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Casper

This is a difficult situation, as the supervisor may be intoxicated, which if true, could compromise the safety of patients in the clinic. It would be best to approach this situation in a private, nonjudgmental conversation with the supervisor, to determine if they are truly intoxicated. Indications of intoxication include alcohol-smelling breath, which can be a symptom of other medical conditions, so it is important to get a grasp of the whole picture before coming to conclusions. If they are indeed intoxicated, I would talk to her and recommend that she not work at the moment, in the interest of patient safety. I would then report their behavior to a superior, as intoxication is highly inappropriate in such a position.

student-27

Casper

Although the way Jessica's parents are treating her is completely wrong and unjust, I understand how Jessica's concern on being sent to a foster home. However, I believe that I must take action, as child abuse should be taken seriously. I would first talk to Jessica in a private and empathetic manner, and let her know that I am sorry for everything that she is going through. I would then stress to her that her family situation is not okay and that her parents are not treating her well. I would validate her concerns, but also let her know that she could be much happier in a different environment, with caretakers that treat her properly. I would also offer my assistance in the matter to ensure that she will be taken care of differently.

student-122

Casper

Volunteering allows individuals to be exposed to people of different backgrounds. This could be individuals with different socioeconomic status, cultures, religions, beliefs or health.

student-294

Casper

There are still many things that are unknown in the situation. So, I would focus on gathering more information before making any decision. I would start a friendly conversation with the person about to pick the phone as one would at a party, with the goal of directing the conversation towards learning more about the relationship between that friend and the host as well as the reason that motivated their act of looking into someone else's phone. If the friend says that the host is aware that they will be looking into their phone, then I would understand their position and trust them (but still encourage them to wait for the host since a phone is personal and can contain many things). If not, then I would first encourage them not to complete their act as it may breach the host's right to privacy and to wait for the host to come back and ask them what the notification was about. This will maintain the host's right to share the information only they want, hence respecting both the host's privacy and autonomy. As a member of the party, to do so, I would further engage them in the conversation or even getting drinks/something to eat (at least till the host returns) to respect the host's privacy while also maintaining the joyful ambience of the party considering other friends are also present. Hence, my goal would be to respect that privacy is not breached while also maintaining a positive atmosphere for everyone on site.

student-2

Casper

I like to be upfront when something is wrong. I would talk up because I would want to fix this behaviour. I am sure that i am not the only one that feels this 2way. It is possible that otehrs are simply afraid to speak up and they need a leader to do so. I would ask them why they make these comments(self reflect) is it possibl ethey might not even know that they are saying hurtful comments.

student-685

Casper

I think that both of the people in this situation could have handled it better. For example, the man may be prejudiced against healthcare workers. However, he may have also had bad experiences with healthcare workers during covid and they may have caused the death of his family members. He could also be just having a bad day. Or he did not mean to be rude wiht his question and could be just bad at reading social cues. I think that the healthcare worker should have also been more understanding with his response and not take it as hostile. However, it is very understandable that someone may be irratable after a long and tiring shift at work. I think overall, both people in this situation could have handled it bettwe however, no one is in the wrong persay as they may both have valid reasons for their interactions.

student-33

Casper

J'essayerais de le contacter en privé pour comprendre les raisons derrière son intoxication. Il se peut que cela ne soit que temporaire, dû à une fête hier soir. Dans ce cas, je lui rappelerais qu'en tant que travailleur de la santé, il doit maintenir un certain professionnalisme et il serait mal vu pour lui d'être intoxiqué. Je lui suggérerais d'éviter ces situations en ne fêtant que la veille d'une journée de congé. Si c'Est plutôt dû à une dépendance d'alcool, je de manderais de l'aide à des professionels pour résoudre sa dépendance.

student-267

Casper

First I would ask him whether he was smoking it for medicinal needs. If not, I would confirm that what he is smoking is marijuana indeed and if it is, confirm his legal age. Then I would ask him whether he knew it was not allowed on school premises despite the fact that it is illegal. After gathering all relevant information I would want to make a decision in keeping with the well-being of my schoolmates along with respecting the privacy and maintaining the confidentiality of this individual. If he was unaware or it was his first time then I would let ask him to let the authorities know and explain the situation regardless in alignment with school policies. If he shows no remorse for his actions then I would have to report it to my school authorities.

student-466

Casper

I would try my level best to wait as much as I could for the station to clear up I would also ask around to see if there is anything else I can do, or maybe take another way to my exam I could also uber to my exam if I had to, because if i get ticketed that would cost me more, and it;s illegal

student-666

Casper

I would first consider that she is grieving over the loss of her relationship and that can be hard on her mental health. I would ask her how she's doing, whether she's staying healthy within her house, and what I can do to support her. I would ask if she would be willing to go outside with me as well so that she can stay healthy. If she is unwilling to leave her house, i would ask if i could visit instead to provide her support. If she is willing to go outside, we could do the things she likes to do so that she can enjoy her time. Either way, if she is still feeling sad beyond a point I can help with, i would prompt her to seek professional help and give her mental health resources.

student-324

Casper

student-122

Casper

I do not believe charlie is overreacting. Charlie is genuinely concerned about the wellbeing of his brother and upholding the law. If i were charlie, i would acknowledge my brothers concerns, say i understand he has good intentions, but the permit is required, and is in both you and the customers best interests. For example, if therre is an accident or someone gets hurt, the police know where you are and can provide help since they are aware of the situation. ultimately, i would try to figure out what is stopping my brother from getting a permit (maybe he doesnt know how, and in that case, i would help him) or maybe he just doesnt see the importance, to which i hope my previous response would better inform him.

student-285

Casper

My main concern is the fairness to all members, and the wellbeing of the no-show student if they try to take credits without any effort. They might facing some difficulties, so I would talk with them privately to see are they experiencing something difficult. If no, then I would tell them that they need to put effort on the project, so we could do the presentation togteher, and I would like to help them. If they do, then I would ask is there anything we can help, and we will help them go through the difficulties, and help them do the project together. If the difficulty cannot be solved, I would like to ask our teacher, and come up a solution together.

student-636

Casper

As I am the invigilator for the test it is my duty to investigate and report any instances of cheating. The fact that I know the student may push me to address the situation with empathy and care, however this would not prevent be from determining if cheating was involved and to proceed with the requisite actions to address it.

student-610

Casper

This really depends on how he is currently feeling. I would first let me him know this hos feelings are vaild, as the country we live in is diverse and the governevr does have a responsability to be equitbale an equal in how it treats poeple. I would then let him know that I agree with this and that I can help him find a group that is advocaing for this issue in society to be fixed. I would also ask him what he would like to do in this sistuation and do that.

student-699

Casper

It is important to stand up for what I believe in as those jokes are inapprotiate and insenstivie. However, at the same time I want to ensure that I get along with my co-workers and we have a cohesive workplace. I would decide to introduce this topic privately with one co-worker at the time and use a nonjudemental approach. I would tell how I feel about the jokes and how it makes me feel uncomfortable. I would encourage them to not make those jokes as it can hurtful towards some people and may damage the work environment and team cohesiveness in the long run. After having the discussion with them, I would wait for a bit and see if they are still making those jokes. If they are not, I would thank them for understanding and acting on what I suggested. However, if they keep making those jokes, I may consider reporting them to the HR or my manager at work.

student-303

Casper

I don't think forbidding friendship would be a healthy step for me to take based off the current information. Firstly, I would console my child - I would apologize that we couldn't afford those toys, but try and remind him of the toys he does have, or the games they can play without toys at all. Pretending is a great form of play. However, I would tell my child that it was rude to brag about toys, and if it happens again he can ask his friend to not discuss that topic. I'd also ask to talk to the friend's parents and explain the situation. They may themselves be horrified at the behaviour and take the chance to explain to their child that it is rude to brag, and that toys are just material things. The important thing is to be kind to each other. If the friend was still continuing to be rude with no change in behaviour, I wouldn't forbid my child from being friends with them, but I may encourage them to spend time with other friends (regardless of SES) that don't make him feel bad about himself.

student-23

Casper

As the bus driver, John has a professional responsibility to follow the rules. So, I am concerned about the elderly lady's health, upholding justice (everybody else paid, so it would be unfair to let her on without paying), and also john's reputation and job (because he could face consequences for letting her on). So, I would first try to find an alternative solution. Could john wait while the lady walks back to her house? Would another passenger be willing to pay the $2 (or whatever the bus fair is in funtown), i have done that a couple of times, but its unfair to expect others to. Also, if john has the means and is seriously concerned about the lady, could he possibly pay for her?

student-210

Casper

I tried mindfulness before .that is useful for me .it can help me a lot during the period of that time .I was struggled with my assignments and other important thinngs .so I started midfullness ,it can really help me to focus on tasks I need to do .it is a really good method to improve yourself.

student-702

Casper

I think of a time back in junior high when a racial slur was used against me. In that moment, I didn't know how to react and even if I should react. It was a very difficult situation being that I was so young and immature and I had never been in that kind of position before. I knew racial slurs were bad and I understood that they also made me feel worse about myself but I didn't know the implications of using words like that.

student-100

Casper

Yes. I would ask them what they are doing. It might be that what seems like physical abuse is actually something to help the cat out of danger. This would require me to communicate with them and ask them about their actions before taking actions against them. If it seems that the teenagers are intentionally harming the cat I would confront them and ask them to stop with a firm tone. If they persist I will call the police and report them as animal abuse is not to be tolerated under any conditions and I am responsible as a citizen to stop any such behavior.

student-414

Casper

bien que je comprends que cheryl voudrait le dire à son amie car elle voudrait lui informer de cette situation au plus vite, puisque cest une grande révélation. ceci pourrait donner à son ami loccasion de passer plus de temps avec son grand pere plus tot et contribuerais à renforcer la confiance entre cheryl et son ami. toutefois, je ne crois pas que cest la place de cheryl de révéler cette information. en effet, meme si elle ne fait qu'observer l'oncologue, elle devrait respecter la confidentialité des patients. aussi, elle n'est pas formée pour délivrer ce genre de nouvelle dévastateur, et elle devrait laisser le professionel le faire de manière appropriée. il se pourrait aussi que le grand pere lui même n'ait pas encore décidé sil veut révéler cette nouvelle à cet instant ou non.

student-76

Casper

I do agree with this statement. Unfortunately, there is an opportunity cost to every choice we make. Sometimes, some choices must be made, but these choices also involve giving up other things.

student-708

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 tell him that I understand his worries as theft is a big probl

student-359

Casper

My primary concern would be the wellbeing of and maintaining fairness to the employees who will be laid off. i would first want to apologize and remain respectful and understanding of their emotions and feelings that they may experience while announcing the news. I would be transparent about the concern that has been raised, and assure them that i will do whatever is in my hands to resolve this issue as soon as possible so that they can start working at the earliest possible time. I would let them know that I am available if they would like to chat furtherr about this or they have any questions.

student-575

Casper

I will not report him, as a friend and a peer I risk social exclusion for reporting him, and the upside of potentially teaching him a lesson is limited. I beleive it would be more effective to speak with him and try to get him help and support to quit or reduce his use, at the very minimal to teach about the effects. often disciplinary action such as suspending students does not solve the issues as a very similar situation happened to my cousin and now he is expelled and does even more drugs since he is never under supervsion

student-618

Casper

In my biochemistry class, my group project included 7 students. We all came in with our own experiences. Most of us didn't know much about biochemistry at first, so we deferred to someone who's more knowledgeable. He acted as a peer tutor for us, and I learned a lot about biochemistry both from readings and classes, and from him. From this experience, I learned the importance of humility and learning from people with more knowledge and experience.

student-216

Casper

This is a serious issue. First of all, I need to know the type of crime that has been committed. If the crime is simple as a trespassing versus something very serious such as murder case, there would be somewhat different approaches, but all leading to same conclusion, for Sammy to come clean and turn himself in. Given the severity of the crime, I would first go to Sammy and tell him you to need to come clean. I'll have to understand why Sammy committed said crime as well. What was the reason for the crime, was it that he needed money. Maybe I could help him out with that as well, but he would need to come clean. If Sammy does not and someone else's life is ruined, I would go to the authorities myself and tell them about Sammy committing that crime.

student-439

Casper

I think it's expensive because it takes more money to maintain these areas, and the land itself is more expensive too, and all those expenses have to be payed through things like parking money and rent and taxes. I think it also maintains the image of the neighbours and paints it as luxiourois.

student-438

Casper

This situation would be difficult for Kevin, as he will not be able to find anything he can buy in this store, while staying loyal to his religion. However, it is also not the obligation of the store to appeal to everybody who walks in. As long as Kevin is treated well in this store, this would not constitute of religious discrimination, since after all, Kevin could buy pasta at another store.

student-531

Casper

There could be many reasons behind the prevailing skepticism. For one, it could be a lack of knowledge or belief in the science behind mindfulness and its effectiveness. It could also be perhaps its simplicity; when connected with the giant of stress one might think \"how can something so simple as mindfulness help me get through this?\"

student-594

Casper

I would get involved by talking to my friend about it first. I would approach her in a calm manner and ask her if everything is okay. I would then advise her that I have to disclose this to our boss.

student-701

Casper

the benefits of volunteering are vat. It is good for your own mental health as when volunteering with others it allows you to socialize, and feel good about doing a good deed. It is also really rewarding to help out others. You will have a better CV as well with volunteering hours. It also allows you to be more compassionate as you are taking the time to help others

student-512

Casper

This experience was during a school course assignment in which we had to design and produce an infographic related to a biochemical subject. There was another student in my group who took charge straight away assigning roles and determining due dates. I felt my role was largely completing my assigned section of the project and being a motivator for other students to give us encouragement to complete the assignment.

student-205

Casper

I feel upset that my manager is dismissing this man. Although he may be homeless, he is a human being just like everyone and needs to eat. I feel that my manager is putting the success of her buisness before a basic human right. In this situation I would be inclined to reason with my manager that the man should be able to order food just like any other customer.

student-582

Casper

some people might think that it can be a waste of time just sitting instead of doing somework. without the knowledge of what benefits it may have or even tryong it out one may not know.

student-548

Casper

I would let them know that I am not comfortable with these jokes and try to shift the conversation in a new direction. I would try to bring up a new topic that interests everyone, so we can stop making fun of people, but hopefully still get along with my coworkers.

student-647

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

During my undergrad i used to work at a gas station, in which I had many responsibilites. I had to clean and he;lp customers and also promote the sale of items. One item that I did not feel comfortable promoting were cigarettes however I was still new at the time and was faraid to disobey my supervisor who mentioned that promotion is one of the obligations. Whjil;e not explicitly mentioned I percieved the sitatuion that I would be potentially fired if I were to bring it up. As he was my boss and recently hired me, I was afraid to bring this up to him as their may have been consequences.

student-323

Casper

I would approach Amy in a kind and apologetic manner. Personally, as I am a manager, I would take immediate responsibility for my forgetfulness and congratulate her on the award. I would also take this time to address any tensions which have existed between us in the past and apologize for those as well, as I am the person in \"higher power\". I would ensure her that I did not purposely forget the award due to our past conflicts, and offer to settle our differences and have a clean slate.

student-48

Casper

Since I am Dorothys best friend I would know she spent her time with her boyfriend and may have become dependent on him being around. This would then allow me to speak with her in privately about how she felt about their breakup and ask her more personal questions than if I was a strange. I would then know her favorite things, hopefully and I could suggest we do those together so she didn't feel alone. I would also suggest that she either talk with me or a therapist so she can have a safe place to pour her feelings out so we can get her back out in the world and doing what she likes.

student-54

Casper

Given the state of my relationship with Amy, my first priority would be to try to understand and be mindful of Amy's feelings during the conversation. If Amy had been expecting an award, she may be feeling upset and unappreciated. In this situation, the best way to give an apology is to take responsibility for any errors on my end and to propose a course of action that I will take to try to rectify the situation. I would first approach Amy in a private setting and apologize for the mistake on my end before either giving her the award then or promising to double check the list of recipients going forward before ending the event.

student-95

Casper

They may be forgotten because they are less seen by patients and the public. Their work, while extremely important, has a more indirect impact, which could cause people to not recognize their essential role in the system. In society their roles

student-540

Casper

I would first check with what the obligations of being a prison doctor. If I was required to inform the authorities of drug use and possession as a part of my job, I would report it. Regardless, I would further discuss with the inmate to determine the nature and usage of the drugs, to determine the risk and severity and to see if there is anything that can be done to help and support the inmate as drug use can be a difficult situation to navigate.

student-532

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

I would first comfort my friend and ensure that they are feeling alright as they were clearly bothered by the situation. Once I know my friend is doing better or if I'm with other friends, once I know they are being taken care of by another friend, I would approach the person who took the video. It is important to be non-confrontational and to simply explain to the videotaper that my friend and I do not like being videotaped and we request that they delete the video. I would suggest maybe taking the video from another angle or if they wanted that specific moment on tape and I have the footage I would offer to share it with them as I can guarantee that my friend and I are not in it. If the person is refusing to delete the video, then I would calmly ask someone such as security for help as it is important to my friend that they not be on video.

student-452

Casper

If charging for electricity does not affect the jobs of people that work in the field of supplying electricity, then it would be beneficial to allow for a wider access to electricity. However, if the governments do not have enough money to cover the cost for electricity, it may end up causing more harm to other areas to allot more money for electricity.

student-458

Casper

No, I don't believe that they should be laid for that specific purpose. The hospital is a very complex environment and requires many people's expertise. So, even if their teaching skills aren't up to par, their clinical skills can still be used to help other patients who are at the hospital.

student-663

Casper

First of all I would have a private and non judgmental conversation to learn more about their story. If the store can manage the finances, then I would empathise with the customer and accept the refund. If the store is more strict on its return policy, then I would communicate with the customer if they used a credit card that can be tracked on our system, or find the security footage to validate that he purchased the guitar here. I would try to handle the situation calmly and find a solution.

student-339

Casper

Kevin should speak to them privately, in an empathetic manner. He should advice them that it doesn't only hurt the relationship between the worker and the store, but also the store. If the store loses on the bread, they might not be able to pay the employees salary. Kevin should inform the employee that they are not mad, but understanding of the situation. Kevin should direct them to local food banks and other resources that can financially help them employee.

student-501

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 underatand that this is a very scary situation for Sammy and now me, as I am now invovled. I would first tell Sammy that I am happy he told me, and that I am here to support him. I would ask Sammy why he commited the crime, as I need to make sure I have all the information to properly analyze the sitatuation. I would tell him that I will not judge him and actively listen to him. I would tell him what I saw on the tv, and explain to him why I think he should come forward and be honest. Perhaps his hoenestly will be well received and the punishment less severe, but I have a duty to be honest and ensure that his other innocent person also receives fair treatment.

student-279

Casper

This situation is difficult since the law is involved. However, out of compassion and human kindness I beleive John should let the old lady get a ride for free. As much as the law is involved and it is very important to obey this is make sure every customer pays before getting on, it is also very importnat to be a kind and empathetic human being when necessary. It is not every day that someone comes up to you asking for a free triket, so i feel like it is necessary to let the lady on and john could out of kindness pay for her ticket himself.

student-370

Casper

The first thing I would feel is sympathy for the homeless individual, while I understand that the manager may have had previous eperience and reasons for kicking this customer out, I would feel concern if they are innocent and are being treated unfairly. Therefore, my concerns at the moment is making sure that this homeless individual is being treated justly, gaining more information about the situation, and my professional obligation to adhere to my supervisor's wishes and a consideration of their perspective.

student-147

Casper

student-94

Casper

If I were janet, I would listen shelly to t and understand were she is coming from. I would support her and let her know I am there for her. I would tell her that she needs to do what she believes what is best for herself. If her parents care about her, they should come around to her being a lesbian, but this is not always the case. IF shelly wants to tell her parents I would be there for her, and even be with her when she tells her parents if that helps her. I do not know how her parents will react, but I will be there for shelly whether she tells them or not. IF she thinks it is unsafe for her to tell them, thne I understand and will support her no matter what.

student-183

Casper

this is difficult sitautio and in this sitauton, i would talk to the teenagers in a private setting and in a non confrotational manner about taking the inappropriate pictures. after taking to them and gathering more information. it is possible that i was mistake and thought that they took inappropriate pictures which were otherwise taken from permission. if i find out that they did by mistake and were unaware how it can impact the poeple and their. privacy then in that situation i would guide them about where they went wrong and also ask to politely to delte the pictures. if they refuse to delete based on the rules and regulations then i would look into the rules and simply remind them that it not right and that they can get in trouble if they dont correct their behaviour. if they dont simply delete the pictures or apoligize to the poeple involved then in that situatio i would have to report this situation to my leader or an authority.

student-50

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

This is a difficult decision. I can acknowledge the store owner's feelings towards some high school students, as they are being more cautious about who they are willing to let into the store based on the thefts being from mostly high school students. However, the owner also needs to realize that it is likely a small minority of high school students that are committing the thefts and that it is rash to generalize to think every high school students are thieves. I belive that while I can empathize the store owner's feelings, this can be seen as discrimination as the owner is taking the actions of a minority in that group and generalizing it to that entire population and treating them differently than it.

student-18

Casper

It has become a common occurance that students especially feel the only way they can be compretitve in the workfield or when applying to graduate school is the need to have volunteer experience. I have felt this way myself. therefore, I believe many people would take this statment as showing how students are feeling pressure to only volunteer for the sake of having it on their resume rather than volunteering out of the goodness of their heart.

student-421

Casper

kein should approach the situation with compassion and empathy. While stealing is morally wrong, the employee was doing it to feed his family. I believe Kevin should confront the employee and let him know what he found out. but instead of getting made, I would advise Kevin to maybe seek alternative solutions. such as, giving the employee discounted food or food that would have been thrown out (as long as it is not past the expiry date). Overall, he should be understanding of the situation more so than wanting to punish the employee.

student-425

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

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

My main priority is looking out for jacob. So, i think that although it can come off as rude, we just need to make sure we are genuine, honest, remind jacob of our best interests and talk with him in a nonjudgemental way. Also, we should probably gather more information, for example, maybe he is dieting but today is his cheat day. So, if that was the csas, I probably wouldnt say anything to jacob. If in our private disuscussion he informs me that he is havin difficulty sticking to his diet, I would suggest some palces I know that I really like and are healthier.

student-346

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

As a health care provider, the saftey and health of the patient is the most important thing. I would understand the patient not wanting to wear a mask for personal right reasons but in a setting such as a hosiptal, the roles of th ehosptial are of the ut most importance. I would still allow the patient to be treated while keeping these thought in mind. I would explain to the patient why they should wear a mask, and hopefully by eduating them on the importance, they may change their mind so no one is at risk.

student-175

Casper

In this situation, i am mainly concerned for my friends. I would kindly ask all of them if they wanted me to ask the people to stop recording. If they did, i would quietly and non-confrontationally approach them and request that they stop recording and delete the video as we are uncomfortable. i believe that this is a reasonable request as there are many harms that could come to someone by having their image unwillingly uploaded to social media or used in other ways without their consent

student-227

Casper

As a new immigrant in Canada, in my first few weeks in Canada immigrating alone with no prior family members I felt lost and alone and felt like I did not belong with Canadians and my peers because they could speak better English and communicate well with each other and I could not.

student-164

Casper

This is something extremely difficult for everyone, including all of the employees being laid off. I would start by showing everyone that I understand how they feel and I understand how they will be affected financially. Then, I would tell them exactly what happened (without naming names) so that they understand where I am coming from, and that I did not have any malicious intent by firing them. I would tell them how we will proceed with the layoff process, the timelines, and then tell them we will provide support to them throughout the job search for future positions.

student-98

Casper

I would talk to my friend in confidentiality. I would tell them that i understand their fear of taking responsibility. However, I would inform them that since I know I would be considered an accomplice and that it is my civil duty to report him to the authorities. I tell him that I am here to support them, I could help them find a lawyer, and other experts that can help him. I would explain that is unjust for someone else to be arrested for something they did not do.

student-581

Casper

James must be feeling a lot of pressure as the head couch and want what is best for the team, which in his eyes is winning. He likely is just trying to make the team as successful as possible in the only way he know how.

student-490

Casper

Kevin should approach the employee without being judgmental. He should discuss the missing bread and should explain the impact it may have on the grocery store, especially if it is a small business. He should ask questions about the situation the employee is in and should ask why he is stealing bread. When learning about the fact that his family is starving, Kevin could offer something, like a salary increase so that he doesn't feel the need to steal bread anymore.

student-396

Casper

Teamwork can fail due to a multitude of reasons including miscommunication between team members, unequal distribution of work, and lack of team meetings. Communication within a team is very important for its success because, without it, other members of the team would feel out of the loop and will be unable to coordinate effectively to achieve a common goal. Moreover, if the work is not equally distributed then it can be difficult for p

student-246

Casper

My boss could not trust me and believes that I don't have integrity, which is not true, but I can't prove it.

student-686

Casper

I think that this quote can have many differnt interputation depending pn the person that reads it. I belive that this quote is saying that you have never truly know all the information that is out there becuase as humans were are continuously leanrinf new things and putting more information out there, as well as adopting our understanding of things as we gain new information.

student-643

Casper

I would first consult the store policy on refunds and examine to see if I am able to refund the customer in this scenario. If the store policy does not allow a refund, I would speak to my manager in a private conversation to discuss if there are any alternatives. If there are no alternatives, I would apologize, pull the customer aside and explain how it is my ethical responsibility to abide by the store policy and advise that I am not able to refund them. I would then offer my support and assistance to seek doctors that can offer a more affordable medical services.

student-132

Casper

This situation is difficult. On one hand, you should help Hazel if she is actually sick, as not doing so could affect her school work. On the other, you must stay truthful as that is a moral obligation, especially as a doctor. In this situation, I would not write the note right away. I would tallk to Hazel about my concerns and tell her that I do not have any findings suggesting that she is sick. I would ask her if she is feeling mentally unwell. If, after a good conversation, I come to the conclusion that she is not sick and was just looking for an exemption, then I would advice other resources to her. She could talk to the prof directly. She could talk with mental health services to get a grace period. Hazels need for extra time is still valid and requires further investiagrion.

student-304

Casper

I would firslty go ask the employee to go take a break, to seperate the two and allow them time to calm down. I would apologize to the costumer for the employee's reaction and ask what the issue was, to try and solve it myself ina more calm manner. Then I would go find the employee to talk to them.

student-573

Casper

Standing up to authorities can be extremely intimidating, so I think this is an area of development that should be emphasized and discussed more, especially given its long historical impact. For example, world war 2 and the psychology conformity experiments, we know that people tend to obey authority figures, even when the behaviours go against their moral values. So, targeting this area should be the focus of a new social initiative.

student-670

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 would be concerned at this point because it seems like my colleuge is thinking of drinking and driving. I know drinking and driving is ethically wrong and can cause people to lose their lives. I would not jump to any conclusions however because it is possible I misheard my colluege or maybe they were having a non-alcoholic drink at the bar. I would try to gather more information by appraoching my colleague and having a private conversation.

student-151

Casper

This is a difficult situation because you do not want to intrude on others and may feel uncomfortable approaching them, but their behaviour is disrespectful to the people that died there and the other visitors. I personally may not feel comfortable speaking to the teenagers due to a personal connection to the Holocaust. If I was comfortable speaking to them, I would approach them calmly and non-judgementally. I would ask them to politely stop and say that although they may not be trying to be disrespectful, that is how it appears. If they continued to act inapprorproatey, I woudl inform them that I have to tell security and inform them to stop.

student-158

Casper

I would be focused on preventing stealing but not jumping to any conclusions. I would first have a private nonconfrontational conversaiton with the individual. If I learn that it is their textbook then I would not pursue further. Perhaps, I could ask them to help me look for mine or see if there is a lost and found. If I do learn that it is my textbook, I would ask for it back firmly but politely as stealing is not okay. I could help them find other services to access the textbook such as library copies if needed.

student-314

Casper

I will verrify the words coming him by asking him more about the details whether it is a murder or a stealing case or anything else. and then I will approach him and show my thankfulness to him for being honest to me and further persuade him to go to police station and admit the crime by himself and say that I will be with him if he is too afraid.

student-694

Casper

I believe the corporate tax rate should be lower as it attests to the group of individuals that started up the business. Starting a business is a very difficult venture, with a lot of risk involved thus, having lower taxes to allow them to prosper can benefit society by increasing production for purchase. I also empathize with those who are underserved and who are lower in socioeconomic status. I think increasing government provided services such as, community centers, affordable house etc... can allow for a balanced solution.

student-673

Casper

i understand the mian issues here is the own's property right is violated, while the teens are enganing in a really meaningful and purposeful event. as the police officer, my responsbiiblity is to main order of society, thus i would tak on the owner's report and sepak with the teens. I would first gather more information from the owner about their complaint, and speak to the teens to see if this is their first time doing this, were they aweare they are on private property, and is there somewerhe else they can relocate to. If this is their first time and they weren't aweare, i would find the light amount possible according to the regulations, and advice them to see if they can get the fine reimbursed through their organizaiton. otherwise, they they purposely did this, i would fine them more as a warning. i would let the owner know of the turnouts.

student-15

Casper

As someone who is potentially getting recorded on somebody's phone, my primary concern would be the comfort of my friend. I would first want to ask my friend in a private and non-judgemental manner if she feels comfortable being in the video. It is possible that I may have misread her, and she is comfortable, in which case I would not take further cation. However, if my friend discloses that she is unconformatbel with the situation, I would encourage her to ask the person to not speak to the person about this or ask if she would like me to. If I speak to the person, i would first ask them if they are recording us, as they may not be. If they are indeed recording us, I would kindly and respectfully ask them to keep up out of the frame as we are not comfortable with being in the video.

student-104

Casper

This is a difficult decision to make. On one hand, paying respects to my aunt and being there for my mom through greviance is my responsibility as a family member. On the other hand, being the team captain of my basketball team, it is important for me to be present in a championship match. Since I don't have my driver's license, I would first see if I can coordinate a ride to the funeral. If I no ride is available, that simplifies my decision. I would also have a chat with my mom to see if she thinks I should be there. I am not very close to the my aunt and in many situations, having one family member representing a portion of the family would suffice. If my mom does want me to be there for emotional support, I think I would be obligated to go the funeral. I think my team would understand and support my decision to be with my family. I would make sure the I communicate with the coach, assistant captains, and the rest of the team to transfer my thoughts on strategy, my energy, and my positivity to the rest of the team before leaving.

student-21

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

Making sure I am in no harm, I would tell the teenagers to stop abusing the cat immediately. Further, I would say that physically abusing an animal is unethical since it is an abuse of power. I would ask them to walk away and leave the cat alone.

student-408

Casper

I would be tempted to purchase the test bank, however I would not purchase it. I want to learn the material on my own. Purchasing the test bank would not be an effective strategy for me to master the material and may only provide a temporary band aid for my grades. I may need this material in another course or in an exam or other in-class acitivities that the test bank does have answers for. In those cases, I really need to understand the material on my own. Instead, I would reach out to my professor for help, attend tutoring sessions, reach out to classmates, and. rethink my study strategies to master the material on my own

student-115

Casper

I don't think Richard should tell Jessica about the database. Since Jessica is struggling in the class, she may find it tempting to look on the database for answers to the questions to help her achieve a good score in the class. Instead, since Richard knows Jessica is struggling, he could offer to help her on his own, if he feels confident enough in his own grasp of the material. If he doesn't feel that he would be able to help her, he could suggest she tries finding a tutor to help her, and could even offer to help her find a tutor. He could also offer to visit the professor with her to ask questions, in case she is scared of meeting with the professor alone.

student-89

Casper

dans cette situation, jentrerais en une discussion avec les adolescents pour dabord les demander ce qu'ils sont en train de faire. pour tout ce que je sache, peut etre étaient-ils en train de filmer un projet pour contrer ce genre d'action et ne faisait que prendre des photos en exemple de quelques actions inappropriés à éviter. toutefois, s'ils semblent prendre les photos dû à une ignorance de la signification historique du lieu ou à causes d'intentions néfastes, jessayerais de les éduquer gentiment que ce qu'ils font n'est pas appropriée et pourrait offusquer et blesser plusieurs personnes.

student-82

Casper

On the one hand I have benefitted greatly from a lot of the more \"academic\" topics throughout my university career and I also believe that it is important to get a diverse education and to stretch your mind. So I do not consider these topics \"useless\". However I do understand that other important subjects have been left out of the education system for a long time.

student-344

Casper

Yes. That would be discrimination. This is treating a group badly. There are no harms that come to anyone because of this. This would be discriminatory to me because of my religion.

student-659

Casper

I would announce that due to a discrepancy in our financial status, we are not as successful as we had thought to be and because of this we unfortuantely have to lay off employees. I would ensure not to explicitly state why, as I do not want to risk embarassing the employee that made the mistake. I would also console with the employees that I have to lay off that I am deeply sorry for having to do so, and that I will be willing to connect them with other companies that are hiring. I would also offer to write any recommendations and references.

student-572

Casper

While Richard should care about Jessica's wellbeing and want her to succeed, although telling her about the website may be beneficial in the short term, it will not teach her the chemistry skills she needs in the future. For that reason it is better if Richard doesn't tell Jessica about the database, but rather either try to help her understand the concepts himself or try to refer her to other resources to help with her success. That way, Richard is still helping Jessica, while also ensuring the testing is fair and that Jessica is gaining the skills learned in the class.

student-261

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

The mmain concern here is the feelings of everyone involved and making sure that no one feels discriminated towards. First Jennifer should privately speak to Heather in an understanding and empathetic manner. Here Jennifer can explain her intentions behind the club and listen to her firend's concerns. If possible, they should try to seek comprimises such as using books that include couples of the LGBTQ+ community.

student-371

Casper

No, they should not. All patients no matter their socioeconomic status or connections should have the same treatment as any other patient. I can understand how the hospital and the staff can feel very grateful for the donation. This donation can help them run the hospital with the most standard of care. But anyways, they should treat all patients f

student-462

Casper

Although as a physician, I have a duty to upload the privacy of all my patients. Being a physician in a prison has other responsibilities as well like ensuring the safety of the other inmates. I would speak with the inmate in a private and non-confrontation manner and inform him that this is not allowed. I would encourage him to report the drugs and give them to the police guards. If he agrees, I will not report this. If he does not agree, I will have to report the drug use because this is against the prison policy and it can be harmful to this patient and the other inmates.

student-172

Casper

Given the situation, I would first verify the feelings of the patients towards the game. I would likely ask each resident individually privately in an empathetic tone open ended questions. I would probably ask what their feelings are towards this game, it there another activity that they may have a preference for. In this situation I would like to promote the autonomy of the patients and allow them to make their own decisions rather than misleading them into enjoying this game. I would also express that I am open to lead any alternative game that they might like to play and that I am here for them.

student-237

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

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

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

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

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

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

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

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

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

As frustrating as it might be to hear a parent does not want to vaccinate their newborn, I believe the parent is still responsible for making that decision for their child. The newborn cannot be considered a mature minor to make decisions, so it is up to the parent. However, I would still do everything in my power to try to convince the parents to vaccinate. I would ask to meet with them and say I understand their concern - there is a lot of misinformation out there and it can be hard to discern reality from folly. I would tell them the facts honestly - vaccinating their newborn will significantly reduce the chance of developing the disease. If after hearing the facts they still believe their newborn should not be vaccinated, then I have to listen to the parents' choice, because they are making the decision for the child. I would need to let the parents decide what is best for their child.

student-816

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

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

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

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

In this complex scenario, my priority would be addressing the needs of this girl and doing everything in my power to assist, since negligence could lead to further harm. I believe the first step would be to speak with her privately about her concerns with sleeping pills and motivations for using them. This conversation would allow me to better understand her intentions and assess the situation to determine if my intervention or someone else's is necessary. If I leave this issue unattended, she may see another doctor unaware of her history who prescribes sleeping pills, potentially causing harm. So having an open discussion to grasp her perspective and needs would be critical before deciding how to proceed. My goal is preventing greater issues by proactively engaging with care and concern.

student-728

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 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

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

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

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

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

This past summer, I had the opportunity to work in landscape construction as a laborer, my first job of this kind. I felt nervous starting out. When I couldn't find retail or similar roles, I took a chance on this position given my active interests. On my first day, it was an emotional toll and I doubted myself, having never done manual labor before. It gave me empathy for those doing this daily. Waking at 6am and working to 6pm was grueling. But I persevered by learning from others, utilizing resources, and pushing through. I stuck with it for a few months. While challenging being new to this work, it was a growth experience. Stepping outside my comfort zone built resilience and appreciation for the hard work done by trade professionals who perform these demanding jobs every day. In the end, I'm grateful to have developed new skills and insights.

student-747

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

The main issue here is the spreading of misinformation or disinformation about the potential causes of multiple sclerosis. We know based on extensive scientific evidence that aspartame does not cause MS. However, dispelling claims like this can be difficult when they contain half-truths - information that is true in some contexts but misapplied. For example, it's true neurons can be overexcited by chemicals, potentially causing cell death. But there is no evidence aspartame causes widespread neuron overexcitation or death, which is seen in MS. In fact, we understand MS to be an autoimmune disorder where immune cells attack neurons. When addressing misinformation, it's important not to be aggressive or dismissive, as that often further entrenches false beliefs. A compassionate, open approach is more effective. Ask probing questions to unravel the flawed logic behind the claims. For example, where did you get this information about aspartame? Discuss the reliability of the source. Explain the actual scientific understanding of MS's pathophysiology and aspartame's effects in clear, digestible terms. While aspartame may be a carcinogen, that's unrelated to MS. It's key to dissociate inaccurate connections. Additionally, proactively address questions the person may raise. If you respond to X question in one way, consider how they could respond with Y and prepare a response. Keep the conversation moving forward productively. Validate their concerns and doubts, while clearly communicating what we conclusively know based on current evidence. If knowledge gaps exist, acknowledge we're still working to fully understand MS's causes but can confidently rule out aspartame. Admitting the limits of scientific knowledge shows we take their doubts seriously, even as we dispel falsehoods. The goal is to listen compassionately, build trust, and have an open, evidence-based discussion to counter misinformation. Not all questions have complete answers yet, but we must communicate accurately what is scientifically known and unknown.

student-769

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

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

I'll just start with a little bit of my background. I have a very active background. I've been involved in multiple sports throughout my life, whether that was gymnastics, horse riding, hockey, hiking, and weightlifting. Through those activities, I've been able to grow as a person and do those in a community with people and just improve my overall health and wellbeing. I realize the benefit that fitness can have for people and how much an injury can hinder those goals. As a physiotherapist, I would be able to help people achieve those fitness goals. I've also had numerous injuries from sports, and I've been in four car accidents. I know that makes me sound like a really bad driver, but I was a passenger in all of them. Just want to throw that in there. So anyways, I've been to the physiotherapist countless times through the years, and honestly, I wouldn't be where I was at today without them. I realized this is where my passion lies, that I want to be able to be in that role myself and help people recover because I've experienced so much benefit from physiotherapists. I love to be able to be in a direct role to help people get back to their normal activities. I also have a passion for analyzing human movement and being able to produce optimal performance, which I believe would be possible in my role as a physiotherapist. I've worked in retail for many years as an assistant manager and a supervisor, and through that time, I've been able to refine my communication skills and my teamwork skills as well. Both of these are extremely important as a physiotherapist. I would look forward to being able to use them in this career. I know this sounds a bit mundane, but I really do enjoy stocking shelves because I enjoy the challenge, the problem solving and just working with my hands. I really enjoy that. And I believe as a physiotherapist, I would be able to use those skills every day, and nothing would bring me greater satisfaction. I also have attention to detail, and I've been able to refine that through my management position. I believe that's a very necessary skill to have in healthcare when you're dealing with sensitive issues and medical records. I'm also a very empathetic person, and I have a passion for helping people who are in difficult positions. That's led me to volunteer with Special Olympics, where I was able to interact with athletes who had mental disabilities and just assist them in playing sports. And I've also volunteered at homeless shelters, interacting and serving the guests, also volunteering at a physio clinic for quite a while and being able to provide direct treatment to the patients. Through all of these things, I realized how much joy and satisfaction it gave me to be able to see the joy on people's faces as they were able to accomplish more than they thought they were able, or maybe move just a bit better. Just being able to play a role in their recovery and restoring mobility and helping them achieve their goals. So in summary, my physically active background, my experience in retail, my interaction with physiotherapists, and my passion for working with people has confirmed that physiotherapy is where I want to be.

student-804

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

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

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

Having volunteered in a long-term care home, I understand the difficulty this situation poses, having witnessed patients pass away. While fulfilling your duties, you must remain mindful and empathetic on this sensitive topic. I would approach the family privately in a comfortable setting to offer emotional support and resources. I would also take time to reflect on my own feelings, as this is distressing for staff too. Practicing self-care and speaking with other healthcare practitioners to address my needs is important. My goal is providing compassionate care for the grieving family while recognizing the emotional toll on myself and taking steps to manage that burden as well. This requires an empathetic approach for the family combined with conscious efforts to tend to my own wellbeing during an extremely difficult time.

student-741

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

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

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

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

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

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

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

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

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

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

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

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

You know, even though I understand that everyone wants to go and that it's a really great opportunity for everyone, I simply do not have the money to let everybody go. And it is my responsibility to make sure that the trip is well planned and that requires money. However, it's also my responsibility to accommodate members of my team. So I think first, the first thing I would do is speak with my two other colleagues, because I think we have to address the situation as a team, since we are a team, and I would ask them first what they would do in this situation and also explain what I would do. And we can just brainstorm and gather ideas together. Then if we don't find any ideas, I would of course tell the other team members that we have a problem, and I would explain to them the problem, because if I were them, I would not like to be left out of the blue. So I would of course tell them what's going on and also take their input into consideration. If we still don't have any ideas and no one suggested any ideas, then I would actually talk to the university and ask them if we could have another payment for our club so that we can all go, and I would explain to them the situation. I can also collaborate with the other clubs and other universities and ask them if they have other fundings and collaborate with them and ask them where they got their money from. If that does not work, I could also find cheaper accommodations. Like if we have to travel, then I'll find cheaper hotels and cheaper transportation ways to go there. If that still doesn't work, then I would have to sacrifice myself. But I don't think I'll be missing out on much because I would join on Zoom. I would ask the others to film everything and to post them and to call me and film everything. So that would be me along with the five other members who can go. We'd make sure to film everything that is essential. If that still does not work, then I would only let three members go. But who would I choose? I would choose those who can do the most and can learn the most. So I would take the most motivated people, actually. And I created Google Forms, where I would ask questions about everybody's motivations, and I would only take the members who have actually shown interest into the club and who have participated a lot since I'd assume they're the ones who are the most invested and who are the most interested. I would also take the people whose answers were well thought and that I saw they passed a lot of time on it. However, I would also make sure that this is only a one time thing, and I would make sure that for the other trips we're organized, that we have enough money. And I think if we're to this point where I didn't have any money left, it means that I didn't organize everything well. So I would have to check on where I went wrong and have to fix the solution or the problem by myself and with my other teammates. And yeah, lastly, I would just follow up and ask if everybody's okay with the solution. And if they aren't, well, I'll take their criticism into consideration and try to accommodate them on my best. So I just follow up with them.

student-800

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

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 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

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

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

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

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

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

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

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

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

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

So my understanding of this question is that I'm being asked if it's ethical for a physician to be sexually involved with a patient who initiated or consented to the initial contact. On one hand, I understand that this is a private matter and their personal life shouldn't be scrutinized. However, on the other hand, I think that physicians are in positions of authority, and an intimate relationship can definitely affect patient care. So I think that as a physician, it is their responsibility to really separate their private and personal life from their professional duties. My stance on this would be that if a physician does become sexually involved with a patient, then out of concern for the patient and to maintain quality care, the physician should no longer be their primary caregiver if they want to continue the relationship. However, if they're no longer in a direct patient-physician role and it's no longer a professional relationship, then it could be ethical. As long as the physician is directly caring for the patient, an intimate relationship is not appropriate, because there is an inherent power dynamic that could reduce care quality and be unethical. In medicine, it's not outlandish to imagine situations where physicians need to evaluate how their personal matters and conflicts of interest can negatively impact their provision of quality care. It's really important in these situations for physicians to maintain professionalism, recognize when a personal relationship becomes a conflict of interest, and know when to refrain from actions that could impact their decision-making. Physicians need to be aware of when they should separate their personal and professional lives, or take steps to address any entanglement.

student-713

Interview

I believe the issue of medical programs mandating a 2-3 year stay in rural northern Ontario is very important. The shortage of physicians in rural areas remains an ongoing debate that needs immediate attention, primarily due to the difficulty rural residents face accessing quality care amidst staffing shortages. In my opinion, integrating this mandatory rural stint after graduation could have both positives and negatives. First, it would significantly increase the physician presence in these areas. However, it risks physicians leaving to return to urbanized cities or suburbs nearer their families once the stint ends. This could cause physician numbers to spike then plummet. There's no guarantee of retention past 2-3 years. Yet some may find rural practice unexpectedly rewarding and remain. Overall, predicting an individual physician's actions is difficult given personal circumstances. Healthcare costs could also fluctuate if physician turnover is high, as lower staffing often increases prices. However, a continuous influx, even if temporary, can positively impact rural infrastructure and policies by adding expertise. In summary, the long-term implications past 2-3 years are uncertain. Further research into effective, sustainable solutions for rural retention is needed. While complex with many factors, deeper investigation and resources could drive real improvements in rural care. Mandated rural stints could help but require careful implementation to avoid instability.

student-762

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 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

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

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

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

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

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

Growing up as an immigrant, I've noticed healthcare disparities. In Palestine, my brother has diabetes and asthma, requiring frequent hospital visits. Despite limited supplies, doctors did everything to make us feel safe and reassure us of quality care. After immigrating to Canada, we had plentiful resources but faced cultural and language barriers. As I learned English, I translated between doctors and my parents. Though challenged, physicians welcomed us, guided us to resources, and brought in Arabic speakers to ensure excellent care for my brother. Later, working with patients myself, I strived to implement the same compassionate approach I had experienced. By listening empathetically and understanding obstacles to care, I could help vulnerable patients feel heard. Oftentimes, they simply need someone to listen. As a physician, this compassion is so important. Shadowing doctors, I've seen their leadership role on the healthcare team, delegating tasks and making final calls. Their long-term guidance through patients' journeys also resonated with me. I aim to provide that ongoing medical and emotional support to create lasting change. Advocating for patients while solving complex cases over many years embodies my goals as a physician. My experiences navigating disparities as an immigrant exposed me to physician practices that resonated deeply - patient-centered care and lifelong dedication. These inspire me to pursue medicine to listen to, support, and empower patients in overcoming any barriers on the path to health.

student-750

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

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

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

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

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

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

My perspective on our role in activism is that physicians usually act on a more individual level as they're treating symptoms that patients may have. But I also believe that there are many health issues which are systemic, and that physicians should do their part in addressing these issues, maybe even appealing to government bodies when they don't agree with a piece of legislation. But at the same time, their primary responsibility is activism on a patient level. I believe that to be a competent physician, the doctor always needs to have the patient in mind and advocate for the patient's self interests.

student-818

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

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 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

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

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

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

All right, so the question is, if I was on the admissions committee, what would be the most important thing I would look for in a candidate? I think the most important attribute to become a doctor is actually empathy. So I will really want to look for an empathic person because if people are not empathetic and they become doctors, then patients can be really upset, they can be angry towards the physician and the physician just won't understand what's going on. Also, if they don't deliver news in an empathic manner or if they don't feel for the patient, then I think it can really damage the trust relationship that the patient has with the physician and overall just damage the patient's treatment. I also think that a doctor's job is to do the most good and the least harm. And if they're not empathetic, then I think it would eventually just hurt the patient more than do good because they won't feel respected, they won't feel like their feelings matter, they won't feel like their feelings are taken into consideration and they'll just feel like an object to the physician. So I think that's really important. I would also look for candidates who have good communication skills because I think it's important for a doctor to be able to communicate clearly and also simply what the diagnosis is so that the patient understands exactly what he will be going through. So yes, I think those are two very important factors. Also, I think one of the most important things is to be motivated to become a doctor. Because I think that if future physicians don't want to go into medicine and they're only forced to by their parents or they feel social pressure, then I think it can actually be really harmful to the patients and society in general, because physicians, like I said before, have to be empathetic, have to have good communication. But they also need to want to do this because this is a very stressful, I think, job, and it requires a lot of dedication and a lot of university time. And I think that if you're not motivated enough, it will actually make you become a more frustrated person. And no patient likes a frustrated doctor because it's easy for a patient to know when the doctor is actually annoyed with you or disrespects you or does not value you. So I think if you don't want to go into medicine, then it's probably the worst career path you could take if you're not sure of what you want to do because there are so many important things to look for before being a doctor. That's pretty much it. But I would also never neglect anyone in the admissions process because I think that everyone has their own skill set to show and to put forward. And even though I said what I thought were the most important attributes, I would also consider many others. And I would also let the interviewees surprise me. And if I find something that I find particularly interesting or a characteristic trait of a person that I think would make a good doctor, then I would not hesitate to take that person into the university.

student-799

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

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

Recognizing such a complex scenario, my priority would be to uphold the integrity and principles of being a practicing medical practitioner while also emphasizing the importance of well-being for myself, my elderly patients and society as a whole. In this situation, I would give myself the vaccine because ensuring my health and safety during the outbreak would allow me to continue working to provide healthcare services to other elderly patients. Not only would I be benefiting myself, but I would be benefiting these patients of mine as well. Assisting these patients is a large responsibility of mine, and I am obliged to fulfill that responsibility. Giving the vaccine to a different person might not be the best option. I would give it to myself.

student-758

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

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

This is obviously a very complex dilemma with no easy comprehensive solution that satisfies all stakeholders. The primary conflict is balancing free speech versus safety and well-being of users when social media platforms restrict or remove content deemed discriminatory or offensive. On one hand, allowing individuals to display any content exercises their right to free speech. However, this risks making parts of the user base feel unsafe or lose those users entirely, which impacts revenue. So platforms have to determine which content is truly discriminatory or offensive enough to warrant restricting. If content is designed to intentionally hurt certain groups, then removing it is warranted. But content not meant to be hurtful, even if offensive to some, requires more consideration before removal. There is no universally correct solution yet, as evidenced by cancel culture debates. Perspectives of free speech advocates and vulnerable groups like BIPOCs and LGBTQ+ must be balanced, which is extremely difficult. Personally, I would prioritize user safety on a social media platform, even at some cost to free speech. If content is likely to be broadly harmful if proliferated, removing it is reasonable. The top priority should be ensuring all users feel safe, welcome, and able to express themselves. So I agree with removing intentionally harmful content. But possibly offensive content requires more discussion before removal. Well-being of all users should be the number one priority for social media platforms.

student-768

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

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

This is a tricky situation as I understand both sides of the family, and it's a very big decision that will impact many people including the family and baby. I grasp the father's perspective - if she proceeds, she can focus on her career and provide financially for the family. I also see the mother's concern about potential health risks to the baby from in vitro fertilization. I would first approach the older sister privately and non-confrontationally to gather more details on her motivations. I would suggest she research the scenario further to make a more informed choice. I would urge her to consult others she cares about for input. I would offer to help care for the baby if she decides to proceed. This allows us to come to a thoughtful decision while exploring options and impacts. By gathering more information and perspectives, we can support her through an ethical process to reach the best outcome.

student-725

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

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

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

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

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

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

Today I'm asked a question - in my clerkship, I coincidentally am placed with my best friend. My best friend is continuing to share stories about their patients, calling them by their name and sharing details about their condition as well as their behavior. I'm asked what ethical issues I can foresee arising from this situation. I think right off the bat, the first thing that came to my mind was patient confidentiality. As a physician, you have a responsibility to keep patient information confidential, especially with the public. Another issue I can foresee happening is creating bias in myself. Because we are in the same clerkship and ward, I can foresee myself caring for some of these same patients. Knowing their name, condition, and behavior from my friend's stories might influence my own perceptions and biases before ever interacting with them myself and being able to form my own opinions with an open perspective. The last issue is jeopardizing trust and the workplace environment. If anyone were to find out, this could jeopardize trust not only between my friend and their patient, but also among colleagues and staff. Conversations can be misconstrued as gossip or rumors which can really affect workplace morale. As we're just starting out, we want to make good impressions and really practice those ethical standards we preach. So I can foresee that causing mistrust. However, I think it's important to communicate with staff and have opportunities to debrief and discuss cases, whether with friends and family. But there are ways to do that while respecting confidentiality. In my experience on a suicide hotline, those conversations were incredibly emotional and taxing. Without being able to discuss those feelings with other volunteers, it would have been very challenging to continue. So I think it's understandable to have these conversations and debrief cases with colleagues, but to do so without giving specific patient names or conditions so it remains confidential. I would encourage my friend to reframe the conversation to how they were feeling or if they wanted general medical advice rather than specifics about the patient. As an aspiring physician, collaboration is important to get perspectives on challenging cases, debrief, and take care of our mental health. Diverse perspectives can help patient care too. Perhaps my friend was misreading a situation and I could give a better outlook for them to go back with empathy and provide better care. So collaboration is essential but confidential.

student-808

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

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

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

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

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

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