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Casper
I would gently acknowledge her feelings and validate that this is a difficult situation for her and offer a listening ear whenever she needs. I would advice her that since this is making her uncomfortable, she needs to make a decision that is in her best interests, and offer to support her. If she is comfortable speaking with the manager, I would then offer to accompany her to do so and ensure it is done in a private and confidential manner. If she is not comfortable speaking to him, I would then provide information for additional support such for organizations that help individuals in situations such as these to help with any legal ramifications that may occur
student-251
8
student-251
Casper
Casper
Firstly, I would speak to the teens privately. Although the event is happening for a charitable cause, it is not respectful or legal to hold events on private property without the permission of the owner of that property. Thus, I would first ask the teens if they obtained permission from the owner. If not, then I would then ask respectfully why they decided to hold the event on that specific property. Potentially, someone else had given them permission to do it, or one of the teens knew the owners and that they would be okay with it. In such cases, I would talk to the teens about the importance of obtaining proper consent before holding events, empathizing with them that although they had a good cause, they would need to do their proper due diligence next time. I would then offer them potential venues for their next event. To maintain justice, I would enforce the punishment associated with breaking these rules, whether that be a fine or a warning.
student-25
8
student-25
Casper
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
8
student-466
Casper
Casper
I looked at the person's way of doing things, wrote the way that can help this person's career and goals at the company. I scheduled meeting or one on one with the person and gave them the feedback
student-684
0
student-684
Casper
Casper
this is diffcult situation and in this situation there are pros and cons for stop charging for electricity,. the pros are that it will allow people to get healthy nutrition as well as help with basic literacy skills by able to to read on the internet without concern for finances. the cons are that it can allows for overuse of electricity if there is no charge and can hurt the countrys economy and the supply. in this situation, there should be an alternative which is to decide based on the family financial status such as low families income should not be charged as much for electricity so that they can satisfy their basic needs, while higher income brackets familties should continue to pay for electricity so it wont allwo for oversue.
student-517
7
student-517
Casper
Casper
I immigrated to Canada from Pakistan. Growing up, I was deeply engaged in Pakistani culture and was never exposed to western media or movies. The only two English songs I knew were by Taylor Swift and Justin Beiber. My parents got a job in a small town in Alberta and we were the only immigrant family there. I felt a sense of isolation and seclusion as I was different from everyone else. Students talked about basketball and hockey during lunch break at school and I did not know anything about those sports. I felt that I did not belong as I couldnt speak English and struggled to fit in due to my background. However, this feeling did not last long. I started to make friends in the next 2 weeks and they invited me to their house and basketball games. I started learning about Canadian culture and overtime felt more included in the conversations.
student-125
7
student-125
Casper
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
7
student-50
Casper
Casper
Il faut convaincre le collègue de ne pas prendre l'auto, c'est très dangereux. la consommation d'alcool au volant est une des principales causes d'accidents mortels sur la route. Tous ont droit à la sécurité, et ce droit est violé par l'acte de ce collègue. De plus, les clients ne sont pas au courant de cette consommation d'alcool, ils sont donc complètement vulnérables aux conséquences de ses actes
student-560
5
student-560
Casper
Casper
Although I can understand that many topics may feel irrelevant to us in the future, I also believe that they are there for good reason. For example, not all students are interested in math-related fields; some may be more interested in history. Since in high school, not everyone knows what they want to pursue as a career, I believe that exposing us to a variety of subjects was not \"useless\" since it may help guide us towards what we really want to do. On the other hand, I see that there are also may topics that may be outdated and not used regardless of the field one pursues. For example, I had spent two weeks in math class learning how to draw parallel lines using two rulers. I believe that this time could have been better spent since computers are more involved nowadays and so this technique may no longer be used. Overall, I believe that it's beneficial to be exposed to many subjects, but I believe that revising the curriculum to save time or ensure that what students are learning is relevant is just as important.
student-134
7
student-134
Casper
Casper
Richard happened to stumble upon this when searhcing online. Although the information online is free to use by anyone, Richard has recognized that the questions are the same as what the teacher puts on the exams. Richard's friend Jessica may be in a difficult situation and she can be desperate for help from anyone. Richard as her friend shoudl naturally seek to help his friend. However, Richard should first check if this help is in line with academic honesty or whether it is not. If it is not, then he can offer Jessica other ways to help her such as setting up a study group or asking the teacher for some private help.
student-249
7
student-249
Casper
Casper
I would first talk to them, ideally before presenting the project. I would ask them if they are going through any personal struggles that may be preventing them from participating. If yes, then I would direct them to the school counselor and offer to help them in any way I can. I would also, with their permission, explain their situation to the teacher. In solo projects, teachers sometimes modify the weight or deadline of an assignment if the student needs it and hopefully the teacher will be sympathetic. If the student is not doing the project because they do not want to work, I would explain in a non-judgemental way how his actions are unfair to the rest of the team in that they will work harder and not get the credit. I would encourage them to tell the teacher which parts they did and which the other teamates did. If they refuse, I would do so myself. This way, each member of the group gets credit for the work they did, whether big or small.
student-36
7
student-36
Casper
Casper
They key concern with this scenario is autonomy and fairness. I would want to consult the game supervisors first. I wouldn't want to effect the game and make it unfair, because I would still want to esnure that dementia residents still want to compete in a fair and honest game.
student-123
8
student-123
Casper
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
5
student-512
Casper
Casper
Parking is typically more expensive in areas where they know that more money can be made and the targeted audience is more willing to pay for this. Higher parking keeps a large portion of people out. This in turn makes sure there is no overcrowding/traffic and such. However, I do see how this can seem discriminatory of people that are not able to afford it.
student-374
7
student-374
Casper
Casper
Group projects are rarely if ever completely balanced in terms of work distribution. But that doesn't mena this student should unfairly take credit for the work of the rest of the group members. Before reporting, I'd like to have. aprivate chat with the student and non-judgementally ask them about their contributions to the project. It could be the case that they feel as though they have done their share - perhaps there misunderstanding around the distribution of work and they feel as though they have contributed enough (which would be an issue itself). They may indicate wanting to have worked more but being under a lot of stress at home. In either case, I'd express my sympathy but also indicate that the group felt it may be unfiar for them to take credit equally, and so we should chat with the rest of the group members about it. If he agrees and the rest fo the group feel similar, we could discuss the situation with the teacher.
student-283
8
student-283
Casper
Casper
I would first contact my supervisor and ask to them with ASAP, tellign them know that what I need to dicuss is very important. I would inform them that a post has been made and that the public migh tfind it offencly. I would then should them the post and ask it they would like to take it down ot ==r make a statement about the eror that was make. During our dicussion I was also like them know that I do not know who posted this post but all I know that it was not me. I would also ask if there is anything I can do to help migate the situation.
student-588
7
student-588
Casper
Casper
I would gather information as why the government would outlaw circumcision and the research behind it. I would feel discriminated as it will be against my religious belief not to circumcise my child. it is important to hom=nour every culture and every belief as long as you are killing or disrespecting anybody.
student-677
0
student-677
Casper
Casper
I understand this is a dilemma since intoxication on the job lacks integrity, but he is also my supervisor and I do not want necessary trouble. I would gather additional information: why is he drinking? does he have a history of drinking? do others know about his drinking? what about the coworkers and other volunteers - what do they think? I also want to seek online resources such as google and forums to ask others about their opinions and what they would do. I feel upset since he seemed like a great role model but does not appear so anymore, i am also curious to see why he is drinking and if there are circumstances. I would communicate with him first to grasp the situation and advise him to do the right thing by owning up to his mistakes.
student-350
6
student-350
Casper
Casper
Je ne leur donnerais pas nécessairement plus de points, j'essaierais plutôt de les mettre avec les autres résidents pour qu'ils puissent se comprendre entre eux et qu'ils puissent décider de comment ils veulent attribuer des points pour que ce soit juste pour eux. Ils pourraient trouver une façon plus efficace d'améliorer le jeu pour qu'il soit plus amusant pour eux.
student-590
8
student-590
Casper
Casper
I would start by having a private discussion with his parents about the risks of not performing the blood transfusion. I would be very careful to validate their concerns and develop an understanding of their religious beliefs. I would hope by displaying empathy that they would come to understand the severity of the situation and the possible benefits of performing the transfusion. Ultimately, since his parents have the final say in terms of consent, I would not proceed with a transfusion unless given permission.
student-286
8
student-286
Casper
Casper
I tell my brother that I admire his passion and his interest in teaching. I would also hope that he considers if he enjoys working for long periods of time with people and that some people may not always be in the best mood/mindset. If he is able to handle people in poor moods, he should also consider whether or not he likes working with certain ages, as some people like working with children more than adults. He should also consider the impact he has on others and recognize that his job is integral to shaping people's futures and creating a lasting, life long impact.
student-541
7
student-541
Casper
Casper
I understand why people feel electricity should be a human right, as it is necessary for several aspects of living in modern society. However, it is important to consider the source of electricity. If the government stopped charging for electricity, it would be very difficult to fund access to electricity and our economy may not be able to support that. If the government is able to provide free electricity for everyone without it being a huge financial burden, significantly impacting the economy, then I think people should not be charged for electricity. Otherwise, they should be charged as it would be too difficult to provide the electricity at all if they are not.
student-209
7
student-209
Casper
Casper
According to me, the quote suggests the importance of being confident. I agree that confidence is the key to any profession. It makes the job trustworthy and knowledgeable. It makes the professional look understanding. In the case of the medical field, patients trust and give more information to doctors who appear confident and know what they are doing as they seem to have more knowledge and experience.
student-338
6
student-338
Casper
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
6
student-132
Casper
Casper
This is discrimination because actions are being done against high school students. While the store employees are struggling with increases in theft, it is unfair for students to be prevented from going to the store during their lunch time. I understand the store owners are stressed about handling theft from students. Theft should never be tolerated.
student-611
0
student-611
Casper
Casper
I believe that this mightbe due to the fact that these workers might not come into direct contact with patients, although they would be handling patients' belongings who potentially may be contaminated. Also, this would lead to the fact that there is a higher media coverage on the work nurses and physicians do, which could lead to people being more grateful towards those professionals, exclusing some other important workers.
student-159
7
student-159
Casper
Casper
I would first read the local municipal guidelines for my town of Brightonville. I will not immediately fine the teens as what they are doing may not actually result in a fine. For example, many places let you get off with a warning before any official punishment takes place. If I have to fine them, I will fine the minimum amount according to local guidelines, as they are teenagers and are doing this for a good cause, I will afford them the benefit of the doubt. I admire them for doing work for their community.
student-181
7
student-181
Casper
Casper
although it is not my place to tell jacob how to live his life or what to do, as his friend, i should be able to voice my concerns. I will ask him in a calm and non judgemental manner if it is advisable for him to eat pizza given his condition. I am hoping this sets the tone for the conversationa dn he can sehd more light for me. If it is a case where the doctor has allowed hum to have cheat days and he wanted it to be when we are spending time togeether, then i will ordeer the pizza. But if there is no concrete reason why he is ordering it, i will strongly advise against it and ask if they are other optios we could both enjjyp
student-529
8
student-529
Casper
Casper
je comprends que ma situation est difficile et que je ne veux pas arriver en retard à mon examen et que je suis très stressée, mais je comprends aussi qu'il faut adhérer aux règlements de la ville. il se pourrait que parker dans ces rues soit interdits durants ces heures car ça bloquerait la circulation de bus ou de d'autres véhicules. ainsi, j'éviterais de me stationner dans les rues. j'essayerais de trouver d'autres solutions telles que me stationner un peu plus loin et de courir, ou de contacter un ami qui pourrait s'occuper de mon auto pour moi, etc. je pourrais aussi contacter mon professeur et espérer qu'il comprendrait ma situation et accepterais quelques minutes de retard.
student-80
7
student-80
Casper
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
7
student-339
Casper
Casper
Given that I am aware of her struggles, I would first ask her whether she was aware this was out. if she had not been and I believed her answer then I would ask her to put it away. if I suspected her of lying, I would quietly inform the professor and ask how to discreetly handle the situation.
student-688
0
student-688
Casper
Casper
Although it must be difficult for Jessica, it would be unethical for Richard to tell Jessica about the database. That would be a form of cheating, as she would be using answers that she did not come up with herself. However, I believe that Richard should offer her assistance in any way that he can in order to better Jessica's grades and knowledge about the subject. For example, he can offer to study with her to strengthen her knowledge.
student-252
8
student-252
Casper
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
7
student-227
Casper
Casper
To an extent, yes. But there are many factors to consider and I do not think this is ethical behvaiour in practice The poor need food to survive, and they benefit greatly from food being provided to them. However, where is the food being stolen from? The original owner of the food is negatively impacted by the stealing.
student-679
0
student-679
Casper
Casper
This is a diffuclt situation as i empathise with Michelles personal struggles and his mother's heath concerns. However, i am also worried for Michelle's heath and wellbeing, as well as personal integrity. I would start by having a private conversation with Michelle prior to reporting in order to gather information. I would first tell him i am sorry for what his mother is dealing with and what he is dealing with. I would then ask him if he is taking the performance enhancing drugs and for how long. If he doesn't know about the reprocussions of these drugs, i would educate him how they can cause heart attack, stroke and anxiety. I would advise him to stop them and drop out of the marathon as it is illegal to be on the drugs in the marathon and he can become disqualified. If he doesn't, i would have to report him for his head;th and wellbeing
student-321
7
student-321
Casper
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
0
student-610
Casper
Casper
I was late for a friends birthday that I was planning because i was busy making food for the dinner after golfing. Because of this, I missed the entire golf game and was sightly late bringing food for the dinner. I had promised i would be there but i was not there for the whole event.
student-407
7
student-407
Casper
Casper
In my opinion starting any new experience and methodology requires me skepticism. In this particular case, I believe one could refer to the popular belief system that I think therefore I am. It is very likely that those thinking of practicing mindfulness are afraid of letting go of their thoughts simply because those thought define who they are. Think of a scientist who has to stop thinking about their experiments. Those experiments might be a key part of that person's life and thus simply letting go of them might look scary at first.
student-554
5
student-554
Casper
Casper
I would announce this news by gathering everybody and making an announcemnt in perosn I would explainthe situation, and how unfortunate it is, I have to layoff people I would advise anybody I layoff to come talk to me, if i can help them in any way or get them a job somewhere else I would be happy to do so
student-547
6
student-547
Casper
Casper
As a member of such a religion I would consider that discrimination. While I might not chose to circumscise my children in the future as a parent, I know that this practice is highly important to other members of my religion. While the procedure may have risks and benefits, these need to be weighed along with the important of cultural practices that do not substantially harm a child.
student-665
0
student-665
Casper
Casper
Dave should assess the situation for himself and gather more information before approaching the man. Dave should be aware that the man could need help and is not in a state of mind to advocate for himself. Dave should consider talking to others or finding a way to approach the man calmly if it is possible and try to connect him to resources.
student-710
7
student-710
Casper
Casper
No. there are different leadership styles thta exist. Depending on the context, some styles would be more effective than others. It is improtant for students entering a professional grduate program to have a leadership style that they have been most comfortable with as it is what makes them their authentic selves. However, the schools can introduce new styles that can help their students become more rounded leaders giving students more tools to work with when they are in a group or as an individual.
student-131
7
student-131
Casper
Casper
A person may not agree with this statement because, for many years, post-secondary education has cost money in the United States. Many feel that this should continue and disagree with the idea that education is a right because it is something you have to pay for.
student-476
7
student-476
Casper
Casper
I would not mess with the points as this undermines the light hearted nature of the game, and is un-fair to the other residents. Additionally, I do not want the residents with dementia to feel as though they are less capable than the others by recieving the extra point
student-492
8
student-492
Casper
Casper
I would first approach the customer and explain my position as the manager. While ensuring I refrain from coming off as accusatory, I would ask what the issue is in order to try to gather more context. In addition, I would take the employee in private to first ensure they are ok both emotionally and physically. I would then try to hear their side of the story. Lastly, I would report the incident down.
student-357
8
student-357
Casper
Casper
Though it is possible that other people may be a better fit for the puppy and in a background check by a pet adoption agency they may find issues, I believe they still have the right to adopt the puppy. I think They have the right because he saved the puppy and thus obviously is kind and caring towards animals and further there are many animals that are waiting to be adopted thus if the puppy was put back up for adoption it is possible they would not be adopted.
student-488
8
student-488
Casper
Casper
I understand how this would be very frustrating game to the residents with dementia, however, I do not think it is fair to the other people or really to their success that I mess with the points. I would try and support them through the game, potentially giving them reminders of the rules or offering hints but I would try to keep the game fair. Ultimately I think that people with dementia still deserve to be treated fairly and with autonomy.
student-51
8
student-51
Casper
Casper
I can understand why the hospital would impose parking fees to raise money and better their hospital equipment, which would ultimately benefice the patients care. On the other hand, it can be difficult for certain group to affrod those fees. Perharps, if there's is evidence and the concerns is raised, the parkign price sould be lowred to facilitate access to others.
student-690
5
student-690
Casper
Casper
I would talk to her and ask her about the stressors at home to see if her parents are going through a very stressful and difficult time. I would explain to her that my concerns is her health and safety and that her being at home is not safe and she is getting hurt. I would try to convince her to let me talk to her parents to get to know the situation better. I would also ask her what else she wants me to do to make sure she feels supported, safe, and is in good health.
student-145
8
student-145
Casper
Casper
In this situation Richard should be aware of the consequences of telling Jessica about this database. In order to be fair, he likely shouldn't tell Jessica about the website. It would be best for Richard to inform his teacher that he has discovered the database in order for the teacher to make the appropriate changes. As a friend, he should instead help jessica by showing her the database to use as a practice resource for future exams, knowing that the teacher won't use identical questions. This gives jessica a new way to get better at teh class, while not outright letting her cheat off the database.
student-281
8
student-281
Casper
Casper
I would think if my co-worker is going to be offended by the prank and about the intentions of my other co-worker who is pranking. I would talk to the co-worker who is going to do the pranking and ask him what he is going to do. If it is something that I deem will be very offensive I willed him know that he should refrain from doing so as he will hurt a fellow team member. If he does not understand this I would let him know that I will inform my fellow co-worker about what he is going to do so he can be aware of the situation and not be hurt.
student-373
7
student-373
Casper
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
0
student-648
Casper
Casper
I would first listen to Jeffery and their concerns and understand what is particularly making them upset. I would try and understand the exact points and reflect on their situation and show empathy for his emotions. I believe it is not appropriate to give a exact response on this situation, as it is very complex and has many different perspectives and reasons. I would just try and listen to my friend, show them support, and understand their spective.
student-200
7
student-200
Casper
Casper
No, I would not drive away, because morally it would be wrong to leave this situation. There is a chance that there is damage to the other person's car that I didn't notice, and leaving them to deal with it alone, when it was completely my fault, would be wrong. I would leave a note on the person's dash with my name and phone number so they can contact me to discuss what happened, if they wish to.
student-322
8
student-322
Casper
Casper
While, I can see why this suggestion would make the residents with dementia feel better it is not fair to the other residents playing the game.
student-369
7
student-369
Casper
Casper
I would first listen to this customer and empathize with their situation. I would then tell them that unfortunately I am not allowed to give them a refund as it goes against our store policy and it would be putting my job in jeopardy. However, I care about their situation and would like to support them to the best of my ability. I would research funding resources as well start a go fund me page.
student-206
7
student-206
Casper
Casper
No, since the owners are implementing this policy in order to secure their business this is not discrimination. They solely not allowing a certain group of people to entire their store during a certain amount of time. Outside of this time, they are allowed and therefore are not being discriminated against simply because they are from a certain group.
student-376
6
student-376
Casper
Casper
This is a potentially dangerous situation and care is required. My main concern is for the cat in this case. I would approach the group to confirm that the cat was indeed being abused. I would then use a firm tone of voice and tell the teenagers that their behaviour is unacceptable. If they stopped, then I would remove the cat to a safe location (e.g., the humane society). If they continued, I would be required to call the authorities, like the police to remove the cat from the dangerous situation.
student-47
8
student-47
Casper
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
6
student-693
Casper
Casper
If the teens didn't know they were on private property, I would give them a warning and let them know it can't happen again. If the teens knew they were on private property or didnt care, then I would fine them the necesary amount.
student-698
5
student-698
Casper
Casper
I think that in this situation I would be honest with everyone because it would be unethical to remain silent. I think that I would not immediately accuse Emily of cheating, but instead simply report to Daniel about what I observed, as objectively as possible. Then, it will be up to Daniel to interpret and Emily to explain. For example, it could be that I did indeed see her arms around another man but he could just be a friend or even a family member that I was not previously aware of. However, I still believe that I should at least mention what I saw.
student-179
7
student-179
Casper
Casper
In this situation, I would want to help the homeless man while remaining honest to the passerby. Since the homeless man seems really grateful to have gotten this money and it may help him significantly, it would feel unjust to go behind his back and alert the passerby. However, it would also feel unfair to let the passerby walk away without knowing the situation; we do not know whether the passerby needed this $10 bill or if it was being saved for something important. Thus, although it would be hard, I would let the homeless man know about the situation and explain that I'd like to advise the passerby about it as well. I believe that being honest and genuine may be the best solution in this situation and if the passerby didn't feel they needed the $10, perhaps they'll let the homeless man keep it. If not, I would encourage the homeless man to let them take back their $10 and I would give the homeless man $10 instead.
student-305
5
student-305
Casper
Casper
I believe that Einstein meant that curiosity is the root of many ideas, inventions, discoveries, etc. We need curiosity. It starts with a keen interest to uncover answers to unresolved questions/issues, and this interest (curiosity) is what motivates one to pursue the answers and solutions.
student-616
0
student-616
Casper
Casper
I live in a border town so I often cross to Mexico. I've encountered a lot of homeless individuals during my visits. One time, I was approached by a 5 year old boy whom I saw crossed the street by himself to ask me for some change. The street was populated and I couldn't help but think of the kids safety so I asked him where his parents were. He proceeded to point towards a women located at some distance. I wanted to walk over to her and tell her that she needed to watch over her child and be more careful.
student-672
0
student-672
Casper
Casper
Sarah is in a difficult situation as she is the manager of the grocery store who is obligated to ensure that all her staff are performing their job duties. Before taking consideration of letting go an employee, I would want to find out more information from the employee on the reasoning of her missing work and not performing her job duties. The employee could be dealing with family issues at home, a caregiver to a child or sibling, or could be having mental or physical struggles. I would want to find out more information. If the employee suggests that she is having family issues at home or is a caregiver, I would advise the employee that she should take a few days off to re-charge and explain to the co-worker that it is important to ensure that all staff are performing their job duties and arriving work on time. If she continues to not show up to work, I would then have to report to Human Resources and I would have to take their advise and let go the employee. My goal for this situation is to show empathy towards the co-worker but also understand that as a manager I am responsible for the work getting done at my store.
student-3
5
student-3
Casper
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
6
student-699
Casper
Casper
Despite our best efforts there may always lie a difference between classes of society. I got busy, didn't get to read this as well as I wanted.
student-712
5
student-712
Casper
Casper
James could be facing pressure from the institution the team represents or even from some of the players' parents to win first place. He could have potentially identified some players who did not seem as competent as others and is trying to reduce their contribution to the team in an effort to make a last-minute improvement in his team's performance.
student-113
8
student-113
Casper
Casper
I think this person might have encountered a scenario where they were treated poorly by a student. Its important to understand what might have led them to make this type of statement and not ignore their feelings. That being said, they are making a general statement about a group of people which is hurtful.
student-272
7
student-272
Casper
Casper
i would first have a private conversation with the student prior to reporting, as the student may be dealing with health or personal issues. After the presentation, i would have a private and non-confrontational conversation and ask them how have they been doing and what obsticals they had completing their part of the project. If they explain that they have been dealing with health issues or personal issues such as a family death, i would tell them i understand and thank them for confiding in me. I would advise them to speak tot he teacher about their personal troubles causing them to not finish their part of the project, and to come up with a solution with grading scheme. If they explain that they simply did not want to complete the project or did nothave time too, i would kindly explain the importance of everyone's contribution to this project and how hard everyone worked. Then i would advise him to speak to the teacher about the grading scheme as they did not finish their part.
student-56
7
student-56
Casper
Casper
although i understand deeply the reason for wanting the money as everybody wants the best for their familty memebers, i also know that by using the drugs it would be unfair to other competitors and there is even a chance that some other applicants are also wishing to use the money for similar purposes but they are noty using the drugs, and this would even be more unfair to these competitors, her action would breaches the ethical rule of justice, so i would unfortunately still report her
student-264
8
student-264
Casper
Casper
This does not have a right or wrong answer, as it would depend on the views of Jennfier finding out these new findings. I believe jennifer may have not know what heather said, and perhaps upon finding this out she may change her mind. That being said we must first find out what her opinion is on this, and whatever that may be, it is up to jennifer to create the club as it is her club after all. That being said though, jennifer must also talk to heather in order to justufy her decision.
student-221
7
student-221
Casper
Casper
I believe that Socrates said the statement as a reflection of his current self in the world. As individuals in society, there is an ever expanding wealth of knowledge in different domains that comes to light every day. By acknowledging that he (Socrates) does not know anything, it shows that he is aware of this wealth of knowledge and seeks to learn more about the world everyday.
student-290
7
student-290
Casper
Casper
The ethical situation in this scenario is complicated and requires a complex analysis. In this situation., I believe Dave should speak to the other people on the subway and ask them if they would be willing to appraoch the man together or back him up in case of a hostile situation. Dave should priortize the safety or himself, Rachel, and the subway riders. Dave should appraoch the man in a non-confrontational, non-judgemental way and asks gently if the man is ok. If the man responds that he is fine, Dave should leave him alone and instead report the situation to security or police once he gets off the train. If the main says he is not ok, Dave should tell him to speak to the subway workers or security who may be able to put him in contact with a social worker or other forms of support.
student-114
7
student-114
Casper
Casper
There was a time when I was working as a Personal Trainer and I came across a client that was very discouraged about her goals and did not know how she would be able to achieve them. More specifically she felt embarrased about working out in front of others in the gym
student-402
8
student-402
Casper
Casper
Although Jessica is struggling, Richard should not tell her or other students about the database, as it would be considered academic dishonesty and is not genuine to their intellectual aptitude. However, Richard should reach out to Jessica in a private and nonjudgemental way to see if she could use extra support or invite her to study sessions or help by providing study guides that may be helpful .
student-448
9
student-448
Casper
Casper
This is a difficult situaiton as I want to have a good relaitonship with my coworker but they are being rude and disrepectful. My main concern is making mainitaing a good workplace enviroenment and also being kind to others. I would want to gather more information first and deteremine if a similar thing was occuring at work. If it was, I would approach my coworker invididually and in a non-jdugemental way explain to them that they are saying some hurtful things. I would explain why their comments are hurtful and ensure that they know that I am not judgeing them and that they may not be aware about their comments. If that did not work, then I woul possibly get HR involved. If it was not occuring at work, then I would again speak to them privaetly and explain that their comments are inapprorpaite, if I felt comfortable.
student-57
7
student-57
Casper
Casper
My interpretation of this quote is that professionals may not always need to know everything about the job they have. My initial reaction to this quote was that I did not agree with it, for a number of reasons. First, I think it is higihly necessary that we have educated professionals who have had thorough training to ensure that the policies and procedures of their job are being enforced. In some professions, such as healthcare providers, having someone pretend to know what they are doing could be life-threatening, which would introduce a whole host of other issues. On the other hand, some specifics of a job may not need to be memorized. For example, a doctor will not reasonably know every in and out of a complex disorder. Yet, this does not mean he or she should pretend to understand the diagnosis, but it may mean that he or she will use reference materials instead.
student-30
6
student-30
Casper
Casper
This is hard because it is a procedure with a high number of risks but also medical decisions should be up to you and the government should not intervene. I ultimately think this would not technically be religious discrimination against me because it is applied to all people and is supported by empirical evidence that the procedure is dangerous. Before this kind of policy is put in place however it should be ensured that there is not religious biases in the policy makers that would cause them to move to pass this without considering the entirety of the evidence and the disadvantage that it places on people with differing religious beliefs.
student-66
8
student-66
Casper
Casper
I would first go talk with the student privately. I would tell her that I saw her cheating and that it is my responsibility to ensure academic integrity but also emphasize with her and say that I understand her struggles and that its a difficult course. I would encourage her to take responsibility and admit cheating to the prof, which may result in her getting a less harsh punishment.
student-687
0
student-687
Casper
Casper
Teamwork sometimes does not work due to lack of communication, which can lead to a number of problems. Lack of communicating each team members goals for the team as well as individuals needs is vital in creating a good team environment, and without communication this can lead to team failure.
student-615
0
student-615
Casper
Casper
I would not immediately fine the teenagers, I would want to get a proper assessment of the situation as it is possible that they were completely unaware that they were on private property. I would give them a warning and politely ask them to pick up their things and move to a public place to continue their event. If they comply, then I don't see the point in fining them, but if they don't comply then I would have to be firm with my warning that a will be issued for trespassing.
student-499
8
student-499
Casper
Casper
Someone may not agree with this because they view education as a luxury. Someone who believes that educational institutions should continue charging high prices may view education as a status symbol rather than a fundamental right.
student-75
8
student-75
Casper
Casper
In this case, the problem is that I would not want to be late for my exam as this could affect my mark negatively. However, I also need to respect the rules as there is probably a good reason why parking is not allowed there during this time. I also would not want to risk getting ticketed. I would try my best to comprimise and use my phone GPS to look for other nearby parking lots or streets nearby where parking is allowed. Hopefully I use as little time as posssbile to find parking and therefore would only be a little bit late to my exam and would still probably be able to do well.
student-86
8
student-86
Casper
Casper
From the prompt it seems as though I had may not begun the exam, nor had I used any of the notes on the exam. I would inform the professor on the exact situation and let them know I had no intention of cheating. I would ask them if they could allow me to take the exam on another day and apologize for my grave mistake of leaving the notes in pencil case. Furthermore, If I received no advantage (had the exam not begun) I would ask them if they could let me still complete the exam today.
student-500
7
student-500
Casper
Casper
There are numerous factors that may have prompted James to ask this of Kevin. James may want to ensure the team's success either for the good of himself, his players, or the organization. He may want to avoid conflict with the player and ask Kevin to handle it instead. He also may be looking to give Kevin a larger role as a coach and want to give him the harder tasks to perform.
student-41
7
student-41
Casper
Casper
I believe that it means that a person does not need a reason to be curious. If someone wants to know about something, they don't need to explain their hunger for knowledge, their curiosity. Humans tend to want to understand the world around them. It is why we explain unexplainable phenomena by using a religious lens. It is also why we put such importance on science and scientific discovery.
student-389
7
student-389
Casper
Casper
First, I would reach out to my professor and explain the situation. I would provide context for why I might have forgotten (stress, no sleep), and asked my exam still be considered. That being said, it was my resbonsibility to ensure no notes were on me by the time I entered the exam hall. Thus, I would apologize and take responsibility for not being more dilligent about what was in my pencil case.
student-372
8
student-372
Casper
Casper
I would stop and take a moment to gather my thoughts and examine my surroundings. I would decide if it would be a better decision for me to keep walking, or to stop where I am and not go further, in case of getting myself more lost. If I can see a clear path near me, I will take that path. If I do not see a clear path, I might take a few steps back from where I came from to see if I can find a clear path. If not, I will stop where I am and call for help.
student-194
7
student-194
Casper
Casper
This indeed is a challenging situation for John. First of all, john should consult the city law and make sure if the law is strict. If it offers some levy, then john can let the woman board the bus. However, if the law is strict and doesnt allow any exceptions in medical circumstances, then I think John should follow the law. He should apologize to the lady and explain her the whole situation. He can inform of next bus timings so she can put her purse in the meantime. Similary, informing her of taxi schedule, if avaliable, will also be beneficial. After John finishes work, he should reach out to his manager or the city hall, informing of this situation and starting a discussion about having exceptions for medical emergenies.
student-193
7
student-193
Casper
Casper
On the one hand, it is diffiuclt for people of lower socioeconomic status to pay for electricity snd meet this essential demand. On the other hand, electrical bills generate revenues for the government, which can be used for the greater good, including developing programs for socialization and betterment. I believe a solution would be to charge for electricity based on the persons income, a \"pay what you can\" system - the amount can be calculated as a percentage of income. This ensures equity.
student-565
7
student-565
Casper
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
0
student-670
Casper
Casper
J'essaierais d'arrêter mon ami de regarder le téléphone de l'hôte, étant donné qu'il s'agit de quelque chose de privé. Toutefois, s'il a obtenu sa permission avant, il s'agit d'une situation différente étant donné que l'hôte a déjà donné son consentement.
student-632
0
student-632
Casper
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
7
student-294
Casper
Casper
Unfortunately, I do not believe there is a way to fix this. As a student, we are given ample opportunity to get rid of any aids before an exam begins and are often told several times to place any non-transparent items such as water bottles and pouches on the floor. From the perspective of the professor, there is no way of telling which students are cheating and which ones just made a mistake, as in my case. Regardless, I would try to explain my situation to the professor via a private meeting while also acknowledging that I do not expect them to revert my fail.
student-191
8
student-191
Casper
Casper
If the stranger seemed friendly and approachable, I may go over and kindly ask them to please not litter. I will approach in a friendly and non-judgemental manner but as someone concerned over the environment and its animals and society. I will help them pick up the litter. If the stranger seems very unapproachable or they really do not want to talk in any way or even make eye contact, I may go over and pick up the litter, and hopefully that will encourage them to stop littering and to realise their wrongdoings.
student-556
7
student-556
Casper
Casper
by using performance enhancing drugs, michelle is acting unethically and has an unfair advantage compared to those who are actually training hard for the race I understand that Michele is going through a difficult time and the money would really help her and her mother, and that the stress of the situation may be affecting her judgement however this sets a dangerous standard that it is okay to cheat and lie if it can somehow be justified by the goal I would explain this to Michelle and encourage her to either admit to her actions or withdraw from the race if she still wants to run the marathon, I would encourage her not to take the money if she refuses to do so, I would feel obligated to report her so that the race is fair for other runners, who may also need the money for significant reasons
student-245
8
student-245
Casper
Casper
I would first want to assess my responsibilities in this situation. On the one hand, I hold myself reponsible for the team, its cohesiveness and, by extension, its performance during the championship. If I miss the game without telling anyone, then I can easily imagine them not only performing poorly during the games, but also holding a grudge against their captain. I would therefore want to have a private discussion with my mom, to determine if she really needs me during these trying times. If she says no, then I would go to the championship. If she says yes, then I would have to be frank and open with my team, and try to find an alternative solution. I could, for instance, name an assistant captain for the match, if one has not already be named. It is by evaluating the needs of all parties involved that I hope to resolve the situation in a satisfactory manner.
student-112
7
student-112
Casper
Casper
Yes, it would be religious discrimination for a restaurant to not offer pasta because they would not be accommodating for the group of people who can only eat pasta. The people who can only eat pasta would not have another food option to order from the restaurant. In that case, they would not be able to enjoy the restaurant the way that others who don't have this dietary restriction would be able to. This group would instead be compelled to go find another restaurant that does, in fact, serve pasta. As a result, it would be religious discrimination on the restairant's part.
student-43
7
student-43
Casper
Casper
The reason homeowners have to pay for it is because it's not something that happens to everyone, it happens to a small portion of the population. Therefore, if every taxpayer had to pay for it through their taxes, a large population may become upset because they feel that they are paying for an issue that doesn't happen often - even if it happens more than they are aware of.
student-423
7
student-423
Casper
Casper
it is very difficult situation .in this situation i told my biss in non confrontation mamer about this situation.is it ok for him to blem be as i am responsible for take care of money.i also promise my boss i try to find who he,she is and why he/she is doing then i talked to my boss after listing all arguments
student-711
6
student-711
Casper
Casper
This is a dilemma since John should respect the law but it's also incredibly important for the lady to make her medical appointment - she may have imoprtant medical concerns that require urgent attention and waiting may cause her to have a poor outcome. In these situations, I think its important to look for alternatives in which both criteria can be met, and perhaps stopping the bus and asking fellow passengers if anyone has a spare ticket to help this woman out could provide a solution. In y experience, people are often eager to help in these cases. If I were in John's shoes, and none of the passengers offer to help, I would either purchase the ticket myself or allow this lady to come on the bus at no charge, as I believe the medical situation necessitates this potential infringmenet here.
student-416
9
student-416
Casper
Casper
First of all, I would try not to be angry at my boss. I understand that this loss of money could hurt him and stress him out, so I understand that he would look for a culprit. However, he should not accuse me without proof. I would therefore speak to him privately, ask him why he thinks I stole the money, assure him that I did not, tell him that I can help him find out what happened to the money. If he continues to accuse me, I would contact human ressources as this seems unacceptable and unprofessional.
student-409
9
student-409
Casper
Casper
As Jennifer, my main concern is the wellbeing of Heather and to put together a club that Jennifer is passionate about. I think Jennifer should have a private, non-confrontational discussion with Heather, outlining the goal of the club is bring together people who enjoy Old Romantic Books (ex. writing, timeline, etc.), and not to put down LGBTQ+ members. If possible, Jennifer can include books in that era that are also LGBTQ+ friendly to help make Heather feel more welcome.
student-654
0
student-654
Casper
Casper
first of all i will wait for the class to finish before going to talking to her as i don't want other students to distract while doing their exams because then it would be unfair to them, i would talk to her in a private room in a calm way tell her that i witnessed the cheating i would first day that i understand that she really wants to have a good mark but it is the wrong way to succeeds, and i'd tell her it is unfair to other students and even to herself as by cheating she is abandoning all her efforts away, i would then encourage her to report to the teacher
student-331
8
student-331
Casper
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
student-747
Interview
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
student-715
Interview
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
student-799
Interview
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
student-761
Interview
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
student-832
Interview
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
student-723
Interview
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
student-740
Interview
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
student-792
Interview
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
student-772
Interview
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
student-808
Interview
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
student-788
Interview
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
student-725
Interview
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
student-794
Interview
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
student-750
Interview
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
student-776
Interview
Interview
Deciding to pursue medicine and become a doctor is a big decision and it requires a lot of effort and takes a lot of time. I have thought very carefully about why I want to be a doctor and I have three main reasons. First, I want to be a lifelong learner. I chose to study at the University of Toronto for my undergraduate degree, particularly in neuroscience, because the field is so broad, there are so many different directions you can go with it. I was able to learn from some of the leading researchers in the field at the University of Toronto. Even after I finished my program requirements and could have just taken easier electives for the rest of my degree, I chose to pursue extra courses at the higher levels, like 400 and 300 level, because I'm really passionate about education. I want to learn as much as I can, and I even took six courses a semester, which is more than usually considered full time, because I wanted to get the most out of the education offered by the University of Toronto and learn as much as I can while enrolled there. Being a doctor is one of the only careers where you get to be a student forever, and you also get to apply your knowledge every single day, which is not something that many other academics get to do. So this is one of the main reasons why I would like to be a doctor. Second, I love forming relationships with people and maintaining them over a long period of time. Even just in the past year where I've been working and volunteering at the same hospital, I've been able to see the same patients every week for a year. It has been so rewarding and fulfilling to be able to see their progress and be able to contribute to their care every week. I think that this is a very unique opportunity. While some other members of the healthcare team are able to form some sort of lifelong relationship with patients like therapists or maybe nurse practitioners, physicians get to do this the most and to the highest level of depth, and you really get to know your patients. I am a person who loves human connection, and I love being able to help people and see their progress as I help them. So being a doctor would allow me to do this every day. Lastly, I'm really passionate about advocating for equal access to health care and equal quality of health care, regardless of one's socioeconomic, cultural or racial background. Currently, I do see some gaps in this. In Canada, even in the place where I volunteered, I found that many of the programs offered were Western-centric and didn't provide as much benefit to patients from Asia, Africa and other parts of the world. For example, I was once shadowing an occupational therapist who was teaching an elderly man with a TBI how to use the kitchen with a walker. Unfortunately, they didn't have the abrasive spices and ingredients that he would normally use at home. Instead, they had eggs, which he actually couldn't eat. So I used my knowledge of Asian culture because of my own background to try and figure out what kind of ingredients he uses in his household. We tried to simulate that with whatever we had, but obviously it wasn't an exact match, and it would have been more helpful to have a wider array of ingredients available. Another example is when doing music therapy, they would often play songs more popular in America and Canada, but not other areas. So when I see Asian patients, I try to ask them what kind of music they're used to listening to, and encourage the music therapist to play music similar to that, so it's more culturally relevant. So I think being a physician is the only profession where I could be a lifelong learner who advocates for people's health and forms lifelong relationships with patients. That is why I want to be a doctor.
student-805
student-805
Interview
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
student-758
Interview
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
student-779
Interview
Interview
If I found this individual to be problematic towards myself, I might feel the need to bring this to their attention. However, if their behavior is affecting others more than myself, I would consult with them before bringing it to the individual's attention. I would want to engage in a private, open-ended dialogue to better understand their perspective. Perhaps it is a misunderstanding, or they are unaware of being stuck in their own perspective. My goal would be to kindly educate them and help them realize how their actions impact other group members and myself. If they left the group after our discussion, it would be unfortunate to lose a strong contributor. However, I would not feel at fault since I did what seemed necessary after consulting others - it would have been a collective decision. I could reach out after their departure to gain their perspective and hear their side, then potentially rectify the issue by mutually agreeing they return. Or, I may need to acknowledge and accept their departure, wish them the best, and part ways.
student-759
student-759
Interview
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
student-796
Interview
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
student-732
Interview
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
student-802
Interview
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
student-751
Interview
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
student-801
Interview
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
student-749
Interview
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
student-780
Interview
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
student-769
Interview
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
student-790
Interview
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
student-741
Interview
Interview
My understanding of activism is grassroots movements driven by communities to advocate for policies and programs that positively impact people's lives. I believe physicians and medical students have a role in this duty. As community leaders directly affecting health, doctors can influence public health so patients are cared for beyond the clinic. I understand the challenges. With the demands of staying current on medicine, taking on activism requires great commitment and emotional investment. However, much health progress has resulted directly or indirectly from activism - like reproductive justice advocacy. This promotes not just healthy pregnancies or safe child rearing, but reproductive choice including contraceptive and healthcare access. One way medical students and doctors can engage in activism is advocating for increased access to contraceptives and reproductive healthcare. They can also start public health initiatives to improve sex education, so teenagers gain better understanding of safe sex, changes to their bodies, and reproductive health. Physicians can play a vital role in launching programs to ensure patients get care and knowledge to advocate for themselves. While difficult, activism allows doctors to create positive change beyond treating individuals.
student-738
student-738
Interview
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
student-791
Interview
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
student-763
Interview
Interview
If the club covers the full costs for only three people, the other members may perceive preferential treatment, which could negatively impact working relationships within the club. We could split the money so everyone's expenses are partially covered, but some members may still be unable to afford the trip. To try to cover more costs for everyone, I would propose a fundraiser. Whatever money we raise could help offset more of the trip expenses per person. This approach demonstrates fairness by providing support based on participation rather than favoritism. It also fosters teamwork as members work together toward the common goal of making the trip accessible to all.
student-727
student-727
Interview
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
student-774
Interview
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
student-816
Interview
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
student-755
Interview
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
student-787
Interview
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
student-753
Interview
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
student-793
Interview
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
student-819
Interview
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
student-748
Interview
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
student-720
Interview
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
student-784
Interview
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
student-770
Interview
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
student-811
Interview
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
student-718
Interview
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
student-728
Interview
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
student-746
Interview
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
student-825
Interview
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
student-829
Interview
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
student-754
Interview
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
student-795
Interview
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
student-736
Interview
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
student-716
Interview
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
student-756
Interview
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
student-806
Interview
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
student-785
Interview
Interview
One time I disappointed my parents was during my brief stint on a higher-level soccer team. I had played soccer my whole life in Northern Ontario, where competition was limited. One year, I was good enough to make a team with kids a year older than me, around ages 12-13. This team traveled most weekends to play tournaments in Southern Ontario, about a 5 hour drive each way. Being a year younger at that developmental age meant I was less physically mature and lacked confidence compared to my older teammates. As a result, I hardly got any playing time during the tournaments. At first my parents reassured me, proud I even made the team. But I could see it wear on them that they were spending entire weekends traveling just to watch me sit on the bench. To ease their disappointment, I reevaluated my relationship with the sport. I loved soccer and the chance to compete, but wanted to enjoy playing more, and have my parents enjoy watching me play. So the next year, I dropped back down to my age group. I became captain, played entire games, and had much more fun. While it was good to get that higher-level experience, considering how I felt and accounting for my parents' experience led me to make a change. Consolidating onto an age-appropriate team ended up being better for me and my family. I was able to have a more fulfilling soccer career moving forward.
student-764
student-764
Interview
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
student-813
Interview
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
student-782
Interview
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
student-717
Interview
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
student-726
Interview
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
student-731
Interview
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
student-820
Interview
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
student-773
Interview
Interview
There are many reasons I want to be a doctor, but my personal patient experiences were what first made me want to pursue a career in medicine. When I was 15, I was in and out of the hospital for about a year due to a recurrent parapneumonic effusion. To be perfectly honest, I wasn't the best patient. I was really frustrated because I was a high achieving student athlete. I was missing a lot of school and practice. But I met some amazing doctors who really listened to my worries, my concerns, and they made me feel very understood. I felt like they saw me for the person that I was rather than the situation I was in, and they could kind of see past my teenage angst, and they would joke around with me about when I would rank their nasal endoscopy skills or talk to me about my biology homework. They also helped to develop a treatment plan that would allow me to get back to my training and get back to school. Those experiences inspired me to want to do the same for other people. I want to pursue a career in medicine so that I can make other people experiencing chronic illness or other medical issues feel seen and understood, advocated for during these really difficult times. But with that being said, a career in medicine is very challenging. So I wanted to make sure I explored my options and knew that this was for sure the direction I wanted to go. A couple of years ago, I started volunteering at a family medicine clinic in Stratford. And last year, I completed an internship at a hospital in Peterborough through my program. These clinical experiences really confirmed that this was the path I wanted to take. I honestly can't see myself doing anything other than being a doctor. Through those experiences, I learned how interesting the human body was. It's so complex. But there are also the problem solving skills and critical thinking skills that are required to develop a treatment plan and diagnose patients. It reminds me a bit of a really complex puzzle, putting all of these pieces together for each patient to create the optimal treatment plan. I just think it's so interesting. But also, you have this science aspect integrated with the social aspect of medicine. You're collaborating with a healthcare team. I really value being part of a team. I was part of a team sport for many years, and so I really enjoyed that aspect of medicine. But also you're collaborating with patients. I feel like the social aspect of medicine would keep the job really interesting because you could have ten patients who all have the flu, but your interactions with them are going to be so different because every person is unique. I really enjoy how I can have both the science aspect and the social aspect because I enjoy working with people, and I also enjoy science. I feel like that's kind of unique to medicine. The last reason why I want to pursue a career in medicine is because it would allow me to be a lifelong learner and continue with research. I'm currently finishing up my Master's degree. I'm very passionate about my research, but with research, sometimes you don't get to be the person to apply your findings. In medicine, I could continue with research to some extent and continue with some research projects and stay involved in that research community, but actually get to apply those findings to a clinical setting and see the results of that research, which I feel would be so rewarding. And so that's a huge reason why I would like to be a doctor.
student-803
student-803
Interview
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
student-804
Interview
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
student-833
Interview
Interview
First, I would greet Jason, thank him for having me over, and have an open conversation. I want to listen without judgment to understand why he hasn't been attending class and how I can help him return. There could be many underlying reasons I'm unaware of. If he's going through a difficult time, I'll offer support to help get him back on track for classes and medical school applications. If it's a lack of motivation or feeling discouraged by the difficulty, I can relate - medical school is challenging. In that case, we'd discuss his goals and ways I can assist, like studying together or working on applications. The aim is hearing his perspective, offering support tailored to his needs, and outlining how we can move forward productively. By having an empathetic discussion oriented around helping him achieve his dreams, I hope to get him back on the path towards success.
student-737
student-737
Interview
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
student-742
Interview
Interview
Yeah. This idea of a bonus fee per doctor visit for me, on the surface of things, it does not sound like a really good idea. The reason why is because it will create scenarios where nonadherence may arise. And nonadherence as a prospective physician assistant, I understand how risky and how dangerous that is. By nonadherence, I mean the fact that a lot of patients or potential patients may see that cost and not think that their particular condition is worth going to see the doctor for. For example, an older patient who may experience headaches. A headache could be an underlying factor, an underlying symptom for a much more severe condition like a stroke or some forms of diabetes or other heart disease. So that could create some confusion and that could all stem from that additional cost that comes from those visits. And another way I could see nonadherence coming up in this scenario is through patients just not following through with additional follow-ups, for example, or prescriptions. In my experience, when I was volunteering at a family walk-in clinic in the Peel region of Ontario, I've spoken and had conversations with some patients who did not feel like going through with their prescription was worth it. One person who I was having a chat with a few months ago during the middle part of my journey as a clinical volunteer told me how he had some form of eczema. And there was this cream, this topical cream that was prescribed to him by the physician at the clinic. But he was telling me how because of how expensive and pricey it was, that he didn't feel it was necessary or worth it to follow through with it. But now we can see that and how it's reflected in this scenario where some patients may see that cost and think that it's way too hefty and not follow up with what a physician may suggest or a prescription or another visit or a visit to another specialized clinic. And these are all factors that do come into play when creating this new policy. But one positive impact that I could see come out from this new change could be the decreased wait times as some patients may see that their condition isn't as serious or necessary to visit a doctor. And that could overall in the long run decrease how many patients there are in a clinic at a specific time. But once again, that does intertwine with the negative impacts because if a patient feels like symptoms aren't as serious, where do we draw that line? Where it becomes serious or where it may be part of an underlying disease that may be more serious? So that is yeah.
student-797
student-797
Interview
Interview
When I was younger, I tried out for many soccer teams but could never make it. The players treated me poorly, saying I wasn't good enough and making fun of me. At the time, I felt disrespected without understanding their perspective. The kids may not have known how to properly treat others and thought it was a joke. What I really gained from that situation is more significant than their actions. I learned to never give up. I kept going and eventually made a soccer team. This experience applies to becoming a doctor. There will be many hard times, so you must keep trying even when you lack confidence. Perseverance will make you a great physician able to provide excellent care. While the teasing was difficult, it taught me an important lesson that guides me to this day - never quit in pursuit of your goals.
student-724
student-724
Interview
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
student-781
Interview
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
student-814
Interview
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
student-828
Interview
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
student-818
Interview
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
student-721
Interview
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
student-760
Interview
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
student-824
Interview
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
student-831
Interview
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
student-757
Interview
Interview
So why do I want to be a doctor? Well, there are many reasons why I want to be a doctor, but I'm going to tell you a bit about my experiences in the past that really made me want to become a doctor and really motivated me. Ever since I was born, I've had to help my father with his condition, which is multiple sclerosis, and it's always been pretty bad. I've always had to be there for him and to be empathetic towards his situation. It really helped me develop communication skills, but also empathy. Before I could even say something or say what made him uncomfortable, or if he needed to be repositioned in his bed, or if he needed a glass of water, I could just always read his thoughts and I could just feel what he was feeling and provide the necessary care. I could just see, for example, and notice things and I just knew that he needed something. It also contributed to bettering my communication skills because I could just talk to him about how he's feeling and I've always had to reassure him and make him know that it's always going to get better and that he's not alone in this. So I've had to offer a lot of reassurance also. Well, it's part of my day to day life, so I know what it's like to take care of someone. I know what it's like to be in a bit of a medical environment and as I said, it's always been part of my life and so it does not stress me, it does not disturb me. It's actually something I love doing. I love being there for him and being able to just put a smile on his face in any way I can. If it's by giving him a glass of water, then I'm very happy to do so. As I said, I've been there for him and showed empathy and told him that I'm always there for him. Also, when I was little, I had a huge accident with my right arm. After the surgery, I remember speaking with the doctors and they were laughing and they were really making me happy. They teased me a bit about the situation and it just put a smile on my face and it really made me happy and made me laugh. I just realized at that time that it's really who I wanted to be in life, that my goal in life was to just be able to put a smile on people's faces and just seeing people happy is what makes me happy. I felt comfortable, I felt not alone, I felt surrounded and I felt like I could trust them. That's another point I want to mention. It's that I've always gained people's trust easily. So I'm someone that people can count on and I've always gained their trust and for me that's really important. I like being someone who's trustworthy and just so that I can be able to help them, to help them. I also love interacting with other people, I love being social and I really learned a lot about myself and to interact with other people really makes me happy. Also in a more academic aspect. Well, I've always liked the biology course and when I was little I always had this book. It was very interactive and it was about the human body and I remember falling asleep with it every day. I also have a very analytical brain and I love solving issues and problems and it's something that's fun to me but I also always like to understand what's happening before solving a problem but I usually always come to a solution. I also have critical thinking which really helps me in situations and I think it's essential to be a doctor and to analyze things. I'm also very calm, I love reassuring people, I think it's really important to do so. I love offering a calm presence to people so that they feel safe and comfortable with me.
student-798
student-798
Interview
Interview
Before I begin, I just want to thank you for taking the time to listen to why I want to be a doctor. I'm a mature applicant now, and my decision to become a doctor was really something that I wanted to take my time with to make sure it was the right thing for me and explore all my options as a student. I liked the idea of medicine, exploring topics in health and science, but it wasn't until my professional work, education, and volunteer work that I've done as a working professional that really brought me back to medicine and made me realize that it was what I wanted to do with my life. To touch on those experiences as a working professional - right now, I'm a clinical trial monitor with the Canadian Cancer Trials Group at Queen's University. In this role, I have the opportunity to collaborate with research teams across the country on the clinical research that we're doing that is really improving care options available for patients. It's tremendously gratifying to be able to follow a patient's treatment story indirectly as a clinical trial monitor and get to know the best practices that are taking place at each of our clinical research sites. One of the trials that I'm tremendously proud to have worked on was one that improved survival and progression status in breast cancer patients. This was a huge landmark trial published in the New England Journal of Medicine, and has since been adopted as a treatment option for high risk breast cancer patients. I'm tremendously proud to have worked on it and I want to be able to translate experiences like that into a clinical care setting. I want to be able to find ways to improve patient care. One of the things that came to my mind is something that I learned in my part-time course on social determinants of health. I'm also a part-time student - I've taken courses in anatomy and social determinants of health. In the context of my work and existing education, I've really been able to integrate all of these things together into a more comprehensive image of what I think health and wellbeing actually are and ways to address them as a physician. I'm really excited at the prospect of a holistic care model - not only looking at clinical care and interventions, pharmacological and non-pharmacological, but also interventions that address the social determinants of health, like the underlying causes for why people experience the things they do. I think the most important thing, the experience that made me say "this is what I want to do", was working at the COVID-19 vaccination clinics. I think we'll all recall the uncertainty and anxiety people had about COVID-19 and how it was shaping the world. I wanted to get involved managing it as soon as I could, whether with tracking or vaccines. Specifically working in those vaccine clinics as part of that clinical care team was a really gratifying experience. One that I'm tremendously proud to have been involved in something that I'll be able to speak to for the rest of my life. Being told that I'm giving people their lives back by working at these clinics is something that I want to be able to experience every day as a doctor. As soon as I had that opportunity, that was it for me. I knew this is what I want to do. I think the person-to-person interaction is something that I've always loved. The integration of sociological and health factors that I've learned about from my work and school experiences have really brought me to this point where I'm ready to become a doctor, where I know that I want to be a doctor.
student-807
student-807
Interview
Interview
The main reason I really want to become a physiotherapist started when I was young. I played a lot of sports and have always been interested in science. Playing sports, I've had the misfortune of many injuries. Starting around age 12, I've had to go to physio multiple times. I've been to many clinics as I got older, playing lacrosse at a high level and football. I've seen different physios because the teams have different affiliations. So I've had a lot of great experiences with physiotherapists. With my interest in science and studying anatomy and research in high school and university, I've reflected on my experiences and found physiotherapy combines my interests. It allows me to work one-on-one with people at the intersection of anatomy, physiology, physical activity, health, wellness, movement, sports, injury recovery, and improving daily living. You incorporate knowledge, research, and new developments in collaboration with doctors, occupational therapists, and other physiotherapists to create the best plan for each patient. This really interests me. My exposure to different physios provided great role models who inspired me to continue my journey as an athlete and scholar. When I was able to reevaluate what I value, those influences focused me on becoming a physiotherapist. Additionally, my experience coaching and working with kids with autism has shown I work well and communicate effectively one-on-one. I enjoy the process of helping someone improve their abilities and quality of life through movement in a one-on-one setting. I want to put people in a position to succeed. Coaching has allowed me to create positive environments and build relationships with each player to ensure they can improve, have fun, make friends, and gain lifelong healthy skills. These experiences have reinforced and further influenced my desire to be a physiotherapist, as I want to provide this on a daily basis. I think it plays to my strengths.
student-823
student-823
Interview
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
student-768
Interview
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
student-752
Interview
Interview
As part of this advocacy group, I believe everyone's opinions should be valued, so we must emphasize not routinely dismissing others' ideas. I would have a private, non-accusatory conversation with this student to understand their perspective on why they feel their ideas require more attention. While acknowledging their ideas may be great, I would explain the importance of collaborating towards our shared goal, as teamwork enables greater success. If they still choose to leave after this discussion where I had no ill intent and simply sought the group's betterment, I would reach out and reiterate that I only want what is best for the group. If there is still no understanding, unfortunately we may have to move forward without them. But hopefully the group is stronger overall by upholding respect for all members' contributions.
student-733
student-733
Interview
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
student-771
Interview
Interview
This is a difficult situation that requires considering multiple perspectives - that of the physician dating their patient, the patient themselves, and my own role and duty in this situation. As the patient's physician, they likely see them as a trustworthy source of care. However, physician-patient relationships have an inherent power imbalance, as physicians hold greater medical knowledge, which can unduly influence patients' decisions. This could lead to the physician not prioritizing evidence-based care with this particular patient. As this represents a conflict of interest, it raises ethical concerns regarding patient care at the clinic. Having recognized this issue, I have a duty to address it professionally and calmly, not making any rash judgments. I should initiate a discussion with the physician to outline my observations non-accusatorily. Framing this as a legal and risk mitigation issue may make it easier to convey. Emphasizing our shared commitment to patients' wellbeing is paramount. An alternative could be transferring the patient's care to me, allowing continuity while eliminating the conflict of interest. With trust between us, they may agree this is best. Please let me know if you need any clarification or have additional questions.
student-827
student-827
Interview
Interview
As the attending physician in this case, I would likely feel very uncomfortable with the profanity and anger directed at me. My first step would be to remove myself from the situation and take a moment to calm down. If possible, I would ask another attending or staff member to temporarily take over care so the patient is not neglected. Hopefully someone more detached can interact in a calmer, unbiased manner. Once I've had a chance to collect myself and be mindful, I would return to speak with the patient privately. I would talk in a calm tone, asking if they would like to voice any concerns and if there is anything I can do to help. I would be understanding that hospitalization can be an extremely stressful time, especially when dealing with significant medical issues. This may be contributing to their struggle with following advice and overall discomfort. My goal would be having an open discussion to understand their perspective, while remaining patient focused.
student-730
student-730
Interview
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
student-739
Interview
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
student-822
Interview
Interview
Thank you for the question. I distinctly remember the book that initially sparked my interest in what I want to pursue later in life. It was a basic book about human anatomy that I found in 8th grade. It had transparent pages where you could go through the layers of the human body - the skeleton, muscles, and I remember reaching the nervous system and brain. I remember being stunned for a few minutes while reading because to the 13 year old I was, this fundamental brain information was magic to me. I couldn't believe what I was reading, and most of it remains magic to me today. As cheesy as it sounds, it was then that I realized I wanted to dedicate my life to studying the human body, but the brain in particular. I didn't know how or where I'd do that, just that I wanted to in some way. It wasn't until years later when my grandmother fell ill that I saw neurological symptoms firsthand. She had Parkinson's which progressed to delirium. She was hallucinating and saying things that didn't make sense. I had seen people get sick before, but never display neurological symptoms like that. It was disturbing because someone I had known for so long suddenly became someone I didn't know due to changes in her brain. It deeply affected me and remains with me. Later, I decided to shadow a neurologist to witness the field up close. The neurologist dealt with patients with various neurological symptoms. What stuck with me was the position the physician had and his ability to give hope. I think that's extremely unique to a physician's profession. Many noble professions help people, but physicians can give hope. As neuro patients, we face frightening possibilities of our illnesses erasing who we are. So seeing the physician give hope, saying "You'll still be you, you'll survive" had a profound effect. It reminded me of my grandmother and the helplessness I felt. It encouraged me that if I could one day give hope to someone like my past self, I'd be eternally grateful. It reinforced my excitement to potentially pursue neurosurgery at U of T. So in summary, that book sparked my initial interest in the brain, my grandmother's illness made it real, and seeing a neurologist give hope to patients reinforced medicine as the career path to pursue. Thank you for the question.
student-810
student-810
Interview
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
student-735
Interview
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
student-821
Interview
Interview
Thank you for sharing this difficult situation. As physicians, we have a responsibility to disclose medical information to patients with decision-making capacity, even if family members object. Before acting, I would first meet privately with the parents to understand their hesitations around disclosure. They may have legitimate concerns about their son's mental health that I should consider. However, I would also explain the importance of respecting the boy's autonomy, given his terminal illness. Assuming he has decision-making capacity, he has a right to direct his own care based on his values. Withholding information could damage our therapeutic relationship and trust. I would offer to assess the boy's capacity and, if appropriate, slowly disclose details to him in a supportive manner. This may alleviate the parents' concerns. I would highlight that shared decision-making between us, the parents and the boy would lead to the best care plan. If after discussion the parents refuse disclosure due to risks like self-harm, I may defer briefly. But the boy's right to direct his care should be paramount, assuming capacity. Over time, I would continue advocating for transparency and autonomy in a compassionate, non-judgmental manner. Respectfully bridging this conflict between parents and patient requires patience and care. My goal is to reach a resolution where the boy receives key information while also addressing family concerns. Please let me know if you need any clarification or have additional questions.
student-830
student-830
Interview
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
student-743
Interview
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
student-734
Interview
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
student-775
Interview
Interview
I believe this is a complicated issue with many perspectives on universal basic income. There are pros and cons, but I am more in favor of it as I believe people should be able to provide for themselves and their families. As a physician, this career is about advocating for others, and the ultimate form of advocacy is ensuring people can provide for and advocate for themselves. A basic income is essential for people to be able to do that.
student-815
student-815
Interview
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