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Casper

In my experience teamworks sometimes fails due to lack of communication or miscommunication. I think when working with any new team, it is important to establish the goals and expectations for the team in an open discussion to ensure that everyone is on the same page with regards to timing etc.. When clear communication is established early it leaves little room for mistakes or misinterpretation.

student-275

Casper

I would ask the person sitting in the seat if they have seen my textbook, and I would describe the textbook to them. If they say that they haven't seen it, I would take their word but ask them if they wouldn't mind letting me know if they do come across that book later and to let me know. If they say that they took it, I would ask for my book back.

student-456

Casper

For my film class, our final project was to make a film highlighting minorities in Brazilian film. My team chose to focus on the favela to soccer pipeline. Our group leader was Brazilian and more familiar with the topic so he guided us in the process. However, when the presentation day came he showed up late and none of us had access to the final product. The project as a whole as incredibly fulfilling, however.

student-557

Casper

My concern would be my academic wellbeing, given that this final exam may be extremely important for my future, as well as the safety of individuals on the road as parking on the side street may impede traffic. However, If I discern that parking on the side street will not cause harm to others and block the flow of traffic, I would consider parking there in order to make my exam on time. I could also call a trusted friend to pick up my car from the side street while I'm on the subway and drive it to somewhere safer.

student-381

Casper

I would not purcahse the test bank even though I understand that it would help me to get a better grade in the class. This not the ethical thing to do as schools have polocies and using an test bank such as this owuld go against said rules. I also know myself that it is wrong as there should nvever be a time where one feel the need to cheat in such a manner. If I am struggling with the test I could speak with my professsor to ask for extra help and that way I can do better without the help of a test bank.

student-182

Casper

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

student-477

Casper

I would first show her my full support and listen to her concerns, while remaining sensitive and considerate of what she may be feeling. I would then advise her to consider speaking to the manager in private and informing him of her concerns. In addition I would consider confronting the manager to speak to him in private as well and hear the story from his perspective. If it turns out that the accusations are true I would help her in getting the support shee needs whether it be contacting HR or other bodies to help her out.

student-401

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

Casper

I think this is a very complex issue. As an immigrant myself, I come from a country where circumcision is encourages however since coming to Canada I have foundt that this is not widely the case. I could understand while to some outlawing circumcision would be considered discrimination giving is cultural and d=religion implications. However on the otherhand, I could see why the government had outlawed circumcision based on doing whats best for society. I think that this situation might heavily depend on how greatly an individual values this practice, to understand if it may be considered discrimination and if it may not be.

student-141

Casper

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

student-673

Casper

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

student-517

Casper

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

student-261

Casper

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

student-535

Casper

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

student-15

Casper

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

student-469

Casper

Richard should not tell Jessica about the database. While I understand Jessica is struggling, and the database will definitely help her in the short-term, as her friend he should not tell her because it will prevent her from learning how to actually do chemistry. This will harm Jessica in the long-run, especially if she pursues further science education. However, instead I would encourage Richard to offer Jessica support in another way, such as peer-tutoring her, or providing her with other helpful resources.

student-44

Casper

It is important to keep calm and limit outwardly negative or judgemental reactions towards my supervisor because I am not certain they are intoxicated, and if they are intoxicated a negative reaction from me could worsen their mental and emotional state. I would ask them if they are intoxicated and if they are, I would gently suggest that they take the day off work as they are not fit to see patients in that state, and then proceed to inform someone higher-up about the situation. If they do not comply with my suggestions or are not willing to admit they are intoxicated, I would take my concerns to a higher up and let them deal with the situation.

student-308

Casper

This is a difficult situation because on one hand, Sarah is breaking academic integrity and honesty, however, on the other hand she is your best friend. Before jumping to conclusions, I would try to have a private conversation with Sarah if she is comfortable with that. I would ask probing questions, asking her why she wants to leak the exam questions and why she wants to break academic policies.

student-220

Casper

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

student-172

Casper

In order to encourage the residents with dementia, I would make sure that they feel included. I would give them words of encouragement and advice for their game. If this went on to become too frustrating for the residents, I would suggest another game that everyone might enjoy that is less taxing on them.

student-454

Casper

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

student-294

Casper

I would approach all conversations with respect and transparency. I would also understand that my boss is likely extremely stressed due to the missing money and that the way I am being treated is likely related to that. I would be diligent about my work and ensure that I continue to be on time and offer to help resolve the issue of the missing money. I would also request another meeting to speak about my innocence as I deserve to have the opportunity to explain my lack of involvement with the theft.

student-481

Casper

Many healthcare professionals are not only there for the treatment of medicine, but also teach many residents, medical students and nurses who will take over after them. They will build their knowledge and may form how they become medical professionals. Because of this, many may think that medical professionals should be laid off, as their teachings determine the future. However,with the proper training, these medical professionals may be able to enhance their skills and create a better future. If even after proper training, they cannot teach properly, they should be laid off.

student-669

Casper

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

student-89

Casper

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

student-306

Casper

I would be focused on not jumping to any conclusions. So, I would want to first gather more information by having a private nonjudgemnetal conversation with him. If I learn that he is taking the marijuana legally such as for medical reasons, then I would not report him. If i learn that he is smoking it illegally, then I would encourage him to turn himself in. However, if he refuses, then I would inform him that i would have no choice but to report him either to a teacher or law enforcement as it is illegal.

student-247

Casper

In this situation, I need to gather more information. If the clinic supervisor is intoxicated, this is a risk to all the patients, as she could potentially harm their health. I would try to talk to the supervisor by asking probing questions. I would have this conversation in a private setting, and in a non-confrontational manner, would ask her if she is feeling okay, and I suspect she might be intoxicated. If she is intoxicated, I would advise her to close the clinic and go home. If she agrees, I would document the situation. If she does not agree, I would call our superior and allow them to handle the manner.

student-301

Casper

This is difficult because one the one side the man is worried about the virus and whether the clothes could transmit the virus. on the other hand the person with the scrubs, feels attacked and suffered probably a lot during the pandemic( long shifts, not able to see their family). Both of them should communicated in a better way, but both sides have pros and cons

student-641

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

Casper

I believe curiosity is there to drive us to wonder about the mysteries of life. This is what has caused us to make discoveries and inventions.

student-634

Casper

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

student-24

Casper

Recognizing that this is a violation of integrity and a major moral dilemma, I would tell my friend that plagiarism is never okay and can be very harmful to his record. I would also mention that it is unfair to the other students who dedicated time to writing the lab themselves. I would encourage him to contact the teacher and ask for extended him instead of submitting the plagiarized work. I would help them draft an email to their professor if they needed help doing so.

student-384

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

Casper

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

student-686

Casper

My main concern is maintaining a good relationship with my coworkers while also remaining true to my value for kindness and not compromising this. I would direct the conversation in a different topic, however if the coworker persists I would point out in a non-confrontational manner that I do not want to engage in unkind behaviour and leave the conversation. Regardless, I would have a private and open conversation about the topics discussed with the coworker about remaining respectful towards the members we work with.

student-282

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

Casper

Homeowners must pay for it as this ensures that the animals are treated in the safest manner possible. To have trained professionals remove and re-locate the raccoons, there will be associated costs to the organizations tasked with removal.

student-637

Casper

Immediately, the first thoughts that are in my mind are trying to find an ethical way to help Robert be successful in the class, as well as making sure Sarah does not go through with her plan to leak the test answers. I know that she could get in severe trouble for doing this, and I do not want that to happen.

student-153

Casper

Dave should first talk to the man to comfort him and understand what is happening. This man may have mental health struggles, but this may be a single occurance in which he needs comfort, or he could just appear to be talking to himself when he actually has headphones. Dave should ask if everything is alright and if he can help in any way. If the man seems like a threat, Dave should call the police. If the man is harmless but confused, Dave should provide comfort by talking to him \"everything is alright, you are on the subway right now, my name is Dave and I am here to help\" and sending him to a help centre.

student-91

Casper

student-456

Casper

ni l'un ni l'autre: je propose quil y ait des prix basés sur la fréquence des visites des patients et du personnel de l'hopital. ainsi, les patients hospitalisées pourront voir leur proches, ce qui aide leur santé mentale et leur guérison, puis, l'hopital peut continuer a faire des profits et a subventionner des bellse machines qui servent à savuer des vie set a prévenir des maladies. ainsi, ce compromis avantage le plus de personnes possible, ce que je pense etre une bonne solution.

student-129

Casper

I want to make sure that my intentions are in the best interest of my friend Jacob. My main concern is his health and well-being, thus as a friend I want to make sure he is taking care of himself. I would have a private conversation with him and ask him kindly how he is doing in his health journey and if his physician reccomened any diet regiment into his daily life. If he says yes, and that he should be on a strict diet, i would advise him to listen to what his physician says and that we could order something closely related to his diet. If he says no, i would advise him to follow up with his physician or nutritionist in order to increase his health and wellbeing. In the end, i want to ensure a medical professional guides his health and wellbeing, but as a friend i can recommend some healthier options if he is open to it.

student-157

Casper

Since homeowners' property is considered private property, what happens on their land is their responsibility. I think if homeowners are unable to pay for such costs there should be options for subsidies to ensure that the animal and people around do not get harmed.

student-703

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

Casper

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

student-205

Casper

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

student-635

Casper

James may have observed that the players that perform worse have been affecting their game scores. Perhaps the team has been losing for a while and the coach is getting frustrated with the results. It could be that the next games are higher stakes and that James is very focused on winning.

student-176

Casper

Because the manager has tried to kiss her despite repeated rejections this would qualify as sexual harassment and it is also an abuse of power. Because it is a serious case I would ask if there is a reason she does not want anyone to know. It is possible that such topics are taboo in her culture or she has too much going on in life to dedicate time and energy towards this matter. However, if it is because she is nervous over no one believing her or something similar, I would encourage her to collect any evidence she may have of the harassment and pursue action. Ultimately, I would emphasize that whatever she chooses I would be there to support her, and she would not be wrong for any decision she makes.

student-365

Casper

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

student-12

Casper

I would be calm and respectful and not be accusatory. I would begin an open dialogue and express my feelings. I would mention that I lost my chemistry textbook and ask if they've seen it. There is nothing to imply that they stole it and it would be a mistake to assume that.

student-225

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

Casper

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

student-246

Casper

id carefully weigh in my optoins, even though there arent much. i'd try to find a high point where i may see more, or i'd listen for sounds and follow. I can also carefully walk in one direction and get to the other side.

student-631

Casper

I think it is important to admit to the mistake made by the executives as it would be unethical to lie. However, pointing fingers will not make the situation any better so I not push on the blame on those individuals. Instead, I will state the facts as it is, that due to miscalculations, the business is not doing as well as it should, and as a result of that, these employees must be laid off. I would emphasize the fact that this is not the fault of any of the employess being laid off.

student-231

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

Casper

I think whether or not I would say something to those teenagers depends on the intensity of the situation. Because I was simply just walking by and I could have something very important to do. For example, I may have a very important appointment and in some cases these teenagers can be very aggressive. And it may not be the best idea to just say something immediately or out of my mind if I feel that I'm not prepared for this confrontation. If in some cases I find them are capable to accept other people's opinions or if the case allows me to confront them, I might just say something like, it seems like you guys are surrounding stray cats. Is there anything I can help you with?

student-22

Casper

I would get involved since this is my friend, and I care about them. During one of our breaks, I would ask to talk with her in a private place and explain what I saw. I'd ask what happened, what her reasoning was, and say how out of character it seemed. Then, I would encourage her to either put the money back if this was the first occurrance and no damage had been done, or to report herself to the boss. Eventually, the boss is likely to find out when counting cash at the end of the night, and many cahsiers are watched on video camera regardless. Rather than her be fired outright, explaining herself may give her the chance to come back from her mistakes. Instead of stealing, I'd plead that maybe she could take on more hours, or I could help her find a second job.

student-90

Casper

It was my first season playing with a mens soccer team. Everyone was ages 30 or older, and I was only 19 at the time. Theyve been playing together for many years and have a strong bond/friendship with each other. At halftime of a game, they were discussing tactics since we were losing 2-1. I wanted to give my input about a tactical change we could make, but was too timid. I didnt know how theyd react or if my suggestion was helpful, and was too scared of being embarassed for it.

student-229

Casper

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

student-476

Casper

I would start by trying to obtain more information - I want to talk to my friend in a private space and ask how they are doing - they don't have to talk to me if they don't want to but I want them to know that I am there if they want to talk. I would reassure my friend that they have resources at the school and friends that want them to succeed and do whatever that they feel is ideal. I would suggest them to speak to someone at the school that might be able to help them with more options regarding their situation; such as maybe coming back to school later on.

student-327

Casper

I was at a fairly new job and one of my managers got demoted without warning. The situation, we discovered, was because an ex-employee had complained about this manager and our general manager did not take the correct disciplinary action with the manager who ended up getting demoted. I wanted to speak up about how my manager had not done anything wrong in my experience being trained by her, and that my testimony was opposite to the complaint that got her demoted.

student-316

Casper

I will first speak to my patient and tell them the dangers of drug use to both themselves and others and advise them to stop taking it. I will also provide them with reoscrs and assistance to help overcome the drug reliance

student-593

Casper

In this situation, I would simply tell her I am unable to see her within the next couple of days because I am preparing for my final exam. However, immediately following my exam I would definitely come see her. In addition, because I have sisters I would tell my sisters to go see her just because they are younger and their exam schedules differ greatly from mine, to go see her during those two days.

student-352

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

Casper

My main concern would be the relationship I maintain with my coworkers, but also that accountability is taken, as lying to the manager about something they did is not the best thing to do. I would have a private conversation with my co worker, suggesting that they take some accountability and telling the truth to the manager, and also offering to walk by them in doing so. I wouldn't want to make it seem like I will let things slide and accept everything my co-worker does, in case they get the impression that I will hide things from the manager from them in the future. I would want to tackle this situation early and ensure I'm setting a good example an dimpression for others.

student-260

Casper

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

student-61

Casper

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

student-235

Casper

I would ask the coworker in a private conversation about why he lied. If he says that he got flustered in the moment to try to save his reputation, I would encourage him to do the right thing and go back and talk to the boss. If he says that he does not want to do that, I would tell the boss myself because I believe it would be deception to hide the truth knowingly. I would also ask the boss to understand that accidents do happen and what he did was not intentional/

student-292

Casper

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

student-572

Casper

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

student-587

Casper

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

student-553

Casper

No, it is not right for him to adopt the puppy, because at this point, we are unsure who the puppy truly belongs to. From the perspective of the stranger, I could see why he feels protective over the puppy since he saved it, and he may feel like the owner doesn't care about it because they left it in the middle of the road. However, from the perspective of the potential owner, they might be very distraught and worried if they never found their puppy. Therefore, I'd say it's not right.

student-77

Casper

Seeing the bruises arises the concern of potential abuse of the patient. However, Ashley should not jump to conclusions. Ashley should aim to gather information by talking to the PSW and the patient. Ashley can ask the PSW why they yelled at the patient. However, given that Ashley is not a physician, the PSW may not be able to disclose full details regarding the patient that would support or disprove potential abuse. Therefore, Ashley should report that they examined that the patient was bruised to ensure the nursing home is aware and able to examine further into the causes. However, Ashley should be cautious about framing the issue in a biased manner that assumes any malpractice by the PSW or abuse generally. Ashley should entrust the nursing home leadership to assess.

student-137

Casper

Firstly, I would check with the company if there are any legal policies on how to go about this. If there were, I would ensure those were followed. As well, I would announce the news in a way that is clear, empathetic and provides distinct next steps. The best way to do this would be to use a clear email that provided this information in a very clear manner. I would include a video in the email where I expressed what happened, and I would make myself available to answer questions as well.

student-102

Casper

It is very important to acknowledge the fact that although I was not cheating, from the teachers perspective I had notes in my pencil case and was infact attempting to cheat. therefore, I would have to approach my teacher in a very kind manner and explain my situation to the est of my abilities. It is important to note that although i would appreciate retaking the exam in order to avoid failing; I have made a mistake and it was my responsibilty to ensure i was prepared for the exam. BY not ensuring my preparedness I put myself in a situation where i was caught cheating and so i must old myself accountable for these actions.

student-204

Casper

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

student-307

Casper

I 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

Casper

he should first invite the employee to a private room and tell the worker calmly about the situation without any personal emotions, then he should also listen to the employee's point of view and his reason for stealing bread because even though kevin knows the general reason behind the stealing there might be more story in the stealing that he should know

student-494

Casper

Though I would feel the urge to speak up during the meeting, I would suppress that urge because I believe it could create confrontation during the meeting. This would be very unprofessional at work and could actually negatively impact me, as the boss may view it as unacceptable and fire me. Thus, I would talk to my coworker after the meeting and ask them why they took credit and plead with them to acknowledge to the team that it was my idea.

student-445

Casper

I would first empathize with jeffereys situation and say that it is unfair that his religous holidays are not respected. after showing my compasiion for his argument i would point out to him that christianity is the popular religion of th epopulation and thus the reason for these laws, would also point out thta in other countrys other religions like islma are prevailing and thus their holidyas are the ones celebrated. I would finish by suggesting alternatives the government could do as stated in q2

student-428

Casper

Yes, this is a violation of privacy, and especially if they later post/share the photos, as the people that might appear in their photos wont have consent to be revealed on social media. Also, concentration camps are a sensitive subject and I think they should take the tour with a more serious mindset. I would tell them that if they want to take pictures, to take it somewhere else and not during this tour.

student-650

Casper

I think that Einstein was to encourage scholars, scientists and students to be curious about everything. For student, being curious allow them to be motivated and learning becomes interesting when they are willing to search extra information when they have cruiostiy about the knowledge.

student-705

Casper

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

student-421

Casper

This is a very multifaceted question with a variety of suitable answers. I believe a key reason for \"non-key\" members of medical staff being forgotten might have to do with brand image and representation. When it comes to a hospital or healthcare environment the symbolism and iconography is focused on doctors, nurses and other caregivers so naturally when it comes to giving praise it would be focused around these areas.

student-79

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

Casper

I would likely give the stranger the benefit of the doubt that this is likely not something that they do on a daily basis so I would not confront them. I would instead wait until they moved away and pick up the garbage and put it in the trash. I do not know what is going on with that person and I am not likely going to change or improve their behaviour by confronting them about it.

student-140

Casper

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

student-666

Casper

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

student-126

Casper

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

student-663

Casper

I would sympathize with Jeffrey as this convention does not seem to be very inclusive. Indeed, I do not think it is very fair for some people to have their religious holidays as relaxing times with virtually no work while others have to work as usual on days of celebration and festivities.

student-413

Casper

The hospital has a duty to help meet the medical needs of patients who seek care. This includes consideration of both the patients and staff in the hospital who need to be protected from COVID-19, as well as patients like this individual who is refusing to wear a proper face covering. In this case, the potential consequences of an untreated stroke are catastrophic, so every effort should be made to help this patient safely. If after discussion with the patient, they still refused to wear a mask, ideally, the hospital would find a solution for treating them like placing them in an isolation room and having staff wear additional personal protective equipment.

student-67

Casper

It is reasonable for Charlie to be worried as even though he is a minor he is still able to break laws. If the law in that city requires a permit in order to sell any drinks or food or merchandise then Charlie needs to apply to get a permit, as there might be legal reprecussions due to his actions. While he is selling lemonade for a good cause it may still not allow him to get in trouble with the law.

student-453

Casper

Michelle is going through a rough time, and she has a very real motivator to try to win this competition unethically. However, her actions are still wrong. I would initially approach Michelle and tell her how her actions are wrong. This is a national competition and taking these drugs not only puts other who have been naturally training at a disadvantage, but they also risk Michelle's own health. I would ask Michelle to withdraw from the competition or to stop taking the drugs well ahead of time before the competition. I will tell her that if she does not do this and participate fairly, I will report her. I would suggest other competitions and ways she could make the money to help her mother. If she does not step up on her own, I would report her.

student-259

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

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

Casper

I think there are upsides to both Sarah breaking the news and using a third party. With Sarah it could be beneficial as this is a familiar face, and may seem less corporate and cold. While a downside could be that as his manager, all the resentment and anger towards being fired could be directed at Sarah as they have known each other. Human Resources however would negate this issue as now there is no previous relationship or place for the anger to be harboured. However a representative can make it feel like that employees time was not worth the manager and can make it feel like unempathetic workplace.

student-207

Casper

I would reach out to the member and confront them, explain that I know that they aren't being honest. I would explain how they are negatively impacted the rest of the group by not doing their fair share of work. It's possible that there is something else going on that is stopping them from completing their work, I would ask about that. If it was a valid excuse, I would encourage them to contact the course prof and explain. If no excuse, I would talk to the prof myself and explain the situation. I could then complete the

student-411

Casper

Both of them are wrong in a certain way but correct in a different way. The person with the issue of scrubs outside of the hospital environment is valid in their concerns about certain pathogens, including COVID-19, can be stuck on the scrubs and may be passed around on the seats of the subway or anywhere else the scrubs might touch. However, the person with the scurbs is valid in their frustration about feeling disrespected. That healthcare worker might've worked long shifts and is stressed and tired from their shift, they mgiht not be in the right headspace to be worried about their scrubs.

student-559

Casper

My concern would be to not exacerbate my relationship with Amy, but to properly acknowledge her. I would first have a private conversation with her, acknowledging her efforts and how they have positively affected the work environment and improved our space. I would then seek to remain honest with her and apologize for my mistake. I would then offer her a gift or award to make up for it, such as a paid vacation or time off, ensuring we maintain a proper and friendly relationship

student-451

Casper

NO I would not kick the player off of the team.

student-700

Casper

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

student-652

Casper

Je ne l'empêcherais pas de le fréquenter, mais j'essayerais de contacter les parents de l'enfant riche afin de leur expliquer notre situation, et les conséquences des actions de leur enfant sur le notre (soit un risque de manque de confiance evers lui-même dans le futur, par exemple). J'essayerias de trouver un compromis

student-577

Casper

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

student-523

Casper

I would be empathetic and honest in announcing this news. I'd hold a group meeting, and would let everyone know the circumstances and that we simply don't have the means to keep everyone, or i would. I would explain that I am extremely sorry and that there will be cuts in the future. i would also let them know that i would be available for any questions they may have and would be more than willing to write strong letters for their new jobs if required.

student-167

Casper

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

student-40

Interview

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

student-831

Interview

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

student-738

Interview

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

student-762

Interview

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

student-792

Interview

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

student-800

Interview

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

student-752

Interview

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

student-720

Interview

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

student-784

Interview

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

student-793

Interview

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

student-813

Interview

This is a difficult situation, as the athlete plans to use prohibited anabolic steroids to train for competition. However, my role as this family's physician is to provide the best care regardless of circumstances. I would first have a private conversation asking what he knows about steroid use - both medically and in terms of athletic consequences. It's important to ensure he fully comprehends the potential long-term health risks that could hinder his quality of life. This conversation can create an open environment for him to ask questions and voice concerns, which I would try to answer or consult a specialist if needed. By establishing this relationship and addressing his questions, I aim to create a space where he knows I want to help. As his longtime physician with knowledge of his history, I would share that I'm willing to continue treating him. If he proceeds with steroids, I would monitor his health impacts - though ethically complex, it's key as a physician to approach with an open mind to provide the best care. While steroid use may be prohibited and concerning, my priority is this patient's well-being. By having an open dialogue, I can ensure he makes an informed choice and feels comfortable coming to me for care, even if I cannot condone his actions.

student-767

Interview

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

student-829

Interview

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

student-736

Interview

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

Interview

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

student-830

Interview

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

Interview

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

student-824

Interview

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

student-766

Interview

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

student-715

Interview

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

student-820

Interview

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

student-804

Interview

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

student-760

Interview

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

student-828

Interview

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

student-796

Interview

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

student-779

Interview

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

student-735

Interview

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

student-776

Interview

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

student-791

Interview

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

student-807

Interview

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

student-728

Interview

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

student-795

Interview

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

student-803

Interview

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

student-797

Interview

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

student-733

Interview

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

student-748

Interview

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

student-717

Interview

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

student-725

Interview

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

student-826

Interview

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

student-789

Interview

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

Interview

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

student-785

Interview

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

student-749

Interview

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

student-816

Interview

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

student-780

Interview

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

student-761

Interview

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

student-754

Interview

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

student-806

Interview

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

student-818

Interview

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

student-777

Interview

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

student-771

Interview

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

student-814

Interview

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

student-769

Interview

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

Interview

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

student-731

Interview

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

Interview

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

student-812

Interview

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

student-781

Interview

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

student-808

Interview

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

student-741

Interview

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

student-827

Interview

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

student-799

Interview

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

student-721

Interview

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

student-751

Interview

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

student-778

Interview

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

student-724

Interview

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

student-801

Interview

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

student-745

Interview

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

student-772

Interview

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

student-729

Interview

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

student-794

Interview

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

student-768

Interview

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

student-788

Interview

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

student-740

Interview

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

student-755

Interview

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

student-718

Interview

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

student-739

Interview

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

student-743

Interview

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

student-832

Interview

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

student-786

Interview

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

student-811

Interview

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

student-819

Interview

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

student-787

Interview

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

student-765

Interview

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

student-714

Interview

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

student-782

Interview

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

student-744

Interview

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

student-723

Interview

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

student-815

Interview

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

student-713

Interview

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

student-775

Interview

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

student-763

Interview

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

student-758

Interview

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

student-759

Interview

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

student-722

Interview

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

student-822

Interview

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

student-730

Interview

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

student-732

Interview

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

student-817

Interview

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

student-770

Interview

In 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

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