who have self-taught, they can narrow down the applicant pool to those who are likely better at learning and implementing new leadership techniques. Implementing leadership courses also allow students of all different demographic backgrounds to unify and learn what the most successful leadership techniques are when in specific situations.

student-298

Casper

I would try to talk to Jame's parents about how serious the situation is and what the consequences are of they refuse treatment/the transfusion. As Jame's parents, they have a say in his treatment; however, in this situation, I need to keep James best interest in mind as he is my patient. If the blood transfusion is the only way to treat him or give him a fighting chance, and after talking to the parents they do not change their mind, then I am going to have to treat him anyways. I would talk to a hospital administrator or ask for a court order to provide James with the care I am obliged to provide as his physician.

student-12

Casper

First of all, I would try not to be angry at my boss. I understand that this loss of money could hurt him and stress him out, so I understand that he would look for a culprit. However, he should not accuse me without proof. I would therefore speak to him privately, ask him why he thinks I stole the money, assure him that I did not, tell him that I can help him find out what happened to the money. If he continues to accuse me, I would contact human ressources as this seems unacceptable and unprofessional.

student-409

Casper

I bleive it is improtant to have a discussion with HEather and about her feelings befoer makigna decisin. Understanding her position is improtant, and I would be empathetic to her concerns. I would address teh issue at hand, and suggest that forming a club where people can bring books that they feel passionate about would allow others to appreciate their perspectives, and have a discussion on it. Heather could bring her book that is representative of the LGBTQ group, thus introducing others to the issues that may be present in my book. THus, I would still form the club to allow everyone to be involved in sharing their experiences and literatuer they are influenced by.

student-300

Casper

I would not simply laugh along with my co-workers because even though we are in a casual environment, I still don't think it is nice or appropriate to make rude comments about other people, especially if they were to be heard. I will try to steer the conversation away from the negative talks and focus on other topics. I will also look around my cowokers, as it may just be one or two people that are making the comments and everyone else laughing along because they don't know what else to do. If so, I will approach these co-workers in a non-judgemental and friendly manner in private about the comments and how some people might think it is a bit insensitive. I won't be jdugemental but i will just mention how some people might feel uncomfortable hearing them.

student-333

Casper

My main concern is the driver drinking alcohol and driving when it is unsafe to do so. My other thought is wondering how much has this person drank, was it alcoholic beer, and did I hear the conversation correctly. Sometimes when you overhear something it is not in the same context as you initially assumed.

student-551

Casper

It would be important to determine whether Sammy had a partner in crime. I would ask him whether or not this person helped him. if they did, I would suggest to Sammy to confess as most likely his partner would tell the police about him anyways. if he did not have a partner, or this was not the partner, I would still push Sammy towards confessing as it would be the right thing to do. It would be unfair to let another person take the blame for his actions. If Sammy refused, given what I know and that withholding information is illegal, I would have to share this information with the police, and I would inform Sammy of this beforehand.

student-138

Casper

that the act of being open to new knowledge is the only way to continually learn as a person. I think by experiences he learned so many different views and understanding of concepts thta he realized his own thoughts may not be right and thus he should not only question what other say but also his own beleifs.

student-553

Casper

I would like to talk to this person in private and remain non-judgmental before making a decision. I would like to make sure that he knows about the rules. If he does not, it means that he made a mistake, I will let him know about the rules and ask him not to repeat it. If he does know about the rule, but still does this, then I would like to give him a warning first. However, if I catch him do this again, I would have to kick the player off the team due to his cooperation to the rules. Be

student-119

Casper

i believe this is a difficult situation as you are dealing with both the patients rights, as well as everyone else's in the hospitals rights. This would be difficult as if we choose one or another then we are putting someones rights above someone else's. I personally believe that this is a difficul situation and the answer is dependant upon many things, however, if we talk to the patient being treated, they may be fine with wearing. a mask just for the time being. Ithink people are much more lenient than it is maken out to be.

student-415

Casper

The conflict is between the wellbeing of Michelle's mother and the fairness of the race betwen the other competitors. Due to the policies of the national race, I would be required to report her, however, I would confront Michelle in a kind manner without judgment and encourage that she withdraws from the competition if she were to use the PEDs to allow her autonomy. If she agrees I would encourage her decision and let her know that she is doing the right thing, if she does not agree I would report her to keep the race fair.

student-233

Casper

Richard happened to stumble upon this when searhcing online. Although the information online is free to use by anyone, Richard has recognized that the questions are the same as what the teacher puts on the exams. Richard's friend Jessica may be in a difficult situation and she can be desperate for help from anyone. Richard as her friend shoudl naturally seek to help his friend. However, Richard should first check if this help is in line with academic honesty or whether it is not. If it is not, then he can offer Jessica other ways to help her such as setting up a study group or asking the teacher for some private help.

student-249

Casper

This scenario requires balancing ethics with professionalism. It is unclear the nature of my relationship to my co-worker, if this has happened before, and the overall team dynamic. On one hand, it is unethical to claim someone else's ideas as your own and receive praise for it; speaking up would award praise and credit the right person. On the other hand, it may be viewed as unprofessional to speak up and interrupt the meeting with this issue. I would try to handle this professionally while making it clear that I developed the idea, for example by politely asking Luca questions about the idea that he would not be able to answer, and I could step in to suggest things. I would also have an open discussion with Luca after the meeting about why he took my idea and how we can move forward as team members.

student-34

Casper

This is a tough decision and i highly encourage him to take a step back and reflecting long befire coming up with a decison. As a friend, I let him know that i am there if he needs support, I can also help him find others that have been in a similar situation. I would help him look at the pros and cons of both s

student-571

Casper

James could be facing pressure from the institution the team represents or even from some of the players' parents to win first place. He could have potentially identified some players who did not seem as competent as others and is trying to reduce their contribution to the team in an effort to make a last-minute improvement in his team's performance.

student-113

Casper

While I understand both sides of the story (the lower class is struggling to get by and yet the largest and richest organizations are paying less taxes than they are, which can feel injust and frustrating, the upper class is trying to help the economy so that everything on a whole can be more affordable), I must side with the lower class in this situation as I feel as though there are other ways to improve the economy and everyone, even corporations, should be treated equally and have to pay the same relative amoutn as everyone else.

student-625

Casper

I am in a difficult situation because I do not want to miss my exam, but at the same time, I do not want to get a ticket or get towed. Often times with exams, if you do not show up within the first 15 minutes, you are not allowed to take the exam at all. Given this, I would choose to park on one of the side streets so that I can make it in time for the exam. I have not received a ticket before so I am at less risk of getting into further trouble for that, and this would give me the opportunity to give it my all on the exam.

student-59

Casper

My main concern is that Jessica is struggling in the class and could potentially use some extra support. I would privately reach out to Jessica to ask her about her study habits and find out about steps that she had taken to improve her performance. If she had not reached out to the teacher for support then I would recommend that she does that. If she did and still isn't seeing any improvements then I would offer my support to her. I would ask her how I could support her and develop a plan together. Given that Jessica is struggling in class and I do understand that this can be sad and emotionally however I would not feel comfortable sharing the database because this may not solve the issue that Jessica is facing.

student-325

Casper

although the healthcare workers, is in the right of deserving respect - i understand where they are coming from. They may be tired, and exhasted but they are not understanding where the person on the subway is comming from. The person asking them to not wear their scrubs in the subway is correct. By wearing the scrubs they might be taking some of the bacteria, viruses from the hospital and spreading them to other places outside the hospital.

student-549

Casper

The reason homeowners have to pay for it is because it's not something that happens to everyone, it happens to a small portion of the population. Therefore, if every taxpayer had to pay for it through their taxes, a large population may become upset because they feel that they are paying for an issue that doesn't happen often - even if it happens more than they are aware of.

student-423

Casper

I think it can as standing up to authority can be a frightening experience. If individuals are trained on almost anything they can always improve and training them to stand up to others could be a very positive experience as authority figures may be causing them harm. It is important as imbalanced power dynamics can lead to severely poor outcomes.

student-363

Casper

I would firstly try and talk to Sammy to get him to turn himself in. Committing a crime should not be taken lightly and people need to understand the conseuqneces of their actions. However, even after talking to Sammy, he chooses not to tell anybody else, I would go to police and tell them about what has happened. I would not want any innocent person to be arrested for the crime that somebody else has committed, even if it is my friend.

student-523

Casper

If a government prohibited a practice that was a religious belief, I believe this could be considered religious discrimination. The government may have a reason for outlawing circumcision relating to new research that has been performed that shows there are significant health problems associated with the practice, and therefore this would be a reason they are outlawing the practice, but if there is no medical reason then it could be considered religious discrimination against me

student-97

Casper

It is understanable that the person is weary and worried about their well-being during a pandemic as is it the healthcare worker be tried and easily frustrated by what can be seen as lack of respect for their work. In times with high stress as these it's important to remove biases and act as a third party to negotiate a neutral comprosise. Eg the healthcare worker could simply expain their shift was long adn they need to rest before they return so they didn't change

student-655

Casper

I would acknowledge the bosses assumption. Instead of acting defensive and acting irrationally, I would collect more information about the situation. I would ask him if there were certain things I was doing differently. I would ask questions openly without judgment in order to maintain our work relationship.

student-678

Casper

I would not immediately speak up but ask lucas to meet me after the meeting and talk about his reasoning behind this action. I would approach him non-judgementally and non-confrontationally about why he took my idea and presented as his own. depending on his answer and him being aware of how wrong his action was, I would suggest him to tell the manager about his mistake. If he does not agree, i would tell him that his action was unethical and I would talk with the manager about his actions.

student-469

Casper

I am answering this question as if I am Jennifer. It is explitely cleear that this is a situation where one of my best friends feels very uncomfortable, which I know because she has clearly verbalized this to me. I first need to ask her if she can precisely walk me through her though process, for why these books are \"glorifying heterosexual relationships\" (if she is comfortable) and I will provide my POV (if she is willign to hear it) , emphasizing the literary and academic significance of these books. At the end of the day, I should prioritize my friendships over a club, especially if Heather has overall been a great friend to me and supported me and added value and happiness to my life, as a way of me giving back to her, and find other ways to channel my passion for this cause/reason for wanting to establish this club.I would also repeatedly acknowlege to heather that I will try my best to make this club a safe space and inclusive to LGBTQ participants. .

student-17

Casper

I will first think about whether the inmate has special permission to use the drug or if he is carrying it for any other purposes. To do this I would communicate in private with the inmate about his possession of the drug. If he shows to have no reason or special permission I would report it to authorities.

student-437

Casper

This is a difficult and complex scanerio in which the customer is rasing their voice, distrubting other customers during their shopping and my employee reponds inappropriately. Here, I must address both the customer in their tone of speech and also my employee in how they respond. I would approach the conversation in a calm manner and first ask the customer what is the current situation. After they explain this, I would then ask my employee what they think has happened.

student-341

Casper

Having a supervisor who holds different political views than you can be a difficult and uncomfortable situation. While it may happen that poltics is rarely discussed in your workplace and so this is not an issue, it may also be that your supervisor may treat you differently and undervalue your contribution to the company because of your political views. In both cases, I would aim to stay at my current job. In the first case, the difference of poltical worldview is not affecting me and so I have no reason to leave. In the second scenario, although it may be difficult, I would try to resolve these misunderstandings thorugh conversation.

student-315

Casper

All patients regardless of background, socioeconomic status, race, gender, etc. must be treated with the same level of respect and care by healthcare workers, to ensure the system is working in a just and ethical manner. It would not be right for the man to receive improved care based on the donation that his daughter made.

student-522

Casper

This is a difficult situation that requires evaluation. From the perspective of the man, it may seem that the healthcare worker is wearing scrubs that may be contaminated and could potentially spread a disease to those around him. Whereas the healthcare worker may be wearing clean scrubs, possibly on their way to work. It is important that there is clarification before assuming. It is valid that man is concerned for the well-being of himself and those around him, however the man did not try to get any clarification. Instead, the man confronted the healthcare worker in public, sharing his concerns with others. While the response of the healthcare worker may have been unwarranted, I believe the person who confronted the healthcare worker is in the wrong. He based his actions on a preconceived notion that he did not attempt to clarify.

student-24

Casper

Depending on the context of the situation, I don't think a fine would be necessary. To explain, if the teens did not know that they were trespassing private property and they had not damaged the property giving them a fine without warning would be harsh and may discourage the kids from their meaningful charity work. I would talk to them in a non-accusatory way and ask them for their insight on the situation. I would provide them with a warning if this was the first offence and would help them find a location that would be suitable for their sale.

student-302

Casper

I was spearheading a creative project for a conference art display. One of my team members had constructed the piece in a way I had not visualized, and I believed would violate the dimension requirements for the display to pass examination. I approached the privately and non-confrontationally to express my concerns and why it was important to make sure all the dimensions were correct. Though the art piece did not fit my visualization, I did not want to stifle their artistic freedom, so I compromised on that front.

student-307

Casper

I believe that Charlie is not overreacting by being worried. Charlie's brother is in a difficult situation, because his intentions are good - to raise money for his local hospital by selling food/drinks. He may not want to get a permit because he wants to raise money as quickly as possible, and simply may not know the process of getting a permit. Moreove,r h emay need an adult supervisor for the activity. However, I believe it is Charlie's responsibility to tell his brother that although his intension are good, there is a reason the rules are in place - it protects his brother in case anyone gets hurt, and assures that he can continue to sell products. Charlie should offer his brother to help him get the permit, find an adult supervisor if necessary, and cover any costs associated with the permit. This way, Charlie's brother can prepare for a scenario in which someone asks him to shut down his business.

student-14

Casper

As a store manager i will try to talk to Kevin about this matter privately rather than embarassing him in front of others. This in my opinion is a very delicate situation so I will be careful at my choice of words and my demeanor. I will enquire about Kevin situation and the well being of his family and does he needs any help from me regarding his financial constraints. If he tells me he needs help and was shy to ask abou it , then i will assure him that he is a good employee and he can share his problems with me. I will mention about the missing bread packets and will tell him to be more frank about it in future rather than getting into an ugly situation.

student-639

Casper

I believe that proper training can make it easier to stand up to authority. You can be taught what words and phrases are important to hit a cord with authority so that they will listen to you. If you feel like you need to stand up to authority, you should know how to do it in a correct manner that is non confrontational and you will be listened to.

student-524

Casper

My main concern is the wellbeing of my mother and of my team, along with their success at championships. I would first gather information on the options I have - am I able to get a friend to drive me to the basketball game and funeral to attend both, can I book a train or bus or Uber. I would then openly communicate with my mother about the funeral being on the same day as the game, and ask her if she needed my support. I would look to see if it was okay if I attended both if possible, but if it was not, I would be by her side during this tough time. I would communicate with my team that I need to leave because of family and that an assistant will be there to support them, and let them know I believe in them.

student-238

Casper

My main concern is for the wellbeing of Dorothy. I would begin by having a private conversation with her, validate her feelings and express that I am here to support her. There is nothing right now that can fill the void left by this relationship, but I am here to be with her through her struggles. I would offer to come over and help her with her day to day tasks, or spend time together so she does not feel lonely. I would also plan a fun event like a movie night or dinner to help her occupy her mind elsewhere and not overthink about the relationship.

student-78

Casper

yes i would drive away. If no one else is affected, I see no reason to stay. Reporting this incident would needlessly waste time and involve my insurance company when this effects no one else.

student-704

Casper

I would not purchase the test as it is unethical to do so. It will not benefit me in the long-run to purchase these questions and do well in the course, as I would not be learning to my full potential. This is also unfair to my peers who have put in the effort and hard work, as now it is lowering the standards for success. To be fair all around, I would not purchase these tests.

student-332

Casper

I would talk more to my friend and see how she feels about the situation, and see if she'd feel comfortable talking to the people further about it and what exactly she would like in this situation (for the video to be deleted or not, etc.). If this is not something she is comfortable with, I would ask her if she would be comfortable if I spoke to them. If this was okay with my friend, I would approach the stranger in a non-confrontational video and try to know more about why she took that video and where it might be posted. I'd try to explain to her that some people might not be comfortable with their face being in someone's else's video and that it might be best to ensure that faces aren't showing. I'd try to follow through on whatever was previously agreed on with my friend.

student-447

Casper

dans cette situation, je suis inquiète pour ma collègue et pour les prochains clients. ayant vu que ma collegue semblait avoir bu beaucoup, je serais inquiete quelle ne soit pas en possession de tous ses moyens et quelle risquait sa vie et celle de ses clients en conduisant sous linfluence de lalcool. je serais aussi inquiete quelle perde son emploi sil était révélé quelle ait conduit apres avoir bu, vu que cest contre les règle

student-185

Casper

I believe that this depends how this face affects my working situation. Indeed, if the political views do not play a role in the working environment, where the atmosphere is friendly and respectful no matter people's personal veiws, then I beileve that this is not a reason for me to leave my job. however, if the job I have has a great relationship with political views and that this leads me to have to act based on these views, then since I would not be sharing thee views, I believe that I might not stay at the job, that is only if the tasks that I have to complete require me to go against my set of values which are highlighted thrhough my political views.

student-68

Casper

This is a tough situation because firstly, the thefts are occurring when students are on their lunch hours. That being said, it's also possible that thieves are taking the opportunity when there are a lot of students in the store to steal, as they are more likely to disapear into the crowd with stolen merchandise. The store has a right to protect their goods, but the students shouldn't be unfairly blamed. Thus, this is discrimination, as there isn't concrete proof that the theft is caused by students. If the store is able to catch (ex: on camera) only students stealing during the lunch hours, they should have a discussion with the nearby school about this rather than immediately jump to banning all students from shopping during school hours.

student-70

Casper

I was part of a school project for one of my science courses in university. We were asked to write lab report in a short period of time given all the other course loads. Given the busy schedule, it was difficult to find mutal time. I encouraged the group to divide tasks and work on our own and then meet for the final results. This has helped us maintain positive group dynamics and seucced in the project.

student-609

Casper

I believe that standing up to authority is a very complex phenomenon and has many different perspective to consider. When it comes to making it \"easier\", I believe that providing training on perhaps the resources one could access, or the steps to how someone could do it can make the process feel more coherent. However, standing up to authority is inveitably a difficult task that takes a lot of courage, regardless of training. Training can improve its accessibility.

student-242

Casper

I dont see it counter-intuitive. This si actually a more practialc apporach. leaders are not born, they are created from tranoing in classrooms and in thier actions. While it is effective to learn leardership in class like medical topics in medschool, we are expected to have some abckgorund epxerience and understanign becuase we cant conenct the dots without it. While yes, requirng soemthing prior to elarning may seem ironic or useles, it may also be helpful becuase professionalschool are seen to polish these skills and improve them.

student-309

Casper

In the workplace, it's important to behave in a professional manner. This goes for both employers and employees. If my employer has differing views from me, but behaves professionally in the workplace, including limiting discussion of political views, and is respectful of my views, then I would have no issue staying in my current job. If, however, my employer did not behave professionally, made discussion of politics common in the office and took punitive action towards me as a result of my differing views, it would create a challenging situation. In that case, I would have to have a private discussion with my employer to voice my concerns. If there was no change in behaviour, I would likely have to consider changing jobs to find a more appropriate professional environment.

student-42

Casper

This one time I was walking through downtown late at night and I saw a homeless person lying on the sidewalk. I just got a gift basket with food from a club I just attended. I knew I had the resources and food to help and I gave they/them the food that I had. I felt. very good about what I did afterwards.

student-349

Casper

Even though this is a highly stressful situation, the best way to approach it is through being calm and considering all my options. I would stay calm in order to keep my mind focused on what I do have access to, and what I could possibly do in order to keep safe and get back to wherever I am supposed to be. I would try to find safety as fast as I can and then work from there.

student-353

Casper

this is diffcult situation and in this situation there are pros and cons for stop charging for electricity,. the pros are that it will allow people to get healthy nutrition as well as help with basic literacy skills by able to to read on the internet without concern for finances. the cons are that it can allows for overuse of electricity if there is no charge and can hurt the countrys economy and the supply. in this situation, there should be an alternative which is to decide based on the family financial status such as low families income should not be charged as much for electricity so that they can satisfy their basic needs, while higher income brackets familties should continue to pay for electricity so it wont allwo for oversue.

student-517

Casper

Cheryl should be concered with the wellbeinfg if her patent and the stress it well cause on her firned if she was going to message her about his cancer. It is always important to first gather more information before reaching a conclusion. In this case, it'd be best if she talks to the grandfather and asks him if he wants his family members to know or not since it is his right. If he doesn't want them to know, then it is best that Cheryl doesn't message her friend breach his rights. IF he does, then it would be fine if she messaged her and tol her the bad news and helped both of them with this istuaion.

student-397

Casper

I think that I would want to collect a survey on how current parking prices are affecting patients and visitors. There are pros and cons to consider when pricing parking. For example, if parking was free it would be more accessible for patients and visitors but parking can fill up very quickly becaause it may be used by staff. On the other side, parking may be more available if there is a price and the hospital can use the money to buy more equipment that will ultimately help the patients. I think that the price should be lowered to make it more accessible to lower incme patients but not free.

student-340

Casper

I believe that corporations could be taxed to a higher extent in a manner that is proportional to their net profits. While this may hinder growth rates, it would also limit the divide between economic classes and ultimately lead to a more even distribution of opportunities throughout the population.

student-583

Casper

If I were her I would ask more inforamtion from Heather on what books she belived she would be mroe confortable being incorpertated into the group. If she has no suggestions, Jnenifer should bring up some recocomdations as long as it is confortable woht Heather to ask what books she perefers. it is also important for jenifer to share her intrest in the club and make it sound as a team effort to get Heather more intrested in finding a solution.

student-498

Casper

I would first want to have a private conversation with each of my staff members in order to give them privacy and a safe space to ask me questions. I would aplogize first and formost because laying off employees can hurt them financially and make them upset. It was my responability to check up on my employees and hire who ethical, proffesional staff members. I would encourage them in any way I could in order to try and find new job positions that are hiring. I would let them know of any other companies I know are hiring and remind them of their strengths in the company. I would offer support because I know being laid off is not easy.

student-576

Casper

This is a challenging situation because, while I don't want the student to experience negative impacts of a bad grade that could result from reporting them, it is also not fair to me or my group members for them to get full credit for work not done. In this case, I would speak with the student who didn't contribute privately and tell them that I don't think it's fair for them to take credit based on their contributions and that it would be best if they were honest with the teacher about what they contributed. If they are unwilling to do that, then I might work with the other students on the team to write up a fair accounting of who contributed what to the project and provide that to the teacher to allow them to make their own judgement on whether any adjustments to grades are required.

student-40

Casper

It is important before adopting the puppy to try and find out where it had came from. If the puppy had been lost by an owner it is important to locate the owner and give the puppy back. This can be done in multiple ways, such as using social media and posters around the neighborhood. In the mean time the person can hold the puppy and take care of it by taking it to the vet for a checkup, until he hears back from the owner, if at all.

student-265

Casper

I would pull my supervisor aside to have a private conversation. It appears that they are intoxicated, but that may not be the case- I would describe what I saw to make me think they were intoxicated and ask if that is what is going on. If they say that are not intoxicated, I would remind them how others may view our actions and that we need to maintain professionalism in the clinic to ensure trust from our patients and give them a comfortable environment to receive care.

student-342

Casper

The at hand presents a complex dilemma, where both parties may have valid reasons for their actions. On the one hand, the individual who approached the man with scrubs may have been genuinely concerned about the potential spread of COVID-19, and may have felt that it was their responsibility to address the situation. On the other hand, the man with scrubs may have felt that he deserved recognition for his work as a frontline owrker, and may have been offended by the implication that he was not taking proper precautions.

student-335

Casper

In my mind I would first think about why the perosn want to surparise and see what intetnion, negative or psotive is it. i will also weight the posiblities of it being not taken offensive or taken offesive so taht I can expalin tot eh coworker on how the prank may affect the other person. I would pull the person to the side and let them know it is a great Idea and it would allow for strogner team comdradery but at the same time it amy fell hurtful . I would help him weight the optiosna nd reccomend we try a diffrent way on spenning time or ineracting with the person. i would ask if theya re okay with chaniging the pan inorder to respect the others feeling at the same time have fun but ethically.

student-250

Casper

If the stranger seemed friendly and approachable, I may go over and kindly ask them to please not litter. I will approach in a friendly and non-judgemental manner but as someone concerned over the environment and its animals and society. I will help them pick up the litter. If the stranger seems very unapproachable or they really do not want to talk in any way or even make eye contact, I may go over and pick up the litter, and hopefully that will encourage them to stop littering and to realise their wrongdoings.

student-556

Casper

School work can be very stressful, and I understand why my friend felt the need to plagerize. However, I would approach them in a non-confrontational manner and explain that since I know the school has a strict policy against plagiarism, they should not submit the lab report. I would then encourage my friend to speak to the instructor and ask for a time extension so that they can redo the lab in their own work. I would then offer any support and suggest they check out tutors or school resources that could help them complete it.

student-620

Casper

Some benefits include gaining experience in the area of work you volunteer for, you can also gain connections through volunteering, and many job opportunities can be opened up in the future because of those connections you've made.

student-693

Casper

Yes, I would tell them to stop abusing the cat or that I would call the police. If they stopped, I would try to help take the cat to a shelter so that it can try to find a better home. If they didn't I would call the police.

student-676

Casper

No. there are different leadership styles thta exist. Depending on the context, some styles would be more effective than others. It is improtant for students entering a professional grduate program to have a leadership style that they have been most comfortable with as it is what makes them their authentic selves. However, the schools can introduce new styles that can help their students become more rounded leaders giving students more tools to work with when they are in a group or as an individual.

student-131

Interview

In comparing laughter to medicine, the main point is to emphasize the vital role emotions play in people's health. No matter your medical expertise or technological proficiency, a crucial aspect is empathy. Being able to express kindness, care, and positive emotions through smiling, welcoming body language, and laughter is key - especially with distressed populations like children in healthcare settings. The statement underscores the significance of emotions, which I hope to apply in my medical career. Medical knowledge is important, but emotional intelligence and the ability to connect matter immensely too. This reminder to incorporate compassion and positivity will guide me as I work to improve patients' wellbeing.

student-729

Interview

If I notice bruises on a 10-year-old patient, I must first understand the cause before jumping to conclusions, just as I would want if I were the parent. I would analyze the bruises, and if I suspect abuse, have a private conversation with the boy to protect his autonomy and privacy. If he shares more about the situation, my priority is supporting him - empathizing, comforting him in my office. I would discuss available resources, though reporting to parents could endanger him further. Since he is only 10, I would ensure he has a support system like another family member he can talk to regularly and somewhere safe to go. His well-being is most important. I cannot leave it at that, as returning home may lead to further harm. So I would try to have a conversation with the parents, not to blame or confront them, but to understand their personalities and what is behind their actions. If issues like addiction, temper, or lack of resources are factors, I can offer help - improving the child's life also means improving the whole family's. I would share my concerns without implicating the child, framing it as my own observations so the boy is not punished. Providing my contact information, I would follow up to monitor the situation closely. My goal is to address this sensitively while prioritizing the child's safety and well-being.

student-795

Interview

In our province, I think our healthcare system overall does a pretty good job. With a public healthcare system like we have in Canada, where people are able to get hopefully accessible and inclusive care, there's definitely going to be shortcomings. But overall we see a system where we have our so-called "free healthcare," although we do pay taxes. In any system there's always going to be strengths and weaknesses. But I think overall we do a pretty good job. The issue I'm most passionate about would be accessibility and equality issues, specifically the treatment of indigenous people and people with disabilities. I don't want to make broad, sweeping statements about healthcare in general because it's not every single doctor or health authority that has these issues. But I think with indigenous people in our province and Canada, there have been many instances where they haven't been treated properly and haven't been given the same resources and opportunities to be successful. Some doctors are great, but there have been high profile and likely many unreported cases where indigenous people have not been given the same treatment - whether refused treatments, turned away due to prejudices, or not welcomed in a Western medical environment because as healthcare providers, we're unable or unwilling to accommodate certain values and beliefs. I think this is super important and something we can improve on. Where many indigenous people live in rural communities in BC, I think as a province we struggle to provide good, meaningful, equitable healthcare to people in rural and indigenous communities. It's something they really deserve and I'm quite passionate about. I think it's important that as we move forward, we educate current and future generations with knowledge on how to deal with these issues so professionals are better equipped to go in without prejudice and find solutions that work for both patient and doctor to have a good working relationship that maximizes health outcomes. All cultures and beliefs should be welcome in a healthcare setting by having empathetic people able to go in with no judgment or prejudice, and allow different views and practices that maximize patient outcomes. Having someone willing to listen and create meaningful, non-judgmental relationships with indigenous people in healthcare is key. I also mentioned people with disabilities. As Westerners and able-bodied people, there are barriers we don't think of that prevent access. Addressing those barriers is really important and something I'm passionate about because I firmly believe everyone should be given the opportunity to access our good healthcare system.

student-821

Interview

The most important thing is to understand my cousin's level of maturity. For a very young child, I would keep the explanation simple and clear. But for an older cousin who could grasp a more meaningful discussion, I would have a deeper conversation about the benefits of volunteering. First, I would ask about his current opinions to see his existing knowledge. I would challenge him with questions about how volunteering has helped people he knows, to expand his understanding of its community impact. I could use relevant current events or local examples to illustrate how volunteers create positive change. I would tie this to my cousin's own passions. If he loves animals, I may talk about our local humane society that relies on volunteers to provide services. I would help him identify causes he cares about so he can find fulfilling volunteer opportunities, rather than forcing unrelated experiences. Volunteering is most rewarding when you follow your passions. Additionally, I would share my own volunteering experiences and the profound impact they've had on me. Hopefully through thoughtful discussion tailored to his maturity level, I could open his mind to the personal benefits volunteering can provide, just as it has for me and others I know. My goal is to encourage him by educating in a way he can understand.

student-793

Interview

Right, so first off, I don't think it's wise to simply introduce a lower speed limit in a city just because another city did so. Each city is really specific and has its own unique population. In order to determine if a lower speed limit should be introduced in Edmonton, it's important to look not only at the specific routes, but also the demographics of the local population. I think we first need to look at Edmonton's routes to see if there are roads that pose heightened dangers to drivers, similar to what may have prompted the lower speed limit in Plymouth. It's key to understand why traffic incidents are happening in the first place. After analyzing the road conditions and safety issues, I would also examine the population. It could be relevant to see if Edmonton has a large population of young or elderly drivers who may struggle with driving at higher speeds. Other population factors like rates of impaired driving could also influence accident rates. Additionally, it would be prudent to assess road construction patterns and detour frequency. If Edmonton's roads face a lot of closures and rerouting, reducing speed limits could help prevent accidents. In summary, Plymouth's decision to reduce speed limits doesn't necessarily mean Edmonton should follow suit. Each city requires an independent analysis based on road conditions, population demographics, impaired driving rates, construction patterns, and other locality-specific factors. However, Plymouth's experience can provide a model to consider. If a detailed study determines Edmonton faces similar challenges that prompted Plymouth's speed limit decrease, a lower limit could be reasonable for our city as well - perhaps only on the most high-risk roads. The decision should ultimately be based on Edmonton's own traffic patterns, risks, and needs.

student-790

Interview

To start off, I would immediately acknowledge the owner's and customer's complaint over the subpar quality of the food. The rationale behind my first action is to hold myself and our team accountable. After acknowledging and addressing the problem, I would speak with the two employees about our performance and how we could improve our cooking techniques. I feel that reprimanding the two underage employees is unnecessary due to the potential impact on morale and their trust in me as a manager. Additionally, I would need to gather information from my team as to why they could not cook the meals properly - was it due to how busy they were, are we currently understaffed during a lunch rush, or did I not train them properly on how to cook a burger? To conclude, I would first apologize to our franchisee on our subpar quality for the last 30 minutes. Then I would inform and retrain my staff or make adjustments to better accommodate our workload.

student-717

Interview

This is a sensitive situation that requires compassion and transparency. As the surgeon who discharged a now deceased patient, the family deserves answers. First, I would thoroughly review the patient's file, my discharge notes, and consult other providers involved to understand the full context that led to discharging her. This will help me better explain my rationale to the grieving family. I would invite the family to meet in person if possible, or by phone/video if needed. Without making assumptions, I would let them express their feelings and ask questions without judgement. I understand their pain and confusion at losing someone they expected to recover. I would walk through the treatment plan, health status at discharge, and reasoning in simple, clear terms. If I cannot fully answer a question, I would connect them with a provider who can. Most importantly, I would acknowledge the enormous difficulty for the family, validating their emotions. I would offer as much support as I can, meeting again if desired, and connecting them with counseling/community resources during this devastating time. My priority is being transparent about decisions made, while also providing compassion and support to help the family through grief over losing their loved one. Open communication and empathy are essential.

student-789

Interview

From what I understand in the prompt, I'm a physician. A 16 year old patient comes to me and wants a specific procedure. Her parents are in disagreement with that procedure. I'm kind of asked, who do I have to listen to in this situation? This is actually a very difficult situation. The ethical dilemma is here on think. First is autonomy versus being able to make a well informed decision and regarding the family's dynamic. Before I say what I would do, there's many perspectives I have to look at. At first there's a perspective of the patient, the 16 year old. Then there's a perspective of the family as well. And the last perspective is the perspective of the physician with the relationship with both the family and the patient. I'm going to discuss a bit of pros and cons within each perspective. In the perspective of the patient, the patient comes to the physician with trust. They come with, I don't know what the procedure is. This can be a life changing procedure. It can be a procedure that can enhance confidence. It can be a procedure that can treat an illness. Depending on the situation, I think if a patient comes to you with trust, that trust should be taken without the most importance. By accepting that procedure and doing it for the 16 year old, you're allowing them to keep having that confidence of physicians. If you don't do that treatment, you can possibly hinder a future relationship with the physician because the 60 year old might be upset and might not want to seek medical attention anymore. These are important things to consider. The family's perspective, I think it's a very similar perspective to the child. I know that in most cases, a family really wants what's best for their child. I know that they're looking out for the best interest of their child. We have to understand that maybe they're scared of this procedure. Maybe they don't know what the procedure entails and what the actual reason behind why the 16 year old wants that procedure. Lastly, it's the physician. The physician, I think, in this situation has to be well informed of the decision he's taking, because he has to make sure that the patient is well informed, that the family is well informed, that he tries his best to keep the relationship as positive as possible through this whole interaction with the disagreement within the family. For what I would do, if I were to listen to the patient or the family, this is very contextual based. I have to speak with the patient. I have to determine and see if they're in the mental capacity to make such decisions on their own. I have to understand if they understand the risk and complications of the procedure. I also have to see if this is a medically necessary treatment as it might not even be medically necessary. I have to gather that information. I have to know the reasoning of why my patient wants to have this procedure and if they're in the consent, if they're in the capacity to make the decision. If I can tell they're mature enough to make that choice on their own, I don't know if there's an age of consent in Canada, but I would grant that procedure to that patient should it be legal. Now, if they're not in the capacity and they don't understand what's going on and they want to do it for unnecessary reasons and put unnecessary risk on their body, and I can cause kind of harm to them by doing this procedure, I would not offer the treatment and not because I would listen to the family, but because I don't think it's the right course of action medically. But in either case, I think the approach I would take is to see if they're well informed, if they have the capacity to make that decision. After I make that choice, regardless of the choice, I will show that I still care for the patient. I will remain as a kind of shoulder to lean on for knowledge after the procedure to give them access to post depends if it's operations like post operative care or follow up procedures or follow up visits to see if that procedure went well. I will also speak with the family and let them know why I made my choice, that I didn't just do it to undermine them, but I did it because I believe that that procedure was medically necessary and that their child had the capacity to make that choice. But in large, I would try to keep my relationship with both the patient and the family as positive as possible as this may have long term implications on them wanting to seek medical attention and it can have long term negative consequences if I don't maintain that relationship, if they trust in the medical system.

student-832

Interview

I don't believe reaching a certain age alone is reason enough to require someone to give up driving. Doing so restricts their freedom and autonomy which can negatively impact the patient-provider relationship. As a prospective healthcare provider, I aim to treat people equally regardless of age, gender or other factors. This perspective comes in part from an experience I had volunteering at a family medicine clinic. An elderly patient in his 80s came in with his adult son. My fellow volunteer, who was around my age, spoke only to the son as if the elderly man couldn't express himself. I could see the change in the elderly man's demeanor as he apparently felt dismissed and limited. This illustrated to me that we shouldn't make assumptions about capabilities based solely on advanced age. Where do we draw the line about being too old or too young? Imposing restrictions due to age alone can lead to inequalities. I strive to avoid discrimination and value each individual while providing care.

student-778

Interview

In this situation with my sister, I would communicate the factors of risk and reliability to consider. There are some red flags around the health of the person receiving the embryo implantation and their capacity to sustain a pregnancy. We'd need to assess if they are being properly cared for and could provide a healthy environment for fetal development. This reminds me of an experience I had when looking to buy a cheap used car on Kijiji during a financially difficult time. At first glance, the low price seemed perfect. But when I mapped the seller's address, it was a sketchy, secluded barn rather than a house. Despite the initial appeal, observational evidence revealed too many risks and unreliability factors. So I decided not to go through with it. Similarly here, we need to carefully evaluate the safety and wellbeing of the person carrying the pregnancy before agreeing to this in vitro fertilization. Can we be fully confident this person is healthy enough to support a baby and provide proper care through gestation? The goal should be minimizing risks and maximizing the reliability of a healthy fetal environment. Just like I avoided the questionable used car purchase, proceeding requires fully addressing these concerns first.

student-781

Interview

There are many reasons I want to be a doctor, but my personal patient experiences were what first made me want to pursue a career in medicine. When I was 15, I was in and out of the hospital for about a year due to a recurrent parapneumonic effusion. To be perfectly honest, I wasn't the best patient. I was really frustrated because I was a high achieving student athlete. I was missing a lot of school and practice. But I met some amazing doctors who really listened to my worries, my concerns, and they made me feel very understood. I felt like they saw me for the person that I was rather than the situation I was in, and they could kind of see past my teenage angst, and they would joke around with me about when I would rank their nasal endoscopy skills or talk to me about my biology homework. They also helped to develop a treatment plan that would allow me to get back to my training and get back to school. Those experiences inspired me to want to do the same for other people. I want to pursue a career in medicine so that I can make other people experiencing chronic illness or other medical issues feel seen and understood, advocated for during these really difficult times. But with that being said, a career in medicine is very challenging. So I wanted to make sure I explored my options and knew that this was for sure the direction I wanted to go. A couple of years ago, I started volunteering at a family medicine clinic in Stratford. And last year, I completed an internship at a hospital in Peterborough through my program. These clinical experiences really confirmed that this was the path I wanted to take. I honestly can't see myself doing anything other than being a doctor. Through those experiences, I learned how interesting the human body was. It's so complex. But there are also the problem solving skills and critical thinking skills that are required to develop a treatment plan and diagnose patients. It reminds me a bit of a really complex puzzle, putting all of these pieces together for each patient to create the optimal treatment plan. I just think it's so interesting. But also, you have this science aspect integrated with the social aspect of medicine. You're collaborating with a healthcare team. I really value being part of a team. I was part of a team sport for many years, and so I really enjoyed that aspect of medicine. But also you're collaborating with patients. I feel like the social aspect of medicine would keep the job really interesting because you could have ten patients who all have the flu, but your interactions with them are going to be so different because every person is unique. I really enjoy how I can have both the science aspect and the social aspect because I enjoy working with people, and I also enjoy science. I feel like that's kind of unique to medicine. The last reason why I want to pursue a career in medicine is because it would allow me to be a lifelong learner and continue with research. I'm currently finishing up my Master's degree. I'm very passionate about my research, but with research, sometimes you don't get to be the person to apply your findings. In medicine, I could continue with research to some extent and continue with some research projects and stay involved in that research community, but actually get to apply those findings to a clinical setting and see the results of that research, which I feel would be so rewarding. And so that's a huge reason why I would like to be a doctor.

student-803

Interview

This is an unfortunate scenario, and I'm sorry this is happening to this woman. The absolute first thing I would do is make sure she is physically okay without being invasive since I don't know her. I would visually assess if she has any wounds needing immediate care. After ensuring her physical health is stable, I would speak with her to see if she is emotionally okay. Personally, I would not be alright with someone routinely hitting me. I would want to ensure she understands this is not okay and that she is in a sound mental state. Slowly, I would steer the conversation towards problem-solving. The initial priority is confirming her physical and emotional well-being in this terrible situation. Once that baseline is established through compassionate dialogue, we could begin to address how to move forward.

student-765

Interview

I can share an experience when I was working at a nursing home during the pandemic and facilitating visits between residents and their families. To give a bit more context, I started in the summer of 2020 working at this nursing home. At the time we had just started to open up visits between residents and their families, but all of the visits were outside and they needed to maintain physical distancing. The schedule for the visits was really tightly packed because people hadn't seen their family members in a long time and so there wasn't a ton of time for each visit - I believe they had 30 minutes. Our schedule was pretty much always full because we only had so many spots so that everyone could maintain physical distancing. It was important that I was bringing residents downstairs and outside to their visits on time so that they got the full amount of time with their family members. That was really important to me because it had been so long since they had seen their family and it's really good for their mental wellbeing. I wanted them to be able to have this time. In an effort to ensure that I was on time for the schedule, I would go up early to their rooms and I made sure that I had enough time to bring them down. But the issue was I wasn't trained on any sort of lifts, so if a patient or a resident was in bed or needed to use the bathroom before going down for their visit, I did not have the training to do that and it would have been unsafe if I had attempted to do that. So I had to go and ask a PSW or a nurse to help me get the resident ready to go outside in those cases. Now, this was difficult because sometimes the PSWs were pretty much always very busy. They had a lot of residents and needed to be doing showers or helping with feeding and so on. And so I felt really badly going and asking for help, but again, I could not do it on my own without jeopardizing the safety of the resident. So I went and I would ask them and I had a positive relationship with the PSWs, so they didn't mind helping, but I could tell that they were very overwhelmed and I wanted to make the process a bit easier. What I did was from then on, I would print off a schedule of the visits and bring that to the nurses and PSWs every morning. It would be posted in the nurse's room every morning so that they knew when each resident was going down to their visits and they could prepare when it was most convenient for them. They weren't in the middle of showering a resident when I was trying to find them to toilet another resident. I also asked them for their feedback - was this working for them? It seemed to be working better, but I wanted to make sure that I was integrating feedback from them. They actually asked me, after their shift change in the afternoon, if I could come up and just give them a rundown of the afternoon visit schedule, which I was happy to do, and that let things run a lot smoother. It also let me get all of the residents down safely to their visits and in a timely manner so they could have that time with their families. It built my relationship and a positive relationship with the PSWs and nurses because I think they understood that I respected their time and I could see that they were very busy. Although I needed their help, I think that they felt respected in the process. I also made sure that I was helping them in return. I didn't want to just be taking and asking them for help. I wanted to ease their burden as well. So I would help them with feeding at meal times and with the snack cart. I would spend time with residents who took a bit more of their time attention wise and just help them out in those ways. I think that's really important in a future career as a physician, because I'm not going to have all of the answers, depending on my specialty. There's going to be times where I'm going to need help from other physicians, from other specialties, and I'll need help from other members of the healthcare team in order to optimize patient outcomes. I want to ensure that although I need help, I am not just taking from others and I'm also contributing to this healthcare team and communicating with them in order to come to the best solution for our patients.

student-802

Interview

I agree this problematic behavior cannot be justified despite Dr. A's strong surgical outcomes. Fostering disrespect erodes team cohesion, which harms care quality. If staff feel constantly disrespected, they will be less motivated, compromising patient outcomes. Allowing this culture risks trainees emulating such conduct, propagating disrespectful patterns. Treating patients dismissively dehumanizes them, infringing on their rights and dignity. Research shows dehumanization impairs care. Though Dr. A's individual metrics are strong, condoning this behavior will enable greater harm long-term. A disrespectful environment will breed future disrespectful practitioners, eventually degrading care for countless patients. While short-term surgical results matter, the downstream effects of normalized mistreatment pose too great a risk. Upholding patient dignity and nurturing collaborative team cultures must remain paramount. Overall, Dr. A's pattern of disrespect cannot be justified solely by immediate outcomes, as it threatens patient wellbeing and staff integrity in the long run.

student-828

Interview

This scenario, where Dr. Cheung is recommending homeopathic medicines to his patients despite the lack of scientific evidence and him not fully believing it either, calls up a number of fascinating ethical dilemmas. Initially, I thought that the doctor’s behavior was considered ethically wrong since he himself didn’t believe in homeopathic medicine due to the scant evidence, yet was recommending it to patients. However, if he communicated clearly about the lack of scientific evidence and how he does not believe in it to the patients, and the patients are aware of it, then it is not ethically wrong. Ultimately, the patients have the rights to be aware of the treatment plans, including the benefits and risks involved, before making informed decisions. So, if the patients are still willing to consent to the homeopathic approach, despite him explaining the risks involved, then going in accordance with respecting patients’ autonomy, this would not be an ethical issue. On the contrary, it becomes an ethical issue when the doctor withholds detailed explanations and information about the approach from his patients. Doing so, he violates patients’ autonomy and isn’t acting in their best interests. Using the psychological effect of placebo to create a false sense of reassurance is considered deceiving and misleading. This jeopardizes patients' trust for this doctor or even the entire medical system since patients may find out that the prescribed drug has no effect in improving their conditions. Hence, by failing to inform clearly about the treatment, he is preventing his patients from making an informed decision about their healthcare. However, this situation leaves out some details that are important before arriving at a final conclusion: [1] Is he doing business with or promoting homeopathic medicines because his name is on the meds? [2] Does he have a financial stake in these drugs? [3] Is he qualified to practice complementary and alternative medicine (CAM) to offer this treatment to patients? [4] Did he explore other alternatives within conventional medicine before recommending this approach? If he is doing business or has a commercial interest, it might be unethical for him to be recommending such treatment given that his clinical judgement could be clouded based on his business interest, suggesting a conflict of interest. Moreover, there is a likelihood that patients are easily persuaded as to the “reassurance” of the treatment through trust of an SMC-registered doctor. Hence, it is crucial to keep in mind the patient's autonomy and right to all information of potentially available treatments. In conclusion, it would be unethical for him to be recommending an approach that lacks scientific evidence. It is also equally unethical for him to create a false sense of reassurance for his patients just because he believes that homeopathic medicines do no harm. I would recommend that he stays transparent and be honest with his patients by openly discussing the lack of evidence and explaining the potential implications. Doing so, he maintains the trust and respect of his patients which will not result in misleading “reassurance”.

student-801

Interview

As the attending physician in this case, I would likely feel very uncomfortable with the profanity and anger directed at me. My first step would be to remove myself from the situation and take a moment to calm down. If possible, I would ask another attending or staff member to temporarily take over care so the patient is not neglected. Hopefully someone more detached can interact in a calmer, unbiased manner. Once I've had a chance to collect myself and be mindful, I would return to speak with the patient privately. I would talk in a calm tone, asking if they would like to voice any concerns and if there is anything I can do to help. I would be understanding that hospitalization can be an extremely stressful time, especially when dealing with significant medical issues. This may be contributing to their struggle with following advice and overall discomfort. My goal would be having an open discussion to understand their perspective, while remaining patient focused.

student-730

Interview

Thank you for sharing this difficult situation. As physicians, we have a responsibility to disclose medical information to patients with decision-making capacity, even if family members object. Before acting, I would first meet privately with the parents to understand their hesitations around disclosure. They may have legitimate concerns about their son's mental health that I should consider. However, I would also explain the importance of respecting the boy's autonomy, given his terminal illness. Assuming he has decision-making capacity, he has a right to direct his own care based on his values. Withholding information could damage our therapeutic relationship and trust. I would offer to assess the boy's capacity and, if appropriate, slowly disclose details to him in a supportive manner. This may alleviate the parents' concerns. I would highlight that shared decision-making between us, the parents and the boy would lead to the best care plan. If after discussion the parents refuse disclosure due to risks like self-harm, I may defer briefly. But the boy's right to direct his care should be paramount, assuming capacity. Over time, I would continue advocating for transparency and autonomy in a compassionate, non-judgmental manner. Respectfully bridging this conflict between parents and patient requires patience and care. My goal is to reach a resolution where the boy receives key information while also addressing family concerns. Please let me know if you need any clarification or have additional questions.

student-830

Interview

Three key qualities that exemplify my personable nature are communication skills, patient advocacy, and ability to collaborate. Peers in school, work, and my personal life would describe me as personable - someone who connects well with others. This involves qualities like effectively communicating, standing up for patients, and finding common ground. I demonstrated these traits early on in my clinical experience volunteering at a family medical clinic. One day an elderly male patient was giving the receptionists a hard time and the other introverted volunteers looked to me to intervene. Despite having no experience, I approached the man and acknowledged his frustration. I engaged him in conversation, asked about his grandchildren, and found commonalities to establish a connection. Though initially angry, he soon relaxed and we had a meaningful interaction. This exemplified using communication, advocacy, and collaboration to resolve a tense situation. The ability to build rapport is so valuable for a healthcare provider. As a prospective physician assistant, I want to bring my personable nature to relate to patients, make them feel heard, and build trust. My interpersonal skills allow me to connect with diverse people, understand their needs, and forge lasting relationships. These qualities represent my strengths.

student-788

Interview

This is tricky because the patient needs the medication, so it must be administered despite potential side effects. I would first research the literature to understand what other patients have experienced and how side effects were mitigated. Taking a holistic approach to understand the patient's specific needs and lifestyle is key. For example, I have stomach issues myself and make dietary and behavioral changes to alleviate problems that certain medications can exacerbate. After learning about the patient's lifestyle and listening to their concerns, I can offer tailored solutions to manage side effects. To determine if treatment is worthwhile, I would weigh the pros and cons. I would make a detailed list of the benefits and risks to inform our decision. I would also consult other doctors about their experiences managing similar cases. Most importantly, I would have an open discussion with the patient about their preferences and priorities. They have autonomy in the decision, so it must be made jointly. Ultimately, if side effects accompany a treatment that is critical for their survival, I would move forward to provide the best possible care. By researching thoroughly, listening to the patient, and weighing all factors, we can make the most ethical, personalized treatment decision.

student-726

Interview

This can be a challenging situation. Doctors want to promote life and want their patients to live long and spend time with family. However, we have to consider the patient's feelings and quality of life with a critical condition, which can be extremely difficult. I believe physician-assisted suicide could be ethically appropriate if the patient is making a fully informed decision and is aware of alternatives like palliative care and the impact on loved ones. If after thorough discussion and reflection the patient still feels strongly that assisted suicide is the right choice, and the physician is comfortable proceeding, they should be able to move ahead. The key is ensuring it is truly the patient's autonomous, informed choice, with full comprehension of all options. If those conditions are met, then physician-assisted suicide could be conducted ethically.

student-754

Interview

This is an incredibly difficult situation and likely the worst thing a physician could experience - seeing your patient die after discharge. The family's question about why you discharged the patient is completely valid. First, I would avoid becoming defensive. I would review the case notes, surgery recording if available, and consult other physicians involved in the patient's care to see if any mistakes or oversights occurred. I would do this quickly to get answers for the family. I would arrange a meeting with the family soon after to express my deepest condolences and give them space to share their concerns and frustrations. I would explain my rationale for discharging the patient based on her status at the time. If my review found no issues with her care, I would communicate we discharged her without expecting this outcome. I would do everything possible to understand what happened and be open to an autopsy with their consent. Most importantly, I would not absolve myself of potential blame. I would offer transparent theories about what could have occurred and potential solutions or ways to rectify the situation, even if unlikely to fully assuage their concerns. I would aim to be as open and honest as possible about what went wrong if anything did, or explain our reasoning if not. I would discuss what could have been done differently in hindsight and validate their concerns. There are many potential approaches, but the priorities are avoiding defensiveness, answering all questions, looking for more answers, and being transparent. This is devastating for the family, and no explanation will be fully satisfying. But I would work to help them get the answers they need while expressing empathy for their loss. Admitting fault if applicable and working to prevent recurrence is critical after an outcome like this.

student-770

Interview

I believe physician-assisted suicide can be ethically appropriate if certain conditions are met. The patient's medical condition must be deteriorating with no viable treatment options left. They should be fully informed of all alternatives, including hospice and palliative care focused on pain and symptom management. If after being provided information on and careful consideration of these options, the patient still believes physician-assisted suicide aligns with their values and preferences, their autonomy should be respected. However, it is imperative that the physician ensures the patient has full decision-making capacity and is making an informed, voluntary choice. With appropriate safeguards in place to confirm it is the patient's wish and that all alternatives have been explored, physician-assisted suicide could be conducted ethically in specific end-of-life care scenarios. The key is prioritizing patient autonomy based on fully informed consent.

student-775

Interview

I have not considered any other careers besides being a physician because my whole life I've wanted to care for patients, and help them advocate for themselves and their own care as well. I want to devote the rest of my life to helping patients advocate for their own care. Although I have a deep respect for other health professionals and I would love to work with them in contributing to the patient care experience, I believe that being a physician will fulfill this desire. As a physician, I can ensure that patients receive the best care possible. I want to ensure that patients receive the best care possible. As a physician, I can ensure that they receive this care.

student-817

Interview

I currently live with my grandparents and use a car provided by my dad for transportation to university - a privilege I really appreciate. However, about a year ago I was in a minor accident with friends late one night after an exam when we went out to celebrate. At first I was hesitant since I prefer early nights, but agreed to bond with them. Telling my family breached their trust, as they disapprove of me being out late. They felt I misused the car they provided for my education. Breaking this news and their disappointment was deeply upsetting. The situation was difficult, but I've persevered and things have improved. Looking back, I should have considered my family's wishes over my friends' social plans. My education is the priority they had in mind for the car, not late nights out. I regret the mistake in judgement, but I continue to work hard in my studies to honor their support. I remain grateful for the opportunity I have been given. The accident reinforced the importance of responsibility in upholding my family's trust.

student-757

Interview

I think this is a very important question, especially nowadays, when there are a lot of causes that are worth fighting for. I think being a physician or doctor, or any sort of medical degree, puts you in a position of authority and power in today's society. Being a clinician is a pretty well respected profession. A lot of what doctors say has a lot of sway in the public eye just because of the education that doctors go through and the innate feeling of trust that we're supposed to have in medical providers. So I think with that comes a lot of responsibility on ensuring that we are educating the public on matters of importance and ensuring that we are using our voices to make a difference, not just in the lives of clients or patients, but also in the general public. Because of this innate responsibility as medical professionals, we can also reflect back on some of the canons medical practitioners are supposed to follow, one of them being an advocate for patients and for people in your community. I think that medical students and physicians have a really strong role in activism as long as it doesn't conflict with the ability to provide care to patients and doesn't increase disparities between marginalized populations. As long as the activism is for a good cause, I think that we have a role in using our knowledge base. Healthcare providers are part of an interconnected team of specialists, and I think using that network is a very important thing to do. For me personally, I think there's always a place for activism, regardless of what profession you're in. This past summer, I was able to work with a lot of hospital lab employees, not necessarily medical practitioners, but those working in the core labs, working on blood, urine, specimen samples. I was working for a manufacturing research position that was in partnership with Hamilton Health Sciences, and we were able to talk to a lot of employees and get their opinions on their work environment and things that weren't very ergonomic or things that could be improved to help reduce workplace injuries in the future. By giving these employees a voice, we were able to advocate for them and focus our projects on creating a better work environment for them. I think that's a really niche take on activism just because you're not working with a very marginalized population, but you are working with people whose lives could be improved. And I think workers having a say in their work environment is important across the board, regardless of what work condition you're in. I think activism is a really important thing, especially if it shows your commitment to your community. If you are working with a marginalized population, I think if you don't advocate for that population outside of work, it doesn't bring you as close to the population you're caring for as it should. Because physicians tend to be in a position of power, they tend to be higher status just because of the nature of the profession. I think that everyone in those kinds of situations should be advocating for those with less fortunate situations. That's just my take on it.

student-820

Interview

First, I would have an open conversation with my friend Brian to understand how he feels about the situation. I would express empathy and sympathize with his disappointment. However, I would reassure him that not being selected for the Olympic Team likely relates to the committee's criteria, not his abilities as an athlete. This should not negatively impact Brian's self-image or aspirations. The Paralympic Games are coming up in two weeks - he needs to stay focused on preparing and feeling motivated to perform at his best. We can't let this detract from his upcoming competition. My role as Brian's friend is to listen supportively, then instill excitement and a positive attitude about the Paralympic opportunity ahead. He is still an elite athlete with a major games ready to commence. My message will be one of empathy but emphasizing perseverance and the future possibilities.

student-784

Interview

When I was younger, I tried out for many soccer teams but could never make it. The players treated me poorly, saying I wasn't good enough and making fun of me. At the time, I felt disrespected without understanding their perspective. The kids may not have known how to properly treat others and thought it was a joke. What I really gained from that situation is more significant than their actions. I learned to never give up. I kept going and eventually made a soccer team. This experience applies to becoming a doctor. There will be many hard times, so you must keep trying even when you lack confidence. Perseverance will make you a great physician able to provide excellent care. While the teasing was difficult, it taught me an important lesson that guides me to this day - never quit in pursuit of your goals.

student-724

Interview

The issue is that without participants, we won't obtain reliable vaccine results. However, that doesn't mean I or anyone should hastily take an unproven vaccine just because I'm an administrator. I would need to review policies to ethically proceed. Has this vaccine been through animal trials and shown safe for human testing? If not, I would not take it or administer it to others, as that could cause harm. However, if it has successfully passed initial safety studies, we would need to enroll participants in clinical trials under careful oversight. I could enroll myself to ethically test the vaccine's effects, but would not take an untested vaccine randomly. My role is ensuring we follow rigorous scientific protocols to safely develop and evaluate this vaccine prior to any deployment.

student-736

Interview

Well, the main issue here is that if the baby keeps screaming and crying, it could disturb the other passengers who may have important events the next day and need a good night's sleep. Also, the parents are likely feeling embarrassed about their baby's behavior. So we need to take both sides into account. What I would do is approach the parents in a polite, private manner so as not to embarrass them publicly. I would ask if anything is wrong with the baby - maybe the baby is hungry, needs a snack, doesn't have any toys, etc. Gathering more information first allows me to make a more informed decision about how to help. I could then offer some alternatives, like playing with the baby myself to provide a calming distraction if the baby is just feeling stressed from the plane environment. If the baby does settle down, problem solved. But if not, as a last resort I would put in earphones and listen to loud music so I don't hear the crying and can get some rest. The goal is to find a mutually considerate solution that respects the needs of both the parents and other passengers.

student-719

Interview

I believe it is ethical for any profession to strike if collective conditions and compensation are unjust, regardless of the immediacy or urgency of services. Nobody should be forced to work under inadequate conditions. Though there may be concerns about physicians failing duties to society by striking, as humans they have rights to free speech and standing up for beliefs. Healthcare is critical, but doctors deserve fair treatment too. However, certain steps could be taken to mitigate the effects on patients. Doctors could continue providing emergency and urgent care or give advanced notice so hospitals can make alternate arrangements. With the right precautions to avoid harm, physicians deserve to leverage strikes when necessary, just as any mistreated worker would. The goal would be raising awareness and advocating for change while minimizing disruption to patients.

student-746

Interview

In this scenario, there are two key stakeholders - elderly people who want to retain their right to drive, and the general public concerned about safety. I understand regulations are in place restricting elderly drivers due to declining vision and cognition, in order to protect public safety. However, I don't believe there should be a blanket rule banning driving at a certain age. Instead, each person's abilities should be evaluated individually. For instance, if an elderly driver can pass vision and reaction time tests and appears to have sufficient cognitive function to drive safely, they should not be categorically prevented from doing so. In medicine, a tailored approach is best rather than a one-size-fits-all policy. Each patient should be assessed based on their specific circumstances and capacities. With an individualized assessment, we can balance the interests of maintaining independence for the elderly while also protecting public welfare.

student-731

Interview

In this scenario, my best friend tells me that he is a compulsive gambler and he asks for my money after discussing the broad implications of gambling on society. The first thing that I would do is gather as much information as possible. I will try to ask about his personal circumstances. They mentioned they don't have any money to buy even food - can they elaborate on that? What do they mean by no money? Are they in the negatives or barely getting by? In addition, are they in any form of danger? As of now, they mentioned needing to pay back loan sharks. Are they currently pressuring my friend or potentially threatening them? Third, if they don't have money now, how are they affording housing? If renting or paying a mortgage, how will they pay next month? Lastly, I have to provide empathy, listen non-judgmentally. Gambling addiction is like any addiction - it's very hard to quit, not just a matter of willpower but brain connections. So I want to support my friend without judgment. With that in mind, it's important to think about my friend's family. Have they reached out to family for money? Do they know about the gambling? How is their relationship after finding out? I want to consider their wellbeing and how I can support them too. Lastly, what kind of societal help has my friend sought out? For example, if they can't afford housing, have they reached out for housing aid, addiction counseling, financial aid? What societal help have they received or reached out for? So after gathering information, it's important to decide on my actions. I want to help my friend but not feed the gambling behavior. I will ask them to elaborate on using the money to "win it all back" - does that mean more gambling? I will let them know I'm happy to help pay back the loan sharks so they aren't in danger, but won't support gambling as a way out. So if they agree to pay back loans only, I will give the money. Then I'll try to connect them to addiction resources, financial aid, housing aid, etc. to guide them away from gambling and towards sustainability. That concludes my answer. Please let me know if you have any follow up questions. Thank you.

student-809

Interview

Working at a grocery warehouse was physically demanding. On many days after my shift, I felt like quitting. However, I strived to stay optimistic and focus on the light at the end of the tunnel. What motivated me to keep going back was both financial need and the potential opportunities. I imagined that if I stuck it out, I could build connections with supervisors and managers to eventually move up in the company. This long term thinking kept me from acting on the temptation to quit. With perseverance and networking internally, I was able to gain a Team Leader position which was less labor-intensive than my initial warehouse role picking and packing items. My optimism drove me to look beyond the present challenges and see a path forward. I learned that it's often worthwhile to persist through difficulty if longer term benefits are possible. By overcoming the physical demands through a positive mindset and relationship building, I was able to advance in that company.

student-779

Interview

My understanding of activism is grassroots movements driven by communities to advocate for policies and programs that positively impact people's lives. I believe physicians and medical students have a role in this duty. As community leaders directly affecting health, doctors can influence public health so patients are cared for beyond the clinic. I understand the challenges. With the demands of staying current on medicine, taking on activism requires great commitment and emotional investment. However, much health progress has resulted directly or indirectly from activism - like reproductive justice advocacy. This promotes not just healthy pregnancies or safe child rearing, but reproductive choice including contraceptive and healthcare access. One way medical students and doctors can engage in activism is advocating for increased access to contraceptives and reproductive healthcare. They can also start public health initiatives to improve sex education, so teenagers gain better understanding of safe sex, changes to their bodies, and reproductive health. Physicians can play a vital role in launching programs to ensure patients get care and knowledge to advocate for themselves. While difficult, activism allows doctors to create positive change beyond treating individuals.

student-738

Interview

The issue of legalizing marijuana in the Canadian healthcare system is complex, with several perspectives to consider. Some potential pros include providing a regulated source to offset potentially contaminated black market marijuana, and easier access for patients who use it medicinally, like cancer patients for nausea relief. Cons could be increased accessibility leading to misuse if public education on safe use and effects is lacking. Dangers like impaired driving are a concern if marijuana use is not informed and responsible. A regulated government source can ensure safety standards and avoid spread of illness from contaminated sources. At the same time, wider access must be accompanied by public education campaigns on potential side effects and safe, responsible use. Strict impaired driving laws should be upheld. If use is informed, overall costs to the healthcare system may be reduced compared to problems caused by dangerous substances like opioids. But appropriate regulation and education are key to maximize public health benefits and minimize harm. There are reasonable arguments on both sides, so thorough assessment of public health impacts is needed if considering legalization.

student-774

Interview

In this situation, a few social implications of a free needle exchange program would be definitely a positive benefit to the current vulnerable populations that may not have access to clean utensils, may not have the funds or the ability to get SDI checked. They also could be a population of the lower socioeconomic status as often drug users are. And so a program like this would definitely help allow them to give them a space where they can perform activities in a safe manner, although it's a very important way to stress harm reduction. So a medical implication of this would be that the needle exchange program could allow for the reduced risk of HIV transmission, for hepatitis transmission. So that would definitely be a benefit to the population that this program would be targeting. Additionally, this program definitely has the added benefit of providing a physician referral. So it can allow these patients or these potential patients that now they know that their screen has come back positive with something, they might not have a primary care physician or have the funds to go to an urgent clinic. So it would be beneficial that a physician referral is given to the patient because they have somewhere to go to and they know that after receiving this information there is a next step for them. So that could be a good medical implication as well. Another potentially social medical implication of this program could be that the existence of a needle exchange program. Some could argue that this would provide a motivating factor to continue in these dangerous activities. However, it can be also argued that a needle exchange program can help with ensuring that communicable diseases and active infectious diseases actually go down within a population. And additionally for a viable alternative. Some viable alternatives could be pharmacies that hand out or provide clean needles to populations that ask and also a safe place to dispose used needles so that they aren't in the streets or where someone can accidentally step on a sharp needle that's been injected with someone else and prevent potentially transferred for a communicable disease. Additionally, another viable alternative could be free STI testing at local clinics. A lot of states and local regional health programs offer clinics that provide free and anonymous sexual health disease testing. That could also be beneficial as well.

student-826

Interview

Physicians are very important in their role of educating the general public about topics in healthcare. This was very evident during the COVID-19 pandemic when there was a lot of misinformation being spread and many people were misinformed about the virus, vaccines, and healthcare in general. There is so much misinformation on the Internet that spreads quickly. I believe physicians are a vital resource and tool for educating the general public about healthcare topics. This is especially true when physicians can make evidence-based claims using research, either their own or others'. Physicians are specifically trained in healthcare, learning anatomy, physiology, biochemistry and other fundamental medical sciences. I think it's a very important role for physicians to use their position and knowledge to educate the general public. If some people don't believe or understand them, it's important to provide information in words a general audience can understand, whether they have medical education or not. Physicians should explain details and provide evidence about healthcare topics using language everyone can grasp. Sometimes, unfortunately, people have preconceptions and don't believe what physicians say. As a physician, it's important to aim to give a lot of information to provide that healthcare resource to people. It's up to them whether they accept and understand that information. Even with strong evidence, some may not want to believe the same thing. That's okay. I think a physician's role stops there - you can give education, guidance and resources but never force someone to believe as you do. Overall, I believe educating the general public about healthcare topics is a vital role for physicians.

student-715

Interview

Leadership and communication skills are invaluable for healthcare providers. In my experience, the ability to communicate effectively engenders trust and rapport with patients. Skilled communicators can understand patients’ perspectives and establish meaningful relationships. Early in my volunteering at a family clinic, I recognized a need for better teamwork among volunteers. At first, we barely knew each other’s names. I decided to hold a meeting for us to introduce ourselves, share experiences, and align on how to collaborate productively. Although we each had leadership abilities, bringing them together enabled joint decision-making and unity. After coming together as a team, we worked much more efficiently. One doctor even noticed the dramatic improvement in our teamwork. We created a “code blue” to call for assistance when needed. Our meetings enabled understanding of each role, and incorporating our strengths allowed effective collaboration. Developing our individual leadership skills while also bonding as a unit was deeply inspiring. This experience showed me the tremendous value of communication, leadership, and teamwork in healthcare roles. It is something I will carry forward in my career.

student-786

Interview

In this complex situation, I would balance respecting the individual's autonomy and recognizing their maturity while adhering to the research team's legal and ethical practices. If the team or local law requires adult consent from someone 18 or older, I would need to explain that to the individual. I would emphasize that I acknowledge their circumstances but must fulfill my obligations by following regulations. This upholds fairness while minimizing harm. My role requires navigating between compassion for their situation and compliance with laws and protocols. I would aim for transparency regarding the consent requirements while validating their capability as much as possible within appropriate boundaries.

student-742

Interview

I think there are several potential ethical issues in this scenario that should be addressed. The first step would be to speak privately with the attending physician, in a respectful manner, after the exam. I would start by asking if the patient consented to having students present for the intimate exam. Even if consent was obtained, I felt the patient looked uncomfortable when asked to lift her shirt with us in the room. Sensitive exams require direct consent from the patient, which wasn't clearly obtained here. I would explain my perspective - that getting the patient's explicit consent and ensuring her comfort should be the priority. However, I would listen openly if the attending has a different viewpoint, given their greater experience. If we cannot agree, I may need to raise the issue to a supervisor, as a last resort. As a student, I have limited power in this situation. If I felt very uncomfortable with the lack of consent and wished to leave but was refused, that would compound the ethical issues. My goal would be to have an open discussion and come to an understanding, so the patient's preferences regarding consent and privacy are respected in the future. This protects her dignity while also upholding ethical standards in medicine.

student-772

Interview

The core issue here is that if we don't intervene, the kids could continue assaulting this woman, which is highly unethical and dangerous. However, we need more information to properly address the situation. Some key questions: How often do these girls come by? Why are they hitting her - is the woman provoking them in some way? Is she potentially doing something illegal herself? There are a lot of unknowns to investigate first. I would approach the woman privately in a non-confrontational manner and ask for her perspective on the situation. If she reveals she is doing something illegal, I would likely have to report both parties to the proper authorities. However, if she is innocent, then we can look into reporting the assault by the girls to the police or appropriate powers, so official action can be taken. By thoughtfully intervening, we may be able to stop the assaults and protect the woman, which is an important responsibility as a bystander observing violence. But gathering more details first, rather than making assumptions, allows us to respond in the most fair, ethical manner for all involved. The goal is stopping harm while avoiding escalating the conflict further.

student-721

Interview

In such a scenario, my priority would be to ensure transparency and come to a collective agreement through careful deliberation with the other judges. Both presentations have very similar, on-par content, making it difficult to choose a sole winner. However, there are other factors the judges and I could consider. One is the delivery and enthusiasm or professionalism of the presenter. Another is the recency and relevance of the proposed solutions to the specific health issue and location of our event. For example, the presentation on access to primary care addresses a pressing issue in our current location. We could also consider the practicality and feasibility of the solutions - something with more profound real-world implications might meet our criteria. By discussing these factors, the other judges and I could thoughtfully decide on a winner through open deliberation.

student-760

Interview

That's very true. There are many careers where you're able to help people through different aspects of their life, I think. However, it's not so much that. I think medicine is just in a very unique position where you are able to not only take the latest in science, which is something I'm very passionate about, but you're also able to apply that to the human body. You're able to use that information to help people with their health and to help people who are in their most vulnerable times. So I think it's that combination of using science - the latest science - along with being able to work directly with people that makes me want to pursue a career in medicine. The personal, human aspect is so important to me because I think it's a real privilege to be able to work with people and help them understand what they're going through when they are suffering from an illness. You're able to help them understand potential treatment options and enable them to make the most informed decisions about their care. The opportunity to work alongside patients at such a crucial time is an enormous responsibility, but also extremely fulfilling and rewarding. It's the kind of positive impact I want to have on people's lives. For example, when my grandmother with Alzheimer's was living with us, I took it upon myself to help her with her medications. My grandmother would wake us up around three in the morning, crying and thinking she was going to die. No one could console her until I sat with her and explained that she just needed to take her medication. I was able to work with her, to help her understand why she needed each medication - for her blood pressure and for the Alzheimer's. She took multiple medications and I saw the huge impact it had on her when I was able to get her to take them. It would take a while, but eventually she would take the medication, start to feel better, and be able to go back to sleep. You could see how much it meant to her. And in my role as an emergency room scribe, I get to see physicians connect with patients daily. I observe them use their medical knowledge to help people recover and return to their normal lives. That connection with patients at such vulnerable moments, along with the ability to truly make a difference in their lives, is what I want for my own career. It's something I look forward to as a future physician and that few other careers can provide.

student-716

Interview

In this complex scenario, I would assist these patients by educating and keeping them informed to promote autonomy and engagement in their treatment. The patient-doctor relationship is a two-way street requiring trust and transparency from both sides. When weighing if medication side effects are worthwhile, looking at the harm versus benefit is crucial. If risks outweigh advantages, exploring alternatives may be best. Cost and financial factors are also important considerations. Taking a holistic view and maintaining openness with patients can help find the ideal solution. My role is to provide the full picture regarding treatments so patients can voice preferences and collaborate in decision-making. By prioritizing their well-being and partnership, I aim to support patients in navigating difficult choices to optimize their health outcomes.

student-751

Interview

First, I would greet Jason, thank him for having me over, and have an open conversation. I want to listen without judgment to understand why he hasn't been attending class and how I can help him return. There could be many underlying reasons I'm unaware of. If he's going through a difficult time, I'll offer support to help get him back on track for classes and medical school applications. If it's a lack of motivation or feeling discouraged by the difficulty, I can relate - medical school is challenging. In that case, we'd discuss his goals and ways I can assist, like studying together or working on applications. The aim is hearing his perspective, offering support tailored to his needs, and outlining how we can move forward productively. By having an empathetic discussion oriented around helping him achieve his dreams, I hope to get him back on the path towards success.

student-737

Interview

In this complex situation, I would aim to respect the autonomy of both individuals while remaining mindful of the power imbalance and professional boundaries at play. As a physician in a position of authority, engaging in a sexual relationship with a patient is generally considered unethical, legally prohibited, and condemned by society. I would bring this problematic nature to the physician's and patient's attention - while they are consenting adults, they may not realize the severity of consequences. Since the physician is not directly treating the patient, it may be ethically permissible given their autonomy over personal relationships. However, the physician's role still warrants prudence. I would emphasize the reputational and legal risks so they can make an informed decision, while upholding my duty to caution against potentially abusive dynamics. My goal is to both respect their agency and provide guidance to protect all parties involved.

student-743

Interview

In this complex situation, I would make remaining unbiased and not pre-judging a priority before taking action. I would have one-on-one conversations with my mother and father separately to better understand their perspectives. Using those insights, I would then speak to my sister and brother-in-law to hear their thoughts and stance, since ultimately it is their family and decision. I would offer support, whether financially, emotionally, or by guiding them through the process. My role is to assist my sister and brother-in-law with whatever they decide in the end, after thoroughly listening to all sides without judgment. By seeking to comprehend each perspective, I can provide the most meaningful support to my sister during this challenging situation, while still respecting her autonomy in choosing the path forward.

student-744

Interview

If a patient was interested in visiting an acupuncturist or chiropractor, I would first sit down with them to ask about the underlying issues causing them to seek these providers. It would begin by asking if they have a physical ailment or chronic pain. I would offer to run tests to determine the underlying cause of their pain and establish a beneficial, trusting relationship. We could do x-rays, medical tests, etc. to find the source of their pain and reason for wanting to visit an acupuncturist or chiropractor. If the patient still wished to see one after tests, I would research these fields myself to learn the potential benefits and risks, side effects, or harm to the patient. After doing this research, I would share what I learned and see if any medical staff had advice on things to look out for with these providers, like laboratory red flags or potential side effects. I would also discuss current therapies I'm providing and share my professional opinion that these medications can alleviate their pain or ailment. Additionally, I would ensure the patient knows I'm still there for them. I want to stress I do not want to overstep or lose their trust, and I respect their autonomy to visit these alternative providers. I would let them know if they have any questions or feel something is going wrong, they can still come to me for help. I would be happy to remain their physician and provide benefit if they feel I can. I would just ask them to be cautious and respect their choices.

student-825

Interview

In this complex situation, I would aim to uphold academic integrity while remaining mindful of my friend's perspective. Since the semester has ended and grades finalized, I would have a private conversation to educate them on why their behavior was problematic and posed an unfair advantage. If they recognize the issue, I would hope we could approach the professor to disclose the misconduct and face the consequences, hopefully preventing future occurrences. I would also consult other friends to gain additional perspectives on addressing this ethically. My priorities are being transparent regarding the inappropriate actions while also guiding my friend with compassion to take responsibility. This maintains academic honesty while supporting their moral development. Through open dialogue and accountability, we can transform this lapse in judgement into a learning experience for growth.

student-745

Interview

Hi Jason, I wanted to come over and check in on you. I know how hardworking you are and am aware you are applying to medical school and can imagine how difficult these past few weeks have been. I wanted to ask how you are doing and whether there is anything I can assist you with. I don't want you to fall behind in class and our professor is worried about your attendance. Perhaps we could write him an email together explaining the stress you are under and he may be able to help you by giving extensions or allowing me to bring your work to you. I could also help you find some resources or tools to manage your stress, such as mindfulness exercises or making a scheduled plan. My goal is to support you during this challenging time - please let me know how I can help.

student-718

Interview

If I haven't seen any problems right away, my instant reaction would be to take a second to reflect on why they feel this way. Are there any specific examples? Have I had these types of complaints before? If not, what potential situations in the past several days treating this patient could have created these issues? Were there times I was tired or had a lapse in judgment with my speech? I would really want to figure out what situations here could have led them to feeling this way, because I would strive for the best bedside manner and relationship with the patient and their family. After reflecting, I would want to talk to my supervisor to find out the specific complaints - where is my bedside manner lacking? What conversations or aspects were not good and where can I improve? I'd want to know if the supervisor thinks it's appropriate for me to potentially have an open conversation with the patient and family to improve the situation. At the end of the day, if they really feel I am not the right fit and there's nothing I can do, then it's about the patient's health and well-being. If they can't be persuaded to allow me to make changes, it may be best for me to step off the case because the patient's health comes first. However, hopefully they'd be willing to have a conversation with me about this. I'd love to not only improve the situation, but also improve myself for the future. I'd love to have a one-on-one conversation to listen to their complaints, figure out which aspects of my bedside manner need changing, and work collaboratively to make a plan for improvements going forward. I am confident in my abilities and would hope to give the best treatment. I would welcome the opportunity for feedback so I can be mindful of the changes they want and take it into consideration. If in the future it's just not a personality match after trying my best to make changes, I would have to move on and take it as a learning experience. I could have a conversation with my supervisor about whether these are ongoing issues for me, where I can improve, and if it was just a one-off personality clash. It's a good skill to be able to adapt, but if after trying to improve I'm still not able, I'll have to move on and continue improving for the future.

student-822

Interview

This is an important issue involving someone close to me, so I need to address it without bias but make clear the seriousness of her actions. I would ask to speak with her privately at a time when she's not exhausted or overwhelmed. Bringing donuts or something to show care, I'd gently ask how much she had to drink to understand what led to this. If heavy drinking is new or unusual for her, I'd want to know more about what caused that. Most importantly, I would advise her to seek out information on the person she hit - visit the intersection for cameras, check local medical centers. She needs to take responsibility for apologizing, compensating the victim's family, and correcting her mistake as much as possible. Drunk driving resulting in an accident is unacceptable. For the future, I would offer to be with her when drinking to ensure she doesn't drive impaired. I'd discuss alternatives like Uber, public transit, calling me or someone else for a ride. She can always contact me rather than drive drunk. If charges are pressed, I would encourage her to admit guilt and accept the consequences. Actively righting the wrong through apology and restitution may minimize penalties. But accountability is essential. My goal is helping her understand the gravity of her actions, take responsibility, and prevent any recurrence, while also providing support as her friend.

student-782

Interview

In 8th grade, my elementary school basketball team was preparing for the regional tournament, which would be my final year at that school. As the team's leading scorer and offensive facilitator, a lot of pressure was on me to lead us to the championship. While I was confident in my abilities, I also knew the competition we would face. The day before the tournament, I was suddenly overcome with doubt about whether I could effectively marshal my teammates to play their roles and win. A big reason was that I wasn't very good at motivational speeches. I preferred to lead by example through my play. I knew I had to give some kind of speech to set the tone, but I struggled mightily to come up with anything good enough. The morning of the tournament, I still didn't have a plan and wondered if I would give a speech at all. But I knew my team needed that spark. So before our first game, I gathered everyone and gave a short, 1-minute speech. I clearly communicated our goal to win the championship and laid out how each player would contribute based on their strengths. I said I would lead the scoring and create opportunities for them. We didn't win the tournament, losing in the finals. But I was proud of what we accomplished against tough competition. A big factor was me overcoming self-doubt to motivate my team. What enabled me to push past the doubt was recalling positive moments of camaraderie with my teammates. Seeing our less experienced players score late in games reminded me of our strengths. Those memories motivated me to give the speech that ultimately helped lead us to the finals. Whenever self-doubt creeps in about your leadership abilities, remember your strengths and find ways to mitigate weaknesses. Focusing on past successes can help overcome doubt to make a difference. For me, that was the key to performing well under pressure.

student-771

Interview

Once Brian explains his thoughts and feelings, we can develop a plan. I imagine he would be very upset and heartbroken. I would suggest Brian find support from teammates directly involved to see if they would join him in speaking with the coach. Together they could make the case for Brian to have at least some role they can both agree to. After compiling evidence and support, they would approach the coach honesty. I would help Brian prepare what to say and be very supportive through this process. If the worst case scenario happens and the coach still refuses, I would encourage Brian, though deeply painful, to put this aside for now and refocus his efforts on the Paralympics. Though heartbreaking, the Paralympics are also a globally recognized event to showcase his strengths and gain more popularity to further his career. I would urge Brian to continue working hard, try to move past this for now, and give his all at the Paralympics. This could provide opportunities for the Olympics in the future, while also inspiring others with disabilities with his strength and capability.

student-794

Interview

Thank you for sharing this challenging situation. I appreciate you thoughtfully considering multiple perspectives - the patient, physician, and broader public. This appears to be an ethically complex scenario involving issues like conflict of interest, professionalism, and trust. I agree the ideal approach is to first have an open, non-judgmental dialogue with my colleague to better understand how this relationship developed. It's important we don't assume ill intent without details. I would want to know if my peer feels they can still objectively treat this patient, and discuss options like referring them to another provider to avoid any conflicts. Ultimately though, physicians should likely refrain from romantic relationships with current patients due to inherent power imbalances. If my colleague is unwilling to cease seeing the patient, I would need to escalate the matter professionally. Our duty is to deliver unbiased care, and an intimate involvement could jeopardize that. However, I would aim to handle this sensitively. There may be personal issues underlying my peer's choices. As physicians, we need to balance multiple duties - to patients, colleagues, and society. In this case, patient wellbeing should come first while also preserving my colleague's dignity. With open communication and discretion, I'm hopeful this situation could be resolved to uphold ethical standards. Please let me know if you need any clarification or have additional questions.

student-831

Interview

In this scenario with a patient with Down syndrome who is pregnant, my role as a healthcare provider is to advocate for my patient's wishes first and foremost. I appreciate the parents' perspective advising abortion, and will communicate I understand their view. However, I must uphold professional standards and prioritize my patient's autonomy. I would have an open conversation to ensure she has fully considered all options and implications involved. My goal is complete transparency so she can make a fully informed decision. Ultimately it is her choice, and I will support whatever she decides after thoughtful reflection. This reminds me of a high school friend's experience choosing a university. She wanted to attend York University nearby, but her parents pushed for farther options like Waterloo or McMaster. As her friend, I reinforced that this was her decision - she knew what would make her happiest and I advocated for her autonomy, despite her parents' strong opinions. My role was empowering her to make the choice for herself as an adult. Similarly here, while I will listen to parental concerns, my duty is to my patient. I will ensure she examines the situation comprehensively, then back her fully informed decision, whatever it may be. My priority is empowering my patient's self-determined choice.

student-785

Interview

One time I disappointed my parents was when they asked me to pick up my sister from soccer practice. Both my parents were at work and had entrusted me with this responsibility. However, instead of diligently following through, I got distracted by other less urgent priorities like schoolwork and texting friends. As a result, my sister was left waiting alone at the field with no ride. My parents were very let down that I did not fulfill my duty responsibly. In hindsight, I should have prioritized better. The other tasks could have waited, but getting my sister on time was truly important. I learned an important lesson about setting the right priorities and fulfilling my obligations, especially when relying on me. Moving forward, I aim to match my actions to what matters most rather than getting distracted. I continue to feel regretful about that incident, but it helped reinforce values of responsibility and diligence that guide me today.

student-756

Interview

Throughout my life, I have helped care for my dad who has multiple sclerosis. His condition started worsening when I was around four or five years old, so I began assisting him at a young age. This experience has greatly developed my empathy. Even when my dad didn't explicitly ask for help, I could sense what he needed whether it was getting comfortable in bed, sitting up properly, or getting a glass of water. I learned to pay close attention to pick up on nonverbal cues. Through caring for my dad, I've become very attuned to others' health struggles and can truly empathize with their situations. There were also times when my dad's condition affected his mental health. During these difficult periods, I made an effort to communicate with him, show empathy, and reassure him that there is more to enjoy in life. He has told me this support helped tremendously, and now he is much happier and positive. I love bringing smiles to people's faces, so making my dad laugh and boosting his spirits is very rewarding. This experience taught me the importance of being there for others because you never know the impact your words and actions may have. I've learned to balance my own needs with caring for loved ones. As a future medical student, these skills of empathy, communication, and trust-building will be invaluable in developing rapport with patients. When patients feel heard, understood, and able to trust their provider, they are more likely to follow treatment recommendations. My lifelong experience caring for my dad has prepared me well for relating to future patients with compassion.

student-776

Interview

The issue here is that if she continues this behavior, she will likely get an undeserved high grade, which is unfair to other students. However, I understand the pressures she faces to get a high GPA for medical school admission. I would approach her privately in a non-confrontational manner to gather more information on her motivations. If it was solely to get a high GPA, I would explain that this dishonest approach is unacceptable, but offer to help her find other interesting courses instead. If she agrees, I would gladly assist in finding an alternative. If she declines, I would urge her to confess to the professor so he can make appropriate adjustments. And if she refuses, I would inform the professor myself. I would apologize to her, but explain I must act with integrity. This allows us to maintain academic honesty while making an ethical decision before she improperly benefits.

student-723

Interview

Thanks for the question. In this case, it's a very difficult scenario because while I care about this boy's well being and also want to ensure transparency and honesty when communicating with him, I also have to balance the importance of respecting his parents decision as well. The first thing I would do in this specific scenario is try to understand why the parents don't want to tell the twelve year old boy about the diagnosis. There are many possible reasons and I don't want to assume. It could be that it could damage him or hurt him psychologically. It could be that perhaps his mental wellbeing could adversely affect his physical health, or perhaps there might be a risk of self harm if that boy finds out he was diagnosed with a terminal illness. There are a multitude of reasons, and I would set up a private meeting with both of the parents to have an open and honest conversation regarding their concerns. After hearing their concerns, then I would probably help them share some alternatives. So I would also share my point of view. Specifically in this specific scenario, I can understand that the boy, if he doesn't know, he would not be able to make an autonomous choice since there is no minimum decision making capacity. If that boy has demonstrated comprehension as well as insight and demonstrated decision making capacity as a physician, it's also important to ensure that the boy can have an autonomous choice and make decisions that reflect his own personal values and beliefs. For example, his beliefs of continuing with the type of treatment and the types of side effects he's willing to endure might be completely different than that of his parents. So it's really important to have an open dialogue and understand the boys preferences in order to have him make an informed and autonomous decision making process. However, with the parents, they also have a concern and after gathering more information, I would try to and after sharing that with the parents on the boy's autonomy and ability to make an informed decision, I would try to again see the scenario. If the parents are concerned that the boy might self harm after finding out this news, then I would not tell the boy because that could be very dangerous to him and perhaps he needs some time to digest this information. However, if it is for perhaps alternative reasons such as the parents may not know how to disclose this news to the boy or they're not ready to do so yet, I would try to respect that. And if they want to disclose at a certain point, then I would help them in any way I can. Perhaps setting up a meeting with all of us. And perhaps I can disclose it, or his parents can disclose it, but being very sensitive about it while also to the boy explaining it in a way so that he can understand what a malignancy is and what are some of the consequences and repercussions. I think if this is a scenario, I would definitely encourage the parents to disclose the news to the boy so that we can also understand his values and preferences and help create care that is comprehensive and also takes into account his perspective while also helping him with therapy or other types of counseling so that he can digest and take in this information. So ultimately, in summary, my main concern here is again for the boys' wellbeing. I would first want to gather a lot more information from the parents on their primary concern as to why they don't want to disclose this means. I would then after listening to them share some of my concerns such as perhaps the boy. We're not integrating the boys will and autonomous allowing him to make an autonomous choice. And lastly, I would try to if there is no risk that this boy is involved in may self harm, then I would try to encourage the parents to share that with the boy and facilitate that conversation. So we are navigating that in a sensitive way. This is a very difficult topic in general because again there are no easy alternatives. However, it's really important to be patient and to acknowledge that since this boy is a minor, the parents may know something that I don't and so we need to respect that and respect the parents' decision.

student-833

Interview

A few years ago, my extended family took a trip to my uncle's secluded lake cottage in Torber Morris, Ontario. We hadn't seen each other in a while, so it was a nice chance to reconnect. There were three families staying in the fairly spacious but isolated cottage. One night, the parents realized we were low on groceries and decided to go buy snacks so we could watch a movie later. Everyone left and I was alone in the pitch dark cottage. I tried to stay calm but was definitely afraid being there by myself. The nearest neighbor was kilometers away, so I had no way to walk anywhere at night. After about an hour, I suddenly saw a light through the living room window and heard footsteps. My heart started pounding and I couldn't breathe. I didn't know who could be out there and what might happen. I jumped up from the couch and cautiously looked out the window. To my enormous relief, it was just the parents returning! This was a terrifying moment, amplified by the remote setting. Being alone in the cottage far from anyone else made every sound seem threatening. While very scary in the moment, it ended up being nothing. But it gave me a lasting appreciation for how isolation can heighten fear and make the imagination run wild.

student-780

Interview

Health inequalities refer to unequal access to healthcare services, education, and resources. In Canada, examples include lack of access to healthier foods for lower socioeconomic groups, reduced medical services in rural areas compared to urban centers, and insufficient culturally competent care for our diverse population. Addressing these requires engaging key stakeholders and utilizing both downstream and upstream solutions. For rural communities, downstream approaches could include community programs to empower healthy lifestyles through proper sleep, mental health support, social connection, physical activity, and self-care. Allocating more funding to develop rural healthcare facilities and services, in consultation with local providers and residents about specific needs, is critical. Upstream policy solutions should involve rural stakeholders in developing policies tailored to rural health, rather than the current focus on urban settings. For cultural competence, actively fostering diversity among healthcare practitioners is essential so they can understand and address the values and beliefs of diverse patients with sensitivity. Overall, resolving health inequalities requires multifaceted strategies engaging affected groups, addressing root causes, and expanding access through both systemic and local solutions. With collaboration, we can work to ensure all Canadians, regardless of socioeconomic status, geography, or background, have the opportunity to achieve their best health. Please let me know if you would like me to expand on any part of this response.

student-829

Interview

I'll get right into the prompt about whether physicians should be able to lie to or withhold truth from patients, even if it's for the patient's own good. I recognize this can be a difficult situation, especially with difficult news where a physician may feel sharing information could trigger an undesired response in the patient. However, looking at different perspectives, the physician is involved in care delivery but the patient's perspective must also be considered. If physicians aren't transparent and don't fully deliver information, especially if the patient wants to know, I think physicians have a duty to tell the truth. I don't think lying benefits patients. Transparency fosters trust between provider and patient, which is necessary for the patient to also be truthful. If a physician lies or withholds truth, what's stopping a patient from withholding critical information affecting their care? It gives a sense of practicing paternalistic rather than patient-centered care, and not treating the patient as an equal person deserving respect. Telling the truth fosters trust. It's difficult if not impossible for a physician to fully know how someone will react to news, so just because it's difficult doesn't mean it should be withheld. There are diagnoses where hearing it may do more harm in the moment by causing panic. But the patient still has a right to know. If test results could be false positives, you can suggest more tests be done but still inform the patient. You cannot withhold just because you think it will do more harm than good. Contingencies like mental illness are important - you still tell the truth but may alter how you deliver it through pacing information, softening delivery, etc. But the information itself, I believe patients have a right to know.

student-813

Interview

Before I begin, I just want to thank you for taking the time to listen to why I want to be a doctor. I'm a mature applicant now, and my decision to become a doctor was really something that I wanted to take my time with to make sure it was the right thing for me and explore all my options as a student. I liked the idea of medicine, exploring topics in health and science, but it wasn't until my professional work, education, and volunteer work that I've done as a working professional that really brought me back to medicine and made me realize that it was what I wanted to do with my life. To touch on those experiences as a working professional - right now, I'm a clinical trial monitor with the Canadian Cancer Trials Group at Queen's University. In this role, I have the opportunity to collaborate with research teams across the country on the clinical research that we're doing that is really improving care options available for patients. It's tremendously gratifying to be able to follow a patient's treatment story indirectly as a clinical trial monitor and get to know the best practices that are taking place at each of our clinical research sites. One of the trials that I'm tremendously proud to have worked on was one that improved survival and progression status in breast cancer patients. This was a huge landmark trial published in the New England Journal of Medicine, and has since been adopted as a treatment option for high risk breast cancer patients. I'm tremendously proud to have worked on it and I want to be able to translate experiences like that into a clinical care setting. I want to be able to find ways to improve patient care. One of the things that came to my mind is something that I learned in my part-time course on social determinants of health. I'm also a part-time student - I've taken courses in anatomy and social determinants of health. In the context of my work and existing education, I've really been able to integrate all of these things together into a more comprehensive image of what I think health and wellbeing actually are and ways to address them as a physician. I'm really excited at the prospect of a holistic care model - not only looking at clinical care and interventions, pharmacological and non-pharmacological, but also interventions that address the social determinants of health, like the underlying causes for why people experience the things they do. I think the most important thing, the experience that made me say "this is what I want to do", was working at the COVID-19 vaccination clinics. I think we'll all recall the uncertainty and anxiety people had about COVID-19 and how it was shaping the world. I wanted to get involved managing it as soon as I could, whether with tracking or vaccines. Specifically working in those vaccine clinics as part of that clinical care team was a really gratifying experience. One that I'm tremendously proud to have been involved in something that I'll be able to speak to for the rest of my life. Being told that I'm giving people their lives back by working at these clinics is something that I want to be able to experience every day as a doctor. As soon as I had that opportunity, that was it for me. I knew this is what I want to do. I think the person-to-person interaction is something that I've always loved. The integration of sociological and health factors that I've learned about from my work and school experiences have really brought me to this point where I'm ready to become a doctor, where I know that I want to be a doctor.

student-807

Interview

I think that this is a clear scenario of unprofessionalism. As a doctor, I have the patient's best interest at heart and have to follow the principle of beneficence. Although the relationship could be good for the patient, an intimate relationship between a doctor and patient is unprofessional and could impact the patient's care. The patient may be more inclined to follow a certain treatment just because the physician recommended it, which could affect their health outcomes. I would first have a private conversation with my colleague to understand the situation fully. I would not want to jump to conclusions or accuse them of something untrue. In our discussion, I would share my observations and ask questions to learn more, like how long the relationship has lasted, how serious it is, and if they are considering marriage. Based on the answers, I would decide what to do next. There are consequences to my colleague's actions. If it has been a long, serious relationship, I would consult the clinic's ethical policies to see if such relationships are allowed, and under what conditions. If so, I may have the patient switch doctors since it is still unprofessional. Or if they met outside the clinic and plan to marry, perhaps they can continue dating as the policies permit. If it seems more casual, I would encourage my colleague to speak with HR for guidance, and likely end the relationship if HR agrees it is inappropriate. I would follow up to ensure the situation is handled properly, and support my colleague through the process. Ultimately, I cannot make a unilateral decision without considering all factors and clinic policies. But I would aim to address this ethically and professionally.

student-792

Interview

I once had a family funeral happening at the same time as a basketball game where I was team captain. I chose to go to the game instead of attending the funeral with my mom, even though it was for a relative she was close to and she wanted my support. When I got home, I realized this was the wrong decision and felt terrible that my mom went through it alone when I could have been there for her. From that experience, I learned I need to prioritize and sacrifice for what's truly important, even if it's difficult. As a doctor, you sometimes have to sacrifice personal time to provide the best care for patients. Having compassion will help not only as a physician, but in all aspects of life. It builds character, integrity, respect, and love for others. My goal is remembering to put people first, as I should have done by being there for my mom during her time of need.

student-735

Interview

I believe this is a complicated issue with many perspectives on universal basic income. There are pros and cons, but I am more in favor of it as I believe people should be able to provide for themselves and their families. As a physician, this career is about advocating for others, and the ultimate form of advocacy is ensuring people can provide for and advocate for themselves. A basic income is essential for people to be able to do that.

student-815

Interview

The prompt I'll be discussing centers around Dr. Chong, a physician who has been recommending homeopathic remedies for his patients. Homeopathic remedies are an alternative form of medicine involving biological materials from plants or animals. As stated, there isn't enough evidence that this actually works. Furthermore, Dr. Chong himself doesn't believe they work, but he assigns these treatments to patients with mild or subjective symptoms because he thinks they won't cause harm and will provide reassurance. I'm asked to discuss the ethical problems with this behavior. First, Dr. Chong doesn't believe the treatments work but makes patients think they do. This takes away from treatments patients could or should be getting. He's brushing off concerns because he thinks they'll naturally subside. This violates the principle of "first, do no harm." While he may not directly cause harm, he causes patients to not seek other treatments because patients often trust their doctors, especially long-term. So long-term patients may not get second opinions and will take ineffective treatments. It's based on his personal assessment that symptoms are mild or subjective. But misdiagnoses occur, and he puts patients in danger of not seeking other opinions or treatments that could actually help. Under the CanMEDS framework, doctors should be community health leaders, but he is failing by promoting unproven remedies. Even non-patients may start believing these work if they know someone recommended by Dr. Chong. They may disregard other professionals' advice. Dr. Chong has failed as a health expert by giving legitimacy to this medicine. Other physicians may have patients citing Dr. Chong, thinking if he recommends it, it must work. More people may believe in homeopathic remedies even though there's no evidence. Lastly, it works like a placebo, but there's not enough evidence that placebos have the positive effects Dr. Chong believes. In summary, he violates "first, do no harm" by dissuading patients from effective care, fails as a community health leader by promoting unproven remedies, and fails as a health expert by legitimizing homeopathy despite lack of evidence.

student-811

Interview

This is clearly a very challenging situation with multiple perspectives to consider. First, I would try to understand each person's reasoning and motivations. I would meet privately with our mother, who opposes the in vitro fertilization, to understand her concerns in a non-judgmental way. Perhaps she feels the process of using a surrogate in India is unethical. I would listen openly, while not validating or invalidating her views. Next, I would speak to my sister to understand why she wants to pursue IVF and confirm she has thoroughly considered the pros, cons and alternatives. While staying at work during pregnancy is a consideration, this is ultimately about starting a family, so I would want to ensure she has reflected deeply on her choice. As her brother, if after careful thought my sister feels IVF is the right decision for her, I would support her as an adult capable of making her own choices, regardless of our parents' conflicting views. I would try to bring everyone together to discuss perspectives openly and foster understanding. My role is to be a neutral party helping my sister feel empowered in her decision-making, while also respecting our parents have strong feelings from places of care and concern. This is a complex situation with emotional nuance around family, career and ethics. Through open communication, hopefully common ground can be found.

student-773

Interview

Patient confidentiality ensures everything the patient tells a clinician is held in confidence. The patient-physician relationship can be strained without trust between them. Having confidentiality breeds trust. As a patient, I wouldn't feel comfortable sharing personal information if it would be shared. Confidentiality makes people feel comfortable opening up - they wouldn't tell these things to others if it could spread. It's so important for trust and the physician-patient relationship. It also fosters patient autonomy, which is important in Canadian healthcare. Ensuring the patient controls what they share is key. As a physician, you need to try to get all relevant information, and patients may not be comfortable telling certain things to family/friends, so they need someone trusted to open up to. That's why it's important never to break confidentiality, unless the patient is at risk of harming themselves or others. If they say something alarming, you have a duty to ensure they get resources needed and involve others to solve the situation delicately. Personally in my clinical experience I haven't had to break confidentiality. My interactions were preparing patients for appointments, performing ECGs, explaining the test - nothing too personal. I have dealt with confidentiality on an engineering team for a satellite launch. We had sensitive design information and signed an NDA. It was tricky later when applying for jobs and wanting to discuss the experience but needing to word things carefully under the NDA. So while I haven't broken confidentiality myself, it's a difficult situation and I recognize the challenges in maintaining it while also caring for patients. But it is foundational to build that trust.

student-814

Interview

In this situation, I would carefully weigh the potential outcomes of a liver transplant for both patients. For the 64-year-old alcoholic, there is some uncertainty whether they would adhere to post-transplant treatments and lifestyle changes needed to maintain health. In contrast, the younger mother of three may have greater probability of benefit and compliance. Age is a factor, as the mother has more expected years of life ahead. There are also consequences for her children if she does not survive. However, if I could speak to the alcoholic and feel confident they would commit to sobriety and medical care, I would likely select them for transplant. Adherence is the key factor. I'd want to know the duration of alcoholism and any history of prior treatments failed due to non-compliance. If the alcoholic has repeatedly been non-adherent, I would select the mother to receive the liver. Her age and responsibility to her children tip the balance. But with demonstrated commitment to treatment from the alcoholic, I would support transplanting them over the slightly younger candidate. The decision rests significantly on my assessment of postoperative compliance to ensure success.

student-783

Interview

As a physician determining if medication side effects are worthwhile, I would first consult the patient about their priorities. I would compare the severity of their disease and its impact on their quality of life to how potential side effects could affect their daily living. For example, I would ask if side effects like nausea, weight gain, or depressive symptoms would be acceptable trade-offs for treating their condition. The patient's preferences and values are most important, so I would have an open discussion about whether mitigating their illness or avoiding side effects is more vital for their wellbeing. By eliciting the patient's goals and weighing the risks versus benefits together, we can make the best personalized medical decision. My aim is understanding what matters most to the individual when evaluating treatment options and potential consequences.

student-732

Interview

Yeah. So of course, since the medical admissions process is so long and tough, I have thought about other career plans. For example, I wanted also to be an engineer because actually a lot of people tell me that those are very different career paths but I actually don't think so. I think that they have a lot of similarities. For example, both in medicine and in engineering, you have to be able to communicate your thoughts clearly and patiently. The engineer has to communicate with his colleagues and with the client and make sure that he can explain everything in simple terms so that everybody understands and is comfortable with what the prognosis will be. The doctor too, has to talk in a simple manner with the patient and he has to make sure that he's very well understood because the patient's treatment is at risk. Also, I think in both careers you need to have an analytic brain, which is something I have because I can analyze things very quickly. For example, when I was in a biology class, the teacher said something and it automatically clicked in my brain that it contradicted something she had said earlier. So I wanted to ask her the question and she told me that it was a mistake. As I said, I'm very able to find when something is not making sense because I have an analytical brain and critical thinking. I think both engineers and doctors have to diagnose and establish a prognosis. Well, they both require critical thinking because sometimes you have to be able to not be so gullible and to actually think for yourself instead of listening to others. Also, I think the main difference between the two is that engineers will require less empathy than doctors, which is why I want to go into medicine and not anymore into engineering because I'm someone who's very empathetic and who can really feel what somebody's feeling and put myself in their shoes. For example, when my friend was really sad one day, I was there for her and I could actually feel her pain and I started crying with her. And also through helping my father, who's sick with multiple sclerosis, I actually could develop and just put forward my empathy, because I always had to know when something was uncomfortable for him, and I helped him through it. And I could also talk with him and figure out what went wrong, why he's sad. And I could always encourage him, and he always felt better afterwards. So this is why I want to go into medicine and not into engineering because I have empathy and I want to use it because I love reassuring people and simply putting a smile on people's faces after they've been sad.

student-796

Interview

Thank you for your question. My responsibility here remains maintaining a positive relationship with the patient and family. If this reflects on my general behavior, it could also impact coworkers and other patients. To understand the situation better, I would first approach the patient, as they are my primary concern. In a comfortable, non-confrontational setting, I would gauge how they've been feeling and if anything is bothering them about treatment or my bedside manner. I would open a conversation to discuss any concerns and assure them I welcome feedback to provide the best care possible. If the patient seems willing to talk, it would be a good opportunity to take any feedback, reflect on it, and apply strategies to better support them. I would also speak to my supervisor to understand the full situation before approaching the family, so I have information on both sides. Again, it would be a private, non-judgmental way to make them feel comfortable explaining their concerns. I want to gain feedback on how I could improve and better support their family. If I can easily fix something that would benefit the situation, I will reflect and try to implement their suggestions to support them through this open conversation. I would also gauge any underlying biases occurring on both sides, like cultural or religious differences I'm not considering, or my own biases against patients - an important self-reflection for any physician. While doing so, I might better understand the family's biases regarding my race, ethnicity, gender, etc. that impact how I implement their feedback. Most importantly, my job is ensuring patient wellbeing. I would encourage and welcome their suggestions and feedback. I would also assure them that if our dynamic is not working, I'm happy to refer them to another physician for treatment continuity, as their wellbeing is my priority. If another physician can interact more positively, I would do so. Moving forward, I would also get perspectives from other healthcare professionals.

student-824

Interview

This is a difficult situation, so we need to consider both perspectives - that of the doctor and the government health insurance program. I believe it is unethical for doctors to recommend circumcisions without clearly informing patients of the risks and downsides, since this is not a medically necessary procedure. Doctors should provide patients with full information about the risks and cons so they can make a fully informed, autonomous decision. On the other hand, the government insurance program (OHIP) is no longer covering circumcisions, which fails to take into account people who need the surgery for religious reasons. The government should be more aware of religious beliefs requiring circumcision. A better approach could be to target coverage for those who need it for religious reasons, while also informing the general public that routine circumcision is unnecessary and carries some risks. This way we maintain patient autonomy but provide access when warranted by religious belief. The key is fully informing all patients and balancing access with education on risks and benefits. This allows patients to make autonomous choices while targeting coverage to those with religious need.

student-720

Interview

As a patient who has autonomy he does have a right to know what's going on. However, it is important to consider the parents' feelings, as they are closest to their son. I would take time to speak to the parents and explain that their son had asked me to explain his situation, and that I can take it slowly so as to not overwhelm him. The parents may have reservations but by letting them know about how I planned to break the news, and that I wouldn't use medical jargon, it could make their son less fearful of the entire process that he was going to inevitably go through. It would be good to have their input and I would be able to stay in the good graces of both the parents and the child.

student-714

Interview

In this complex scenario, I would aim to balance public safety and the autonomy of elderly drivers. As someone living with grandparents, I understand the importance of independent transportation for convenience and self-reliance. However, certain health conditions associated with aging may pose risks. Rather than broad bans, I believe driving ability should be assessed case-by-case, perhaps with annual check-ins. This upholds seniors' freedom while addressing concerns. Driving represents vital independence for many older adults. At the same time, declining visual, cognitive or physical health could endanger others if not evaluated properly. Individualized assessments seem the fairest compromise between maintaining autonomy and ensuring road safety. With a thoughtful system of evaluation, we can preserve mobility and dignity for seniors while protecting the broader public.

student-753

Interview

This question brings up issues of justice and helping those in need. While there is an equity problem among coworkers when some have items taken, I believe the priority should be assisting the person struggling. I would start by calling a group meeting to remind everyone about available resources like insurance plans, breakfast served daily, and supplies like toothpaste. I would ask coworkers for suggestions on improving quality of life in the office and incorporate their ideas. I would also collaborate with colleagues to try and discern who is taking the items, which I assume are not extremely valuable. This indicates someone likely facing financial hardship. I would tell the group that anyone struggling should feel free to speak with me privately so I can offer more support. While noting that stealing is unethical, I would not shame but rather aim to understand their situation. For instance, if it seems to be a diligent employee, I would consider them for a promotion based on merit, not the stealing. I would encourage open communication and convey my desire to help. If it appears to be an outsider stealing, I would add security measures. My goal would be providing financial assistance through office programs to alleviate the need for theft. I would follow up to ensure the person is doing better and offer additional help as needed. The focus should be having an empathetic, private conversation to get to the root of the issue and assist the individual.

student-777

Interview

The issue is that I believe this is not ethical at all. I understand the doctor's perspective - they may feel they have created some sort of relationship. However, as a doctor, this should not be allowed. There is a significant power imbalance between the patient and physician. It's uncertain how much real consent the vulnerable patient can provide. This power imbalance contributes to the unethical nature of the situation. Another reason is that it dismisses proper care - the interaction creates bias that interferes with care. Finally, it violates professional boundaries that doctors must maintain as professionals and in a hospital setting. For these reasons, I do not believe it is ethical at all.

student-722

Interview

As part of this advocacy group, I believe everyone's opinions should be valued, so we must emphasize not routinely dismissing others' ideas. I would have a private, non-accusatory conversation with this student to understand their perspective on why they feel their ideas require more attention. While acknowledging their ideas may be great, I would explain the importance of collaborating towards our shared goal, as teamwork enables greater success. If they still choose to leave after this discussion where I had no ill intent and simply sought the group's betterment, I would reach out and reiterate that I only want what is best for the group. If there is still no understanding, unfortunately we may have to move forward without them. But hopefully the group is stronger overall by upholding respect for all members' contributions.

student-733

Interview

This is a difficult situation since the husband is unaware. If he found out, it could damage their relationship. However, he may already know the truth. I would first approach Linda privately without her husband, since we've confirmed it's her biological son but not his. Due to confidentiality, we can only discuss with Linda initially. I would present the results and ask how she wants to proceed - if she wants me to share with her husband, I can. But ultimately, it is her decision and I would respect her preferences. If she does not want me to disclose to her husband because he is not the father, I would not do so. I have to abide by her wishes given the son is not his. My priority is having an open discussion with Linda first and then honoring her choices on how to handle this sensitive situation.

student-734

Interview

This complex scenario requires a sensitive and compassionate approach. I would disclose the information to both the mother and father together in a private, comfortable setting while being fully transparent, as this is something they deserve to know. However, I would deliver the distressing news with great caution and care given the serious implications for the family. I also believe the biological father should be informed so that future pregnancies are aware of potential risks. Disclosing misleading paternity results inevitably has consequences. My role is to navigate this difficult revelation empathetically and honestly. By choosing the appropriate time and manner to inform all parties, I aim to provide clarity while attempting to minimize the disruption and anguish such news may cause this family. Though painful, they deserve to know the truth.

student-752

Interview

If the club covers the full costs for only three people, the other members may perceive preferential treatment, which could negatively impact working relationships within the club. We could split the money so everyone's expenses are partially covered, but some members may still be unable to afford the trip. To try to cover more costs for everyone, I would propose a fundraiser. Whatever money we raise could help offset more of the trip expenses per person. This approach demonstrates fairness by providing support based on participation rather than favoritism. It also fosters teamwork as members work together toward the common goal of making the trip accessible to all.

student-727

Interview

As a physician, my main concerns are the patient's health and respecting their wishes. However, at 16 they are a minor, so I would also need to consider the parents' wishes if they are the legal guardians. I would want to have private conversations with the patient and parents separately to better understand the patient's desire for the procedure and gauge their knowledge so I can provide information and answer questions. Similarly, I would seek to comprehend the parents' opposition in a non-judgmental way by allowing them to voice concerns and addressing any questions so they may feel more comfortable. After these discussions, I would encourage the parents and child to speak together to understand both perspectives. My role is to serve as an impartial third party source of procedural information, not advocating for either side since my duty is to both the patient and the legal guardians. By facilitating open dialogue for all parties to voice their reasoning, I aim to find the best resolution that balances the patient's well-being, autonomy, and the parents' right to decide what is medically appropriate for their minor child.

student-749

Interview

If I've been given responsibility to mediate a conflict between two people in the next room, I would first gather as much information as possible about the situation from both parties. I would make sure to listen closely to each side with compassion, empathy, and an aim to understand both perspectives. I would then ask each party to communicate their ideal solution or outcome. My goal would be finding common ground where neither is harmed and both gain what's most important to them. While I know this isn't always possible, adequate communication and understanding could get us there. As the mediator, I could facilitate this by providing a balanced perspective and allowing each side to fully voice their ideas without interruption, coming from a place of empathy. With this understanding approach, I believe some mutual understanding could be reached.

student-763

Interview

As a doctor, your first role is to prioritize the patient and act in the patient's best interests. So of course, if the patients feel as if they want a different doctor, then I would oblige and try to help them find a different doctor that is a better fit for them. However, as a physician, you have a responsibility to be professional and try to better yourself and try to be the best you can be. So I would first reach out to the family and ask them what exactly I might have done wrong and what exactly I could do to be better in situations like this, because I want to learn from my mistakes and be better for the next patient. Maybe this bedside manner difficulty was because I was from a different culture than the patient. So in order for me to be a good health advocate and have cultural competence enough to give equal high quality care to patients from all different backgrounds, I have to try and figure out what the root of the problem is so I can address that problem myself. Lastly, as a doctor, you have to be a good communicator and build a good relationship with your patient and be able to empathize with them, explain things to them in a way they can understand and make sure that they have all the information that they need. So if I was not clear enough or not sympathetic enough to the patient situation, that I need to know so I can adjust my approach moving forward with different patients. I would also ask the family if they would like to give me an opportunity to fix my bedside manner and make it suit their needs better. And if they say no, I would of course tell them that's totally fine, and try to give them options of colleagues who might have the kind of bedside manner that they are most comfortable with and what they're looking for.

student-806

Interview

In this complex situation, I would prioritize personal safety while looking out for the homeless individual's wellbeing. Rather than chasing the two girls and risking harm, I would stay with the individual, empathize by asking about their situation and experiences. I would inquire if they've raised this as a concern to authorities and offer assistance in doing so if desired. Providing emotional support and legal guidance within my abilities could help. If the individual wants assistance in reporting this mistreatment, I would help navigate that process with authorities. My focus is avoiding an unsafe confrontation while assisting this mistreated person in finding a constructive resolution. Listening compassionately and advising them on options to address this recurring issue is likely the most prudent course of action.

student-740

Interview

In this airplane scenario, my first approach would be to politely communicate with the parent and see if they could possibly switch seats with their screaming baby. If that doesn't work, I would offer to change my own seat as an alternative solution. This reminds me of a time during clinical experience when an elderly male patient was giving the receptionists a hard time about long wait times. Since the providers were very busy, I stepped out of my comfort zone as a volunteer with no patient experience and approached the man myself to try and calm the situation. I engaged him in civil conversation, acknowledged his frustration, and asked some questions about his concerns. Though initially still upset, he soon relaxed and we were able to connect on a human level. By the time providers were available, he had completely calmed down and thanked me as he left. Similarly here, though screaming babies can be grating, I would empathize with the stressed parent. If the noise became too much, I would politely communicate and try to find a mutually agreeable solution, whether that's them moving or me switching seats. The priority is addressing the issue compassionately through open communication and perspective taking.

student-787

Interview

This is a difficult situation that requires considering multiple perspectives - that of the physician dating their patient, the patient themselves, and my own role and duty in this situation. As the patient's physician, they likely see them as a trustworthy source of care. However, physician-patient relationships have an inherent power imbalance, as physicians hold greater medical knowledge, which can unduly influence patients' decisions. This could lead to the physician not prioritizing evidence-based care with this particular patient. As this represents a conflict of interest, it raises ethical concerns regarding patient care at the clinic. Having recognized this issue, I have a duty to address it professionally and calmly, not making any rash judgments. I should initiate a discussion with the physician to outline my observations non-accusatorily. Framing this as a legal and risk mitigation issue may make it easier to convey. Emphasizing our shared commitment to patients' wellbeing is paramount. An alternative could be transferring the patient's care to me, allowing continuity while eliminating the conflict of interest. With trust between us, they may agree this is best. Please let me know if you need any clarification or have additional questions.

student-827

Interview

As a physician in a position of authority navigating this complex issue, there are many factors to consider. Rather than directly advising based on personal opinions or biases, I would try to understand the family's full perspective. I would aim to grasp their personal, moral and ethical values, as well as any relevant cultural values. While not imparting any assumptions, I would assist them in whatever path they choose after thoughtful reflection. My role is not to provide a direct answer, but to encourage their process of making an informed decision aligned with their beliefs. By thoroughly listening rather than steering the family in a specific direction, I allow them to determine the course they feel is most appropriate based on their circumstances. My goal is to create an open and supportive environment for these difficult conversations.

student-739

Interview

I believe it is unprofessional for a physician to date their patient. As doctors, we must prioritize our patients' best interests and follow the principle of beneficence. Although the relationship may not directly harm the patient, it could impact their care and health outcomes. My first step would be to have a private conversation with my colleague to understand the situation fully. I would not want to make assumptions or accusations without hearing their perspective first. I would ask how long the relationship has been going on, how serious it is, and if there are plans like marriage. Depending on their responses, I would consult our clinic's ethical policies to see if such relationships are prohibited or if parameters exist. If it is a long-term, serious bond and our policies permit it with conditions, I may suggest the patient switch doctors while allowing the relationship to continue. However, if it violates our ethical code outright, I would encourage ending the affair. For a more casual relationship, I would urge my colleague to discuss it with HR and follow their guidance. In any case, I would provide support through the process and follow up to ensure the matter is handled properly. While sympathetic to their situation, our duty as physicians is to our patients first. We must make choices that promote their well-being.

student-791

Interview

Hi Jason, it's good to see you today. I'm glad we could meet up. I was wondering how you've been the last few days since I haven't heard from you - I was concerned. How are the medical school applications going? Is everything okay generally? Have you been eating and sleeping alright? It was surprising when you didn't come to class since you're usually so diligent. I'm sure there's a logical reason, but as your friend I want to make sure you're doing well. Please let me know if there is anything I can do to help or if you need someone to talk to. I'm here for you and just want to make sure you're taking care of yourself. Let me know if you need anything at all.

student-755

Interview

The prompt is to discuss gambling in the larger sense and its implications for society. There are a lot of pros and cons to gambling. It is seen as a recreational activity - it can bring people together, give them something to do, be a stress reliever, or just fun if you go to a casino or buy a lottery ticket. Those are considered forms of gambling that can be harmless. However, gambling also has significant downsides in that it can become addictive. Once addicted, it is very difficult to break the habit and can impact not just the gambler but their family and friends. It's difficult for addicted gamblers to see when they cross a line. Addiction is an illness that needs to be treated as such. If someone with a gambling problem asks you for money, it's important not to give in right away. You need to convey worry for what they'll do with the money. Remain calm and not argumentative or accusatory - that doesn't help in these situations. Approach delicately. Recommend solutions - say you're coming as a supportive friend who has looked into resources that can help, some form of rehabilitation may be necessary because you want them to avoid further harm. Identify you're trying to help, not control. Ultimately it is their choice to seek help, but your role is to facilitate that discussion and encourage them to reach out. Gambling can have really detrimental impacts - I've heard of people losing homes, affecting family. I don't think the pros ever outweigh the cons. It can become a very harmful habit. I personally don't enjoy gambling, so maybe I'm biased, but I recognize it can be fun and social for some. Organizations that run gambling have a duty to not promote unhealthy behavior and provide resources for those who become addicted. Friends and family have a duty to each other, and the community has a duty. But organizations like OLG have a responsibility to ensure they don't promote unhealthy habits and provide resources for gambling addiction.

student-812

Interview

If I found this individual to be problematic towards myself, I might feel the need to bring this to their attention. However, if their behavior is affecting others more than myself, I would consult with them before bringing it to the individual's attention. I would want to engage in a private, open-ended dialogue to better understand their perspective. Perhaps it is a misunderstanding, or they are unaware of being stuck in their own perspective. My goal would be to kindly educate them and help them realize how their actions impact other group members and myself. If they left the group after our discussion, it would be unfortunate to lose a strong contributor. However, I would not feel at fault since I did what seemed necessary after consulting others - it would have been a collective decision. I could reach out after their departure to gain their perspective and hear their side, then potentially rectify the issue by mutually agreeing they return. Or, I may need to acknowledge and accept their departure, wish them the best, and part ways.

student-759

Interview

In this situation, it's important to recognize that both participants are looking to win, yet there can only be one winner - which poses a big issue since the applicants appear equally strong. However, gathering more information about each project could reveal differences. For example, they may have different motivations or thought processes behind their projects. Although the content seems equally good, the reasoning and potential impact could differentiate the two. Furthermore, if one project is more organized or addresses a more recent problem, it may be better to choose that one since it is more current. Even if the presentations themselves are equal in the judges' eyes, exploring the projects more deeply could reveal compelling reasons to choose one over the other.

student-761

Interview

In this complex situation, I would aim to uphold my duties as a medical professional while also seeking to understand the individual's perspective. I would have a private conversation to gather details on their concerns with being hospitalized and empathize with their reasoning. Perhaps past hospital trauma is fueling this behavior. Recognizing the motivations behind their actions is key. I would offer emotional support and tailor my approach to accommodate their needs with sensitivity. This may involve being mindful when providing medical advice and directing them to additional mental health resources. My priority is fulfilling my role as their provider while also showing compassion. By listening and gaining insight into their viewpoint, I can better serve this patient in an ethically sound manner that addresses both their medical and emotional needs during a difficult hospitalization.

student-748

Interview

This is a sensitive situation, as public health should be the top priority, yet tracking individuals' movements can impose major privacy risks that make citizens feel exposed. Given these competing concerns, the best approach may be finding alternative public health measures that lower disease spread while respecting privacy. Suggestions already implemented worldwide include masking mandates, vaccination requirements, social distancing, and limits on gatherings. While controversial, dissecting perspectives on why they help can build understanding. Officials can share unbiased data on masks, hygiene and distancing to educate citizens that these measures effectively reduce transmission based on evidence. It's also key to remind the public of the goal - reducing illnesses, hospitalizations and deaths. With limited hospital capacity, surging cases can overburden healthcare workers and restrict care for other emergencies. By informing citizens of these broad implications, they may better comprehend the purpose of safety measures despite privacy tradeoffs. In summary, educating the public with clear evidence-based rationale for interventions can promote informed choices. Citizens may then continue safety practices willingly, knowing the societal benefits, while retaining autonomy over health decisions and minimizing invasive tracking. A thoughtful public health approach requires openness on all sides to find solutions.

student-766

Interview

Yeah. This idea of a bonus fee per doctor visit for me, on the surface of things, it does not sound like a really good idea. The reason why is because it will create scenarios where nonadherence may arise. And nonadherence as a prospective physician assistant, I understand how risky and how dangerous that is. By nonadherence, I mean the fact that a lot of patients or potential patients may see that cost and not think that their particular condition is worth going to see the doctor for. For example, an older patient who may experience headaches. A headache could be an underlying factor, an underlying symptom for a much more severe condition like a stroke or some forms of diabetes or other heart disease. So that could create some confusion and that could all stem from that additional cost that comes from those visits. And another way I could see nonadherence coming up in this scenario is through patients just not following through with additional follow-ups, for example, or prescriptions. In my experience, when I was volunteering at a family walk-in clinic in the Peel region of Ontario, I've spoken and had conversations with some patients who did not feel like going through with their prescription was worth it. One person who I was having a chat with a few months ago during the middle part of my journey as a clinical volunteer told me how he had some form of eczema. And there was this cream, this topical cream that was prescribed to him by the physician at the clinic. But he was telling me how because of how expensive and pricey it was, that he didn't feel it was necessary or worth it to follow through with it. But now we can see that and how it's reflected in this scenario where some patients may see that cost and think that it's way too hefty and not follow up with what a physician may suggest or a prescription or another visit or a visit to another specialized clinic. And these are all factors that do come into play when creating this new policy. But one positive impact that I could see come out from this new change could be the decreased wait times as some patients may see that their condition isn't as serious or necessary to visit a doctor. And that could overall in the long run decrease how many patients there are in a clinic at a specific time. But once again, that does intertwine with the negative impacts because if a patient feels like symptoms aren't as serious, where do we draw that line? Where it becomes serious or where it may be part of an underlying disease that may be more serious? So that is yeah.

student-797

Interview

This is a difficult situation because as a physician, I always want to ensure that the patient, whoever they're associated with, is experiencing and having competent care, but also that they feel comfortable with the care that they are given. For them to feel uncomfortable is an injustice. As a physician, I would first in this situation, if they're talking to the supervisor, ask the supervisor if they would be comfortable enough meeting with me again. If they are, I would say that as a physician, my primary responsibility is towards the patient. I will do whatever I can in my power to ensure that your patient care experience is as comfortable as possible. I would ask if they're willing to meet with me in order to discuss how we can improve this relationship and what I can do to ensure that the patient is not only fully autonomous but is receiving competent and comfortable care. If they are comfortable enough meeting with me, then I would meet with the patient and their family. I would say to the family that I will do whatever I can in my power to ensure that you receive competent and comfortable care. I would address any concerns that they may have. I would ask if they were willing to continue with me as a physician, and if they believed that even though I address these issues, if they believed that they would have a more comfortable care experience with someone else, I would put them in contact with another physician, or I would ask my supervisor to put them in contact with another physician. Although in a perfect world, if I was being completely objective and there weren't any issues with the care, then I would want to continue with them being their physician. But if they believe they'd be more comfortable with someone else, the primary responsibility as a healthcare provider is that you give your patients the most comfortable experience that they can have. I would ensure that they are with a physician which can provide them with the care and comfort that they require.

student-819

Interview

Thank you for the question. I distinctly remember the book that initially sparked my interest in what I want to pursue later in life. It was a basic book about human anatomy that I found in 8th grade. It had transparent pages where you could go through the layers of the human body - the skeleton, muscles, and I remember reaching the nervous system and brain. I remember being stunned for a few minutes while reading because to the 13 year old I was, this fundamental brain information was magic to me. I couldn't believe what I was reading, and most of it remains magic to me today. As cheesy as it sounds, it was then that I realized I wanted to dedicate my life to studying the human body, but the brain in particular. I didn't know how or where I'd do that, just that I wanted to in some way. It wasn't until years later when my grandmother fell ill that I saw neurological symptoms firsthand. She had Parkinson's which progressed to delirium. She was hallucinating and saying things that didn't make sense. I had seen people get sick before, but never display neurological symptoms like that. It was disturbing because someone I had known for so long suddenly became someone I didn't know due to changes in her brain. It deeply affected me and remains with me. Later, I decided to shadow a neurologist to witness the field up close. The neurologist dealt with patients with various neurological symptoms. What stuck with me was the position the physician had and his ability to give hope. I think that's extremely unique to a physician's profession. Many noble professions help people, but physicians can give hope. As neuro patients, we face frightening possibilities of our illnesses erasing who we are. So seeing the physician give hope, saying "You'll still be you, you'll survive" had a profound effect. It reminded me of my grandmother and the helplessness I felt. It encouraged me that if I could one day give hope to someone like my past self, I'd be eternally grateful. It reinforced my excitement to potentially pursue neurosurgery at U of T. So in summary, that book sparked my initial interest in the brain, my grandmother's illness made it real, and seeing a neurologist give hope to patients reinforced medicine as the career path to pursue. Thank you for the question.

student-810

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