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Casper
I would first read the local municipal guidelines for my town of Brightonville. I will not immediately fine the teens as what they are doing may not actually result in a fine. For example, many places let you get off with a warning before any official punishment takes place. If I have to fine them, I will fine the minimum amount according to local guidelines, as they are teenagers and are doing this for a good cause, I will afford them the benefit of the doubt. I admire them for doing work for their community.
student-181
7
student-181
Casper
Casper
In a situation as tough as this one, I would definitely need more information. I would figure out what she was using because some performance enhancing chemicals are legal such as creatine. However, if the performance enhancing drug was illegal, I would try to persuade her to stop taking them immediately. It is unethical to win the race by cheating, even in the circumstances she is under. If she complies, then I would not report her. If she tells me she's going to keep using them, then I would explain to her that I have an ethical responsibility to report her. I would not judge her and I would try to help her and her family out in any way I could.
student-483
7
student-483
Casper
Casper
One of my basketball teammates once got into a verbal conflict with my coach and he was disappointed to be subsequently kicked off the team. As the team captain I could advocate for my teammate as I had more power than my teammate, but I did not have more power than the coach to bring him back on the team. I felt my teammate had an emotional outburst and that was uncharacteristic of him, and I felt he had a valuable role to play on the team. However, I also respected my coach and understood that disrespect towards authority figures should not be tolerated. I talked to my coach in private and convinced him the disrespect would not happen again and that my teammate would apologize to him and face any disciplinary action deemed necessary by the coach if given another chance to play on the team.
student-268
7
student-268
Casper
Casper
As the situation is already tense, I would approach it in a calm manner and start off by providing the distressed consumer what they may need so that they stopping yelling, and also allow the employee I would also reassure both parties involved that everything can get sorted, and provide them support in any way I can.
student-256
8
student-256
Casper
Casper
Although it would be tempting I would not purchase the test bank. I hold myself to a high educational standard and I would rather want to succeed based on my hard work and not via shortcuts. There could be future repercussions and I do not want to potentially get traced back that I had purchased a test. I want to keep my academic integrity as a student.
student-180
8
student-180
Casper
Casper
No, they should not. All patients no matter their socioeconomic status or connections should have the same treatment as any other patient. I can understand how the hospital and the staff can feel very grateful for the donation. This donation can help them run the hospital with the most standard of care. But anyways, they should treat all patients f
student-462
8
student-462
Casper
Casper
I would have a one-on-one discussion with Lucas once I've had time to process my thoughts first. I need time as I don't want to over-react.. I'd like to remain professional, consider all the infor mation I could get and then come to a resolution that maintains our professional relationship. Mayber Lucas is under a lot of pressure and felt the need to steal my idea. I'd unerstand the pressure, but calmly explain how his actions have affected and hurt me. I'd ask him to give me credit. If he refused to do so, i'd have a onversation with HR as to appropriate action I could take, and if they recommend I speak with my supervisor, I'd do so.
student-7
8
student-7
Casper
Casper
This is a difficult question because at these facilities teaching is part of their job, and if they're not performing in all aspects of their job it could be grounds to fire them. However, if they are excellent clinicians then by firing them, patients will miss out on top quality care. I think that there is a responsibility of teaching hospitals to be receptive to feedback from professional students on the teaching abilities of clinicians, and implement resources to improve their teaching abilities if necessary, but I don't think it would be right to fire them. This is of course not including scenarios where clinicians are using abusive, unethical teaching practices, in which case firing could be justified.
student-441
8
student-441
Casper
Casper
On the surafce yes but morally the store would be in the right as long as they didnt do so with intention of discrimminating against people with this type of regigious practice.
student-695
7
student-695
Casper
Casper
I think I will try to say something to my coworkers. Though, I realize that this can be a very uncomfortable interaction, I think that it is best to be open and honest. I do not want to be in a work environment where my coworkers are hostile and are constantly making people uncomfortable. However, I will try to have a conversation with them in a different environment. If we are at a restaurant, the coworkers may be drunk which may cause them to say things they do not mean. I think I will wait for the next day to talk to them and have an open conversation about my concerns. I will do this in a non judgemental way. Just because of a few statements, I will not assume that my coworkers are bad people and give them the benefit of the doubt.
student-106
7
student-106
Casper
Casper
Given the state of my relationship with Amy, my first priority would be to try to understand and be mindful of Amy's feelings during the conversation. If Amy had been expecting an award, she may be feeling upset and unappreciated. In this situation, the best way to give an apology is to take responsibility for any errors on my end and to propose a course of action that I will take to try to rectify the situation. I would first approach Amy in a private setting and apologize for the mistake on my end before either giving her the award then or promising to double check the list of recipients going forward before ending the event.
student-94
8
student-94
Casper
Casper
I dont see it counter-intuitive. This si actually a more practialc apporach. leaders are not born, they are created from tranoing in classrooms and in thier actions. While it is effective to learn leardership in class like medical topics in medschool, we are expected to have some abckgorund epxerience and understanign becuase we cant conenct the dots without it. While yes, requirng soemthing prior to elarning may seem ironic or useles, it may also be helpful becuase professionalschool are seen to polish these skills and improve them.
student-309
4
student-309
Casper
Casper
In this case the intervation of a proffesion is necessary as the wellbieng of the animal and the house owned is hte most importat. THat being the case it has to be taken into account that the economical conditions of the home ownes could be affected by the predense of this animals. If the animals were there often I would propse to create a fund that would help the house owners for a low price. If it is not frequent at all getting a proffesional form afar would be necessary. Either way it is always important to take care of the animals and the people and a price should not be in the way of someones wellbeing.
student-83
7
student-83
Casper
Casper
i would first have a private conversation with the student prior to reporting, as the student may be dealing with health or personal issues. After the presentation, i would have a private and non-confrontational conversation and ask them how have they been doing and what obsticals they had completing their part of the project. If they explain that they have been dealing with health issues or personal issues such as a family death, i would tell them i understand and thank them for confiding in me. I would advise them to speak tot he teacher about their personal troubles causing them to not finish their part of the project, and to come up with a solution with grading scheme. If they explain that they simply did not want to complete the project or did nothave time too, i would kindly explain the importance of everyone's contribution to this project and how hard everyone worked. Then i would advise him to speak to the teacher about the grading scheme as they did not finish their part.
student-56
7
student-56
Casper
Casper
This situation is difficult since the law is involved. However, out of compassion and human kindness I beleive John should let the old lady get a ride for free. As much as the law is involved and it is very important to obey this is make sure every customer pays before getting on, it is also very importnat to be a kind and empathetic human being when necessary. It is not every day that someone comes up to you asking for a free triket, so i feel like it is necessary to let the lady on and john could out of kindness pay for her ticket himself.
student-370
6
student-370
Casper
Casper
Although the way Jessica's parents are treating her is completely wrong and unjust, I understand how Jessica's concern on being sent to a foster home. However, I believe that I must take action, as child abuse should be taken seriously. I would first talk to Jessica in a private and empathetic manner, and let her know that I am sorry for everything that she is going through. I would then stress to her that her family situation is not okay and that her parents are not treating her well. I would validate her concerns, but also let her know that she could be much happier in a different environment, with caretakers that treat her properly. I would also offer my assistance in the matter to ensure that she will be taken care of differently.
student-121
8
student-121
Casper
Casper
While I understand that the outgoing coworker may not have any illwill against the one he is pranking, I do not want to encourage his behaviour. His entertainment should not come at the expense of someone else's feelings. There are many other avenues in which one could gain entertainment.
student-475
7
student-475
Casper
Casper
in this scenariothere are many things to consider. jennifer really does love the mission and work of this club so i would understand why she wants to keep forming it. however heather feels hurt by it because she feels excluded by it. i would suggest jennifer speak to heather and seee if they can communicate in a nonconfrontational provate way and see if they can understand each other better. if jennifer syas she is not rrying to exclude her and it is just because of the day and age of the books and heather can see tthat, maybe jennifer can still form it. if heather still feels exclused maybe jennifer cxan offer making another club dedicated to more includive romance on top of the old ramnce to give more variety. i want them both to undertsnad each others perspectives and hopefully come to a compromise
student-99
6
student-99
Casper
Casper
As a health care provider, the saftey and health of the patient is the most important thing. I would understand the patient not wanting to wear a mask for personal right reasons but in a setting such as a hosiptal, the roles of th ehosptial are of the ut most importance. I would still allow the patient to be treated while keeping these thought in mind. I would explain to the patient why they should wear a mask, and hopefully by eduating them on the importance, they may change their mind so no one is at risk.
student-175
7
student-175
Casper
Casper
I underatand that this is a very scary situation for Sammy and now me, as I am now invovled. I would first tell Sammy that I am happy he told me, and that I am here to support him. I would ask Sammy why he commited the crime, as I need to make sure I have all the information to properly analyze the sitatuation. I would tell him that I will not judge him and actively listen to him. I would tell him what I saw on the tv, and explain to him why I think he should come forward and be honest. Perhaps his hoenestly will be well received and the punishment less severe, but I have a duty to be honest and ensure that his other innocent person also receives fair treatment.
student-279
8
student-279
Casper
Casper
During my undergrad i used to work at a gas station, in which I had many responsibilites. I had to clean and he;lp customers and also promote the sale of items. One item that I did not feel comfortable promoting were cigarettes however I was still new at the time and was faraid to disobey my supervisor who mentioned that promotion is one of the obligations. Whjil;e not explicitly mentioned I percieved the sitatuion that I would be potentially fired if I were to bring it up. As he was my boss and recently hired me, I was afraid to bring this up to him as their may have been consequences.
student-323
7
student-323
Casper
Casper
Oui, puisque je sais que je n'ai pas triché de façon intentionnel. J'irai voir le professeur pour lui dire ce qui c'est réellement passé. Je reconnaitrais mon erreur de ne pas avoir enlevé les notes de cet endroit. Je préciserais que je ne les est pas utilisé et que cela était un accident.
student-511
3
student-511
Casper
Casper
The first thing to do would be talk to the TA who noticed the notes, explain in a calm manner that it was an accident, you did not intend to use them. Ask if they can allow you to take the final after double checking that you are not using any notes or cheating in any way. If they are not willing to listen, then approach the professor instead and explain the situation. Admit that you made an honest mistake and try to reason with/compromise on a solution that maintains the academic integrity of the course and is not unfair to other students, but allows you too retake the class.
student-273
8
student-273
Casper
Casper
If the teens didn't know they were on private property, I would give them a warning and let them know it can't happen again. If the teens knew they were on private property or didnt care, then I would fine them the necesary amount.
student-698
5
student-698
Casper
Casper
A person may not agree with this statement because, for many years, post-secondary education has cost money in the United States. Many feel that this should continue and disagree with the idea that education is a right because it is something you have to pay for.
student-476
7
student-476
Casper
Casper
No. If richard has jessicas best interest at heart he wouldnt end up telling her about the databass. If he truly cared I believe he should help her to study better, give suggestions on ways that could improve her chemistry knowledge but make sure that he is maintaining a good ethical and moral code. If he is to uphold a good moral code and have jessicas best intrest at heart he wouldnt tell her.
student-597
7
student-597
Casper
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
7
student-559
Casper
Casper
Littering with mal-intent is a behaviour that represent a lack of respect for the environment and those around you. I would want to approach the individual in an open, non-confrontaitonal manner, and ask them why it is that they have littered. It oculd be the case that they put the trash down momentarily to do something and intend to pick it up, or they may not be from the area, and may not understand our littering laws. If they had the intention of leaving it there I would inform them of the negative consequences this may have on the environment, the wildlife in the park, and for the other people who want to enjoy the park.
student-202
6
student-202
Casper
Casper
I was in highschool and my mom had asked me to come straight home afterschool to help with chores. I was invited to go to eat with friends and forgot about my promis to my mom that evening. When I got home I realied my mistake and began by listening to her and validating her feelings. Then I tried to explain the situation and how it was not intentional. From there, I started using an adgenda on my phone with reminders of where I need to go. This helped with no longer forgetting commitments in the future and I have not had the same instance since.
student-291
7
student-291
Casper
Casper
It is important to give him a punishment so that other members dont feel like they can get away with anything without repercussions. Something like making him miss the next group trip or a suspension from the group if it his first infringement is more appropriate. However before any punishment it is important to consult the student on what compelled them to bring the alcohol. They may be and alcoholic and have addiction problems or something traumatic might be going on in thier lives so its important to get their side of the story before continuing. Providing the student support, understanding their position and helping them is the most important thing.
student-574
8
student-574
Casper
Casper
This is a very challenging situation for my friend. I would pritorize his well-being and ensure that his academic success is maintained. I would first ask him more questions to get to know his mothers condition and how he feels about it. Undoubtedly this situation is extremely difficult for my friend and I would assure him that I am there for him every step of the way and will be willing to help with whatever he decides. I want to learn about what he values more and then give an advice based on that. If being with his mother means to him than school, than I would encourage to talk to the academic counselor and look at getting a gap year rather than dropping out. If school means more to him, then I would encourage to not drop it but also call his mother everyday to make sure she is fine and feels cared for. My advice will be based on my friends value system.
student-214
8
student-214
Casper
Casper
I will verrify the words coming him by asking him more about the details whether it is a murder or a stealing case or anything else. and then I will approach him and show my thankfulness to him for being honest to me and further persuade him to go to police station and admit the crime by himself and say that I will be with him if he is too afraid.
student-694
6
student-694
Casper
Casper
This indeed is a challenging situation for John. First of all, john should consult the city law and make sure if the law is strict. If it offers some levy, then john can let the woman board the bus. However, if the law is strict and doesnt allow any exceptions in medical circumstances, then I think John should follow the law. He should apologize to the lady and explain her the whole situation. He can inform of next bus timings so she can put her purse in the meantime. Similary, informing her of taxi schedule, if avaliable, will also be beneficial. After John finishes work, he should reach out to his manager or the city hall, informing of this situation and starting a discussion about having exceptions for medical emergenies.
student-193
7
student-193
Casper
Casper
I do not believe charlie is overreacting. Charlie is genuinely concerned about the wellbeing of his brother and upholding the law. If i were charlie, i would acknowledge my brothers concerns, say i understand he has good intentions, but the permit is required, and is in both you and the customers best interests. For example, if therre is an accident or someone gets hurt, the police know where you are and can provide help since they are aware of the situation. ultimately, i would try to figure out what is stopping my brother from getting a permit (maybe he doesnt know how, and in that case, i would help him) or maybe he just doesnt see the importance, to which i hope my previous response would better inform him.
student-285
7
student-285
Casper
Casper
Firstly, I would applaud her courage to come up and share that fact with me. I would smile and let her know that I am very proud of her the way she is and no matter what I will always support her. I will not want to intrude her privacy by interfering in her family matter without her consent. So, I will ask her if she needs any help in letting her parents know. I would ask her that she should try talking to her parents and give it a try. Perhaps they understand her. If they don't, I will ask her to keep trying and remaining true to herself.
student-201
8
student-201
Casper
Casper
I believe Sarah should be the one to break the news to him, because she is the one who employed him in the first place, and as such, it is her responsibility to deliver the news herself. I believe this should be done because it gives Greg an opportunity to explain himself and the reason for his underperformance at work, and Sarah a chance to hear him out and make sure she really wants to go through with that decision.
student-10
5
student-10
Casper
Casper
Einstein probably meant that curiosity is often the driver of innovation and discovery in this world, and that can be a reason why it exists. Humans are naturally curious and this often leads people to ask questions about the world which leads to answers and new discoveries, and ultimately progress in the world. Humans are distinct in this sense that they can directly alter their environment and it could be possible that curiosity allows humans to reach new potentials and heights that could not be reached before.
student-222
6
student-222
Casper
Casper
I understand how this would be very frustrating game to the residents with dementia, however, I do not think it is fair to the other people or really to their success that I mess with the points. I would try and support them through the game, potentially giving them reminders of the rules or offering hints but I would try to keep the game fair. Ultimately I think that people with dementia still deserve to be treated fairly and with autonomy.
student-51
8
student-51
Casper
Casper
If I had previsouly told Lucas that idea and it was clear when I told him that he did not come up with it himself I would have a private chat with Lucas to determine why he stole it. If he had jsutfiable reasons like he needed a promotion because of a new child I would keep quiet and help him develop this idea so that it works. If he has no justifable excuse I would tell him that is was morally wrong to steal my idea but still keep quiet and began working on problems that the idea may face. There is always a future opporunity to improve the idea and next time I will not share it with him. Right now howver it would seem desparate for me to tell others it was my idea, which may discredit my suggestions in the future.
student-431
7
student-431
Casper
Casper
As the family doctor, I'd want to prioritize maintaining a positive relationship with my patient Hazel while also upholding my responsibilities to the academic institution and my clinic. I'd first take the time to speak to Hazel about why she feels like she is sick or what circumstance are influencing her decision to want to miss the exam. As someone who has been a student myself, I'd want to valdiate the frustration that Hazel might be feeling towards this exam but also let her know that I cannot write a note without evidence to support my comments and inform her of my moral and legal responsibilities to be honest as a physician working for this clinic. I'd also reiterate that this isn't fair to the other students at the university and intead encourage her to seek academic guidance at her institution, tutoring services, or support form friends.
student-184
8
student-184
Casper
Casper
I would first listen to this customer and empathize with their situation. I would then tell them that unfortunately I am not allowed to give them a refund as it goes against our store policy and it would be putting my job in jeopardy. However, I care about their situation and would like to support them to the best of my ability. I would research funding resources as well start a go fund me page.
student-206
7
student-206
Casper
Casper
From person experience, I have found teamwork fails due to a lack of clearly defined roles where team members end of completing the same tasks, a lack of motivation to complete the assigned work, a poorly defined end result, poor communication or conflict resolution between team memebers, or team members failing to contribute to the overall group effort
student-404
7
student-404
Casper
Casper
I can understand why the hospital would impose parking fees to raise money and better their hospital equipment, which would ultimately benefice the patients care. On the other hand, it can be difficult for certain group to affrod those fees. Perharps, if there's is evidence and the concerns is raised, the parkign price sould be lowred to facilitate access to others.
student-690
5
student-690
Casper
Casper
Je ne leur donnerais pas nécessairement plus de points, j'essaierais plutôt de les mettre avec les autres résidents pour qu'ils puissent se comprendre entre eux et qu'ils puissent décider de comment ils veulent attribuer des points pour que ce soit juste pour eux. Ils pourraient trouver une façon plus efficace d'améliorer le jeu pour qu'il soit plus amusant pour eux.
student-590
8
student-590
Casper
Casper
This situation involves a coworker appearing to take an idea that was myown and claim it as theirs. First I would inquire with them directly in a private and non-judemental manner after the meeting about the situation. I would inquire how he came with the idea. I would express how my idea greatly resembles his presented in the meeting. If he confesses to stealing the idea from me, then I would empathetically understand given the competitive nature of the workplace at times. However, I would also encourage and support him to confess this to the others in a setting such as the next team meeting so there is truth within the whole team/
student-467
8
student-467
Casper
Casper
This is a tricky siytuation vecause I obviously would not want to be late to my exam, but I do not want to park in an area that isn't designated for it. In this situation, I would first pull over and look at google maps and search up nearest parking options that I can go to aside from the subway station. It is possible that there is another location I can park at that I am just not aware of, and even if it is a little bit further I could walk to the subway station and then take it. If I find a spot that is a little further down the street I would go to that location and also email my professor notifying him of the situation just in case I am a little late. I wouldn't want to opark on the side of the street b/c it is illegal and can be ahaxard to other drivers on the road.
student-116
6
student-116
Casper
Casper
If Cheryl messages her friend, it would be a breach of patient confidentiality. This would be especially problematic if the friend did not know about her grandfather's condition yet, and found out from Cheryl, rather than from her grandfather himself. The only time Cheryl should talk to her friend about the grandfather's condition is if her friend is in the room, and Cheryl is doing her job as a healthcare provider.
student-543
8
student-543
Casper
Casper
When i was in undergrad there was a time when I was working for a professor that I wanted a reference letter from as well i was taught by. They would ask me to do many additonal tasks after working hours (i.e., data entry, email me, aks for quick reports) and I would do them without any question since they had a lot of power over me. MEaning that they had the ability to greatly influence my life, so I did not question affecting my work-life balance for them. The work was due for a conference that i was not aware of and the request came out of no where
student-317
8
student-317
Casper
Casper
No I do not. I think that leadership is an important quality to consider when assessing on who gets into proffessional schools, regardless of whether they promote the practice in the professional schools or not. Being a leader also demonstrates strong communication skills and any student entering a professional program should be able to communicate. For example, doctors and veterinarians communicate with people on a daily basis. If a student applying is not able to communciate affectively, they are not fit for the position.
student-328
7
student-328
Casper
Casper
My main concern is to ensure fairness is maintained to all patients for treatment. Although I understand that the father has contributed a great deal financially for the hospital, leading to the advancement of the hospital in areas such as training, equipment, capacity etc., ultimately leading to increased patient satisfaction, we need to treat all patients equally and should not treat the father in a different matter than other patients. Treatment is decided by need and severity first. Instead, we can later apperciate his contributions in a different, ethical manner.
student-505
8
student-505
Casper
Casper
Overall, I believe this taxing system is not entirely fair, because it can cause an immense burden on individuals not involved in corporations, making the wealthy more wealthy and the poor further disadvantaged. Individuals who are working hard to earn their money independelty should not be penalized by paying higher taxes, and we should instead understand their perspective and perhaps raise taxes on the more weathy corporations who can afford to pay higher taxes.
student-461
6
student-461
Casper
Casper
Some benefits include gaining experience in the area of work you volunteer for, you can also gain connections through volunteering, and many job opportunities can be opened up in the future because of those connections you've made.
student-693
6
student-693
Casper
Casper
I would discuss the situation with my supervisor and take full responsibility over the situation. I would apologize for not controlling access to the social media platform and inform him of steps I would take to mitigate the situation. I would then brainstorm possible solutions with my team and my supervisor to ask about ways to address the situation.
student-513
8
student-513
Casper
Casper
I would start by bringing aside my shy friend to ask if they are okay and if the videotaping bothered them. If they explain that they do not want to be in the video, I would propose to them that we talk to the other friend to ask politely if they could maybe cut out the part where we see the shy friend. This way, the videotaper would still have a part of the video from the event and my shy friend would not be in the video.
student-600
8
student-600
Casper
Casper
À mon avis, les tarifs de stationnement devraient être abaissés. Il est important pour la santé mentale des patients d'avoir des proches qui peuvent les accompagner à travers leur rétablissement, et la santé mentale est directement relié à la santé physique de ces patients. L'accessibilité aux soins de qualité est un enjeu majeur, et pour arriver à un système de santé plus équitable, des prix abordables devraient être offerts. De plus, l'hôpital pourrait amasser de lA'rgent grâce à des levées de fonds. Bien des bénévoles se porteraient volontier à cette organisation. Les dons volontaires pourraient également être demandés.
student-602
0
student-602
Casper
Casper
In this situation, i am mainly concerned for my friends. I would kindly ask all of them if they wanted me to ask the people to stop recording. If they did, i would quietly and non-confrontationally approach them and request that they stop recording and delete the video as we are uncomfortable. i believe that this is a reasonable request as there are many harms that could come to someone by having their image unwillingly uploaded to social media or used in other ways without their consent
student-227
7
student-227
Casper
Casper
As a new immigrant in Canada, in my first few weeks in Canada immigrating alone with no prior family members I felt lost and alone and felt like I did not belong with Canadians and my peers because they could speak better English and communicate well with each other and I could not.
student-164
7
student-164
Casper
Casper
Mes suspicions ne sont pas fondées, je voudrais accorder à Hazel le bénéfice du doute. Ce faisant, elle me fait déjà plus confiance. Je l'encouragerais à etre honnete avec moi, je serais rassurant et je lui dirais quelle est entre de bonnes mains. Si elle me confie quelle le fait pour sen sortir de son examen, je voudrais savoir pourquoi. je ne la ferais pas sentir coupable, je me mettras a sa place et je validerais ses émotions, japaiserais ses inquiétudes. je mexcuserais sincère,ent mais je lui dirais que je ne peux lui faire la note. si par contre, elle ne me le confie pas, je ferias plus de tests et je voudrais sa collaboration afin de trouver la cause de son problème.
student-87
7
student-87
Casper
Casper
This is a difficult situation as I am not really aware of why my friend is looking at the phone. There might be a case where the friend told him to look at it for something important or there also might be a chance that he is simply looking for fun or with some other intention. Not knowing what their relationship is, I will not directly stop him from looking at it. Instead, I will walk up to him and ask him about what he is doing. If he gets startled, there are more chances of him stealing some information from the phone. I will also let the other friend know about the situation so that he can take action that he finds is best for him. I will avoid taking a decision in that case.
student-351
7
student-351
Casper
Casper
Given that I am aware of her struggles, I would first ask her whether she was aware this was out. if she had not been and I believed her answer then I would ask her to put it away. if I suspected her of lying, I would quietly inform the professor and ask how to discreetly handle the situation.
student-688
0
student-688
Casper
Casper
It is important to take a step back and understand the roles and responsibilities of everyone involved in this situation. As a doctor, my job is to provide the best care that I can and uphold doctor-patient autonomy. For the institution, their responsibilities consist of ensuring that all rules and regulations of the facility of followed by all inmates. As a patient and an inmate, this individuals job is to follow those rules diligently and not undertake in actions that can be deemed harmful to themselves or others. I would have this conversation with the patient but also try to understand if there were any underlying reasons for them to be partaking in drug use in the prison. Perhaps there is a component of addiction that has been overlooked or just resurfaced. Or perhaps this individual has other sensitive reasons for taking the drugs. It is equally important to bring these reasons to light and provide help, within my scope of a physician. However, it is just as important to ensure the safety of everyone at the facility, therefore the drug use would need to be reported.
student-5
8
student-5
Casper
Casper
This is a difficult situation that brings up the issues of ethics, communication and leadership. I understand why a government would make a decision like outlawing circumcision for the benefit of individuals in general, however I also empathize with the religion that dictates circumcision. I think that this situation is one in particular that is difficult to a draw a line because some religions that dictate circumcision dictate it at birth, when the individual does not have the choice. I do think that outlawing circumcision is considered religious discrimination, but there could be specific situations & ways of working around this for everyone to be safe.
student-60
7
student-60
Casper
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
5
student-572
Casper
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
7
student-77
Casper
Casper
First, I would reach out to my professor and explain the situation. I would provide context for why I might have forgotten (stress, no sleep), and asked my exam still be considered. That being said, it was my resbonsibility to ensure no notes were on me by the time I entered the exam hall. Thus, I would apologize and take responsibility for not being more dilligent about what was in my pencil case.
student-372
8
student-372
Casper
Casper
This is a dilemma since John should respect the law but it's also incredibly important for the lady to make her medical appointment - she may have imoprtant medical concerns that require urgent attention and waiting may cause her to have a poor outcome. In these situations, I think its important to look for alternatives in which both criteria can be met, and perhaps stopping the bus and asking fellow passengers if anyone has a spare ticket to help this woman out could provide a solution. In y experience, people are often eager to help in these cases. If I were in John's shoes, and none of the passengers offer to help, I would either purchase the ticket myself or allow this lady to come on the bus at no charge, as I believe the medical situation necessitates this potential infringmenet here.
student-416
9
student-416
Casper
Casper
No, following the laws is a perfectly reasonable thing to be worried about. Although Charlie's brother is doing a noble thing by trying to help the hospitalized kids, attaining a permit would be the right thing to do. Therefore, Charlie should make that clear to his brother and try to help him get the permit. If no permit is attained, the stand could be shut down and fine might be imposed. This would lead to having the opposite consequences as Charlie's brother would not be able to help the kids as much as he could have if he got the permit and made the stand a legal one.
student-399
7
student-399
Casper
Casper
this is difficult sitautio and in this sitauton, i would talk to the teenagers in a private setting and in a non confrotational manner about taking the inappropriate pictures. after taking to them and gathering more information. it is possible that i was mistake and thought that they took inappropriate pictures which were otherwise taken from permission. if i find out that they did by mistake and were unaware how it can impact the poeple and their. privacy then in that situation i would guide them about where they went wrong and also ask to politely to delte the pictures. if they refuse to delete based on the rules and regulations then i would look into the rules and simply remind them that it not right and that they can get in trouble if they dont correct their behaviour. if they dont simply delete the pictures or apoligize to the poeple involved then in that situatio i would have to report this situation to my leader or an authority.
student-50
7
student-50
Casper
Casper
Yes, it would be religious discrimination for a restaurant to not offer pasta because they would not be accommodating for the group of people who can only eat pasta. The people who can only eat pasta would not have another food option to order from the restaurant. In that case, they would not be able to enjoy the restaurant the way that others who don't have this dietary restriction would be able to. This group would instead be compelled to go find another restaurant that does, in fact, serve pasta. As a result, it would be religious discrimination on the restairant's part.
student-43
7
student-43
Casper
Casper
Firstly, its great the person took the time & effort to help the animal in this situation when they could've drove past. however, they don't know the entire circumstances. The dog could've escaped from the owners yard through a hole in the fence without the owner knowing. Also, the dog may have harmful infections or injuries they need caring to so if the person takes him home the dog will not get this attention
student-497
8
student-497
Casper
Casper
I would first approach the customer and explain my position as the manager. While ensuring I refrain from coming off as accusatory, I would ask what the issue is in order to try to gather more context. In addition, I would take the employee in private to first ensure they are ok both emotionally and physically. I would then try to hear their side of the story. Lastly, I would report the incident down.
student-357
8
student-357
Casper
Casper
I would try to stop my friend, because the phone is private. If the reason for looking through the phone is something the friend would be okay with, they should just ask them when they come back from the bathroom. If the person would not be okay with the reason for looking through the phone and that is why it is being done in secret behind their back, then it should not be done. If they are looking for information they should have an honest conversation.
student-96
8
student-96
Casper
Casper
I believe that Charlie is not overreacting by being worried. Charlie's brother is in a difficult situation, because his intentions are good - to raise money for his local hospital by selling food/drinks. He may not want to get a permit because he wants to raise money as quickly as possible, and simply may not know the process of getting a permit. Moreove,r h emay need an adult supervisor for the activity. However, I believe it is Charlie's responsibility to tell his brother that although his intension are good, there is a reason the rules are in place - it protects his brother in case anyone gets hurt, and assures that he can continue to sell products. Charlie should offer his brother to help him get the permit, find an adult supervisor if necessary, and cover any costs associated with the permit. This way, Charlie's brother can prepare for a scenario in which someone asks him to shut down his business.
student-14
8
student-14
Casper
Casper
I would first check with what the obligations of being a prison doctor. If I was required to inform the authorities of drug use and possession as a part of my job, I would report it. Regardless, I would further discuss with the inmate to determine the nature and usage of the drugs, to determine the risk and severity and to see if there is anything that can be done to help and support the inmate as drug use can be a difficult situation to navigate.
student-532
8
student-532
Casper
Casper
My mother and my sister have a very tough relationship. They are often fighting, which compounds due to my mother's physical and mental health issues. I promised my sister that we would call every weekend over zoom to work together (ever since I moved to university) so that she wouldn't feel alone in the house. However, during exam season, I found myself cancelling as I felt like I needed private time to study hard. Looking back, although my sister very kindly understood my position,m I feel very remorseful for having taken that time from her, as I now realize how important it was to her. I have committed since then to always showing up, even if it's with my camera off and just typing in chat, because I know how much she needs me.
student-144
6
student-144
Casper
Casper
As intimidating as the situation would seem, I would tell myself to take a deep breath and calm down. Next, I would gather all the information I had at my current disposal. I would retrace my steps and try to recall how I got in this situation. Then, I would create a path I believe would get me out of the forest. Along the path I would leave traces and mental markers to ensure I could return to my original spot should the path prove unsuccessful. I would make note of that path in my mind or on paper if possible, and then I would continue a process of trial-and-error and elimination until I find a successful path out of the forest.
student-203
7
student-203
Casper
Casper
It depends. How great are the risks associated with the procedure? Governments and Helath organizations should be discussing the procedure, while taking religion into consideration. The risks may be greater for having the procedure done, but how much greater? It is possible that the risks are so low that it does not pose a significant health risk to individual, in which case, it seems reasonable to allow the procedure.
student-394
7
student-394
Casper
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
5
student-428
Casper
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
7
student-456
Casper
Casper
This does not have a right or wrong answer, as it would depend on the views of Jennfier finding out these new findings. I believe jennifer may have not know what heather said, and perhaps upon finding this out she may change her mind. That being said we must first find out what her opinion is on this, and whatever that may be, it is up to jennifer to create the club as it is her club after all. That being said though, jennifer must also talk to heather in order to justufy her decision.
student-221
7
student-221
Casper
Casper
It is important to recognize and support Jessica while she is struggling, as there are many factors that could interfere with schoolwork success and completion. However, cheating is not the answer to this because it is against the code of academics as well as doesn't prepare the student for the future rigors of the course. Therefore, Richard should not share this database but should reach out to Jessica to see if she would like support.
student-633
0
student-633
Casper
Casper
This is a serious issue. First of all, I need to know the type of crime that has been committed. If the crime is simple as a trespassing versus something very serious such as murder case, there would be somewhat different approaches, but all leading to same conclusion, for Sammy to come clean and turn himself in. Given the severity of the crime, I would first go to Sammy and tell him you to need to come clean. I'll have to understand why Sammy committed said crime as well. What was the reason for the crime, was it that he needed money. Maybe I could help him out with that as well, but he would need to come clean. If Sammy does not and someone else's life is ruined, I would go to the authorities myself and tell them about Sammy committing that crime.
student-439
8
student-439
Casper
Casper
In a situation as tough as this one, I would definitely need more information. I would figure out what she was using because some performance enhancing chemicals are legal such as creatine. However, if the performance enhancing drug was illegal, I would try to persuade her to stop taking them immediately. It is unethical to win the race by cheating, even in the circumstances she is under. If she complies, then I would not report her. If she tells me she's going to keep using them, then I would explain to her that I have an ethical responsibility to report her. I would not judge her and I would try to help her and her family out in any way I could.
student-483
7
student-483
Casper
Casper
i think that it can come from trying it and not seeing any benefits. This can be because the person was not informed about how to practice mindfulness. Lack of information on the matter can make us have an experience of mindfulness that is not representative of its full potentiel which can make us not want to do it. Sometimes its because being silent and being concentrated on our thoughts can be stressful and induce anxiety. It can also be cause by a lack of time or optimal organisation
student-629
0
student-629
Casper
Casper
This really depends on how he is currently feeling. I would first let me him know this hos feelings are vaild, as the country we live in is diverse and the governevr does have a responsability to be equitbale an equal in how it treats poeple. I would then let him know that I agree with this and that I can help him find a group that is advocaing for this issue in society to be fixed. I would also ask him what he would like to do in this sistuation and do that.
student-699
6
student-699
Casper
Casper
I would not purchase the test as it is unethical to do so. It will not benefit me in the long-run to purchase these questions and do well in the course, as I would not be learning to my full potential. This is also unfair to my peers who have put in the effort and hard work, as now it is lowering the standards for success. To be fair all around, I would not purchase these tests.
student-332
8
student-332
Casper
Casper
Before making a rash decision to report this, I would have to gain more information from the patient, and also understand the challenging struggles of addiction and withdrawals. Although drug use is illegal, and even moreso in a prison, I would not want my patient to have to suffer from medical withdrawals from the drug, nor would I want them to be caused any harm. I would have a frank discussion with my patient about needing to stop the drug use and follow up with them, perhaps through drug testing. If the drug use persisted, I would feel obligated to report this, however, because the drugs could not only be being distributed and causing harm to other inmates, but also would be harming my own patient in the long run.
student-74
8
student-74
Casper
Casper
I think either way is acceptable. If Sarah does it, then it is coming straight from the boss who oversaw his poor work ethic. If human resources does it, then he may be more accepting because the third party is also
student-651
0
student-651
Casper
Casper
This situation is difficult. On one hand, you should help Hazel if she is actually sick, as not doing so could affect her school work. On the other, you must stay truthful as that is a moral obligation, especially as a doctor. In this situation, I would not write the note right away. I would tallk to Hazel about my concerns and tell her that I do not have any findings suggesting that she is sick. I would ask her if she is feeling mentally unwell. If, after a good conversation, I come to the conclusion that she is not sick and was just looking for an exemption, then I would advice other resources to her. She could talk to the prof directly. She could talk with mental health services to get a grace period. Hazels need for extra time is still valid and requires further investiagrion.
student-304
7
student-304
Casper
Casper
I don't want to jump to anyconclusions. THere may be many explnaantions for my supervisors apparent intoxication, including alcohol consumption, fatigue, or even the start of a new medication for example. However, if their judgement is indeed impaired this represents a huge problem for person in the clinic which represent a vulnerable population. So I do want to take action. I'd begin by having a private non-judgemental conversation with my supervisor when time permitted and simply state my observations and concerns for patient safety.
student-388
8
student-388
Casper
Casper
I understand that this is a difficult situation since Samantha has helped Hannah a lot but she also he bad spending habits. I would gather more information before making a decision: why does she need the money? does she have any money saved up? why is she asking Hannah for money? If I was Samantha I must be devastated and disappointed if Hannah does not give her money, but Hannah and Michael must be cautious since it is a lot of money. I would ask the opinions of others before making a decision, such as friends and family. I would talk to Samantha about alternative financial decisions such as burrowing from the bank.
student-212
6
student-212
Casper
Casper
I think he meant that firstly curiosity can be the casues of many great inventions in improving human life and for the greater good of humanity, however, it's not like other things in life becuase one really has to consider how they let their curosity affect the others around them and the consequences of their actions if they were to act on their curiosotuy.
student-218
5
student-218
Casper
Casper
I think this quote has quite a few flaws as their is so much more to a job then looking like you know what you were doing. This can become an ethical issue as many jobs hold important standards and ethically and legally you should be able to fully understand your job.
student-542
6
student-542
Casper
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
6
student-246
Casper
Casper
I was the Year representative of the student council of the pharmacology department. I worked closely with other members of the council like the VPs and President who often made the major decisions or would delegate work.
student-418
7
student-418
Casper
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
0
student-669
Casper
Casper
During basic training in the military, we each needed to take turns leading the platoon. The majority of the time I was a follower in this case. This forced us to learn how to be a follower and support the leader's goals (since we would each take turns). I achieved this by confirming my responsibilities and the boundaries of my current role. This way I could be effective in help the team achieve their goals. It was also important to establish and maintain 2 way communication. Especially in stressful situations.
student-347
7
student-347
Casper
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-520
8
student-520
Casper
Casper
There are still many things that are unknown in the situation. So, I would focus on gathering more information before making any decision. I would start a friendly conversation with the person about to pick the phone as one would at a party, with the goal of directing the conversation towards learning more about the relationship between that friend and the host as well as the reason that motivated their act of looking into someone else's phone. If the friend says that the host is aware that they will be looking into their phone, then I would understand their position and trust them (but still encourage them to wait for the host since a phone is personal and can contain many things). If not, then I would first encourage them not to complete their act as it may breach the host's right to privacy and to wait for the host to come back and ask them what the notification was about. This will maintain the host's right to share the information only they want, hence respecting both the host's privacy and autonomy. As a member of the party, to do so, I would further engage them in the conversation or even getting drinks/something to eat (at least till the host returns) to respect the host's privacy while also maintaining the joyful ambience of the party considering other friends are also present. Hence, my goal would be to respect that privacy is not breached while also maintaining a positive atmosphere for everyone on site.
student-2
8
student-2
Casper
Casper
I cant assume that he took a video of us just based on the camera being pointed towards us, he could have just been taking a selfie or our faces were not in it. First, I would speak to my friend and ask if she is bothered by this and if she says yes, then I would talk to the person taking the video in a non-confrontational manner, and apologize for assuming something and ask if he took the video and kindly remove the video since we feel uncomfortable and my friend feels uncomfortable for taking videos that has our faces in it. I would reach to a comproomise with him, and offer for him to retake the video and thank him if he deletes the video.
student-142
8
student-142
Casper
Casper
This is a difficult situation. On the one hand, Jennifer really enjoys these books and would love to share that with others. But on the other, books from these times do not ever center around homosexual relationships and it is making her friend Heather feel bad about herself. In my opinion, Jennifer should not form the club, or should make it more inclusive to LGBTQ+ stdents as Heather's feelings take precedence over Jennifer's interest since she can find joy without forming the club.
student-544
7
student-544
Casper
Casper
If I saw that my friend was visibily uncomfortable, I would first ask them if they want me to say something on their behalf, as I do not want to speak for them if they do not wish to me spoken for. If consented, I would ask the person who took the video if they could kindly delete the video as my friend does not want to me in it. I would ask the person in a respectful way to understand why we wish for it to be deleted.
student-266
7
student-266
Casper
Casper
If I were her I would ask more inforamtion from Heather on what books she belived she would be mroe confortable being incorpertated into the group. If she has no suggestions, Jnenifer should bring up some recocomdations as long as it is confortable woht Heather to ask what books she perefers. it is also important for jenifer to share her intrest in the club and make it sound as a team effort to get Heather more intrested in finding a solution.
student-498
8
student-498
Casper
Casper
I would first go talk with the student privately. I would tell her that I saw her cheating and that it is my responsibility to ensure academic integrity but also emphasize with her and say that I understand her struggles and that its a difficult course. I would encourage her to take responsibility and admit cheating to the prof, which may result in her getting a less harsh punishment.
student-687
0
student-687
Casper
Casper
This is something extremely difficult for everyone, including all of the employees being laid off. I would start by showing everyone that I understand how they feel and I understand how they will be affected financially. Then, I would tell them exactly what happened (without naming names) so that they understand where I am coming from, and that I did not have any malicious intent by firing them. I would tell them how we will proceed with the layoff process, the timelines, and then tell them we will provide support to them throughout the job search for future positions.
student-98
7
student-98
Casper
Interview
I believe it is ethical for any profession to strike if collective conditions and compensation are unjust, regardless of the immediacy or urgency of services. Nobody should be forced to work under inadequate conditions. Though there may be concerns about physicians failing duties to society by striking, as humans they have rights to free speech and standing up for beliefs. Healthcare is critical, but doctors deserve fair treatment too. However, certain steps could be taken to mitigate the effects on patients. Doctors could continue providing emergency and urgent care or give advanced notice so hospitals can make alternate arrangements. With the right precautions to avoid harm, physicians deserve to leverage strikes when necessary, just as any mistreated worker would. The goal would be raising awareness and advocating for change while minimizing disruption to patients.
student-746
student-746
Interview
Interview
Thanks for the question. In this case, it's a very difficult scenario because while I care about this boy's well being and also want to ensure transparency and honesty when communicating with him, I also have to balance the importance of respecting his parents decision as well. The first thing I would do in this specific scenario is try to understand why the parents don't want to tell the twelve year old boy about the diagnosis. There are many possible reasons and I don't want to assume. It could be that it could damage him or hurt him psychologically. It could be that perhaps his mental wellbeing could adversely affect his physical health, or perhaps there might be a risk of self harm if that boy finds out he was diagnosed with a terminal illness. There are a multitude of reasons, and I would set up a private meeting with both of the parents to have an open and honest conversation regarding their concerns. After hearing their concerns, then I would probably help them share some alternatives. So I would also share my point of view. Specifically in this specific scenario, I can understand that the boy, if he doesn't know, he would not be able to make an autonomous choice since there is no minimum decision making capacity. If that boy has demonstrated comprehension as well as insight and demonstrated decision making capacity as a physician, it's also important to ensure that the boy can have an autonomous choice and make decisions that reflect his own personal values and beliefs. For example, his beliefs of continuing with the type of treatment and the types of side effects he's willing to endure might be completely different than that of his parents. So it's really important to have an open dialogue and understand the boys preferences in order to have him make an informed and autonomous decision making process. However, with the parents, they also have a concern and after gathering more information, I would try to and after sharing that with the parents on the boy's autonomy and ability to make an informed decision, I would try to again see the scenario. If the parents are concerned that the boy might self harm after finding out this news, then I would not tell the boy because that could be very dangerous to him and perhaps he needs some time to digest this information. However, if it is for perhaps alternative reasons such as the parents may not know how to disclose this news to the boy or they're not ready to do so yet, I would try to respect that. And if they want to disclose at a certain point, then I would help them in any way I can. Perhaps setting up a meeting with all of us. And perhaps I can disclose it, or his parents can disclose it, but being very sensitive about it while also to the boy explaining it in a way so that he can understand what a malignancy is and what are some of the consequences and repercussions. I think if this is a scenario, I would definitely encourage the parents to disclose the news to the boy so that we can also understand his values and preferences and help create care that is comprehensive and also takes into account his perspective while also helping him with therapy or other types of counseling so that he can digest and take in this information. So ultimately, in summary, my main concern here is again for the boys' wellbeing. I would first want to gather a lot more information from the parents on their primary concern as to why they don't want to disclose this means. I would then after listening to them share some of my concerns such as perhaps the boy. We're not integrating the boys will and autonomous allowing him to make an autonomous choice. And lastly, I would try to if there is no risk that this boy is involved in may self harm, then I would try to encourage the parents to share that with the boy and facilitate that conversation. So we are navigating that in a sensitive way. This is a very difficult topic in general because again there are no easy alternatives. However, it's really important to be patient and to acknowledge that since this boy is a minor, the parents may know something that I don't and so we need to respect that and respect the parents' decision.
student-833
student-833
Interview
Interview
I can share an experience when I was working at a nursing home during the pandemic and facilitating visits between residents and their families. To give a bit more context, I started in the summer of 2020 working at this nursing home. At the time we had just started to open up visits between residents and their families, but all of the visits were outside and they needed to maintain physical distancing. The schedule for the visits was really tightly packed because people hadn't seen their family members in a long time and so there wasn't a ton of time for each visit - I believe they had 30 minutes. Our schedule was pretty much always full because we only had so many spots so that everyone could maintain physical distancing. It was important that I was bringing residents downstairs and outside to their visits on time so that they got the full amount of time with their family members. That was really important to me because it had been so long since they had seen their family and it's really good for their mental wellbeing. I wanted them to be able to have this time. In an effort to ensure that I was on time for the schedule, I would go up early to their rooms and I made sure that I had enough time to bring them down. But the issue was I wasn't trained on any sort of lifts, so if a patient or a resident was in bed or needed to use the bathroom before going down for their visit, I did not have the training to do that and it would have been unsafe if I had attempted to do that. So I had to go and ask a PSW or a nurse to help me get the resident ready to go outside in those cases. Now, this was difficult because sometimes the PSWs were pretty much always very busy. They had a lot of residents and needed to be doing showers or helping with feeding and so on. And so I felt really badly going and asking for help, but again, I could not do it on my own without jeopardizing the safety of the resident. So I went and I would ask them and I had a positive relationship with the PSWs, so they didn't mind helping, but I could tell that they were very overwhelmed and I wanted to make the process a bit easier. What I did was from then on, I would print off a schedule of the visits and bring that to the nurses and PSWs every morning. It would be posted in the nurse's room every morning so that they knew when each resident was going down to their visits and they could prepare when it was most convenient for them. They weren't in the middle of showering a resident when I was trying to find them to toilet another resident. I also asked them for their feedback - was this working for them? It seemed to be working better, but I wanted to make sure that I was integrating feedback from them. They actually asked me, after their shift change in the afternoon, if I could come up and just give them a rundown of the afternoon visit schedule, which I was happy to do, and that let things run a lot smoother. It also let me get all of the residents down safely to their visits and in a timely manner so they could have that time with their families. It built my relationship and a positive relationship with the PSWs and nurses because I think they understood that I respected their time and I could see that they were very busy. Although I needed their help, I think that they felt respected in the process. I also made sure that I was helping them in return. I didn't want to just be taking and asking them for help. I wanted to ease their burden as well. So I would help them with feeding at meal times and with the snack cart. I would spend time with residents who took a bit more of their time attention wise and just help them out in those ways. I think that's really important in a future career as a physician, because I'm not going to have all of the answers, depending on my specialty. There's going to be times where I'm going to need help from other physicians, from other specialties, and I'll need help from other members of the healthcare team in order to optimize patient outcomes. I want to ensure that although I need help, I am not just taking from others and I'm also contributing to this healthcare team and communicating with them in order to come to the best solution for our patients.
student-802
student-802
Interview
Interview
The issue is that without participants, we won't obtain reliable vaccine results. However, that doesn't mean I or anyone should hastily take an unproven vaccine just because I'm an administrator. I would need to review policies to ethically proceed. Has this vaccine been through animal trials and shown safe for human testing? If not, I would not take it or administer it to others, as that could cause harm. However, if it has successfully passed initial safety studies, we would need to enroll participants in clinical trials under careful oversight. I could enroll myself to ethically test the vaccine's effects, but would not take an untested vaccine randomly. My role is ensuring we follow rigorous scientific protocols to safely develop and evaluate this vaccine prior to any deployment.
student-736
student-736
Interview
Interview
In this complex scenario, my priority would be addressing the needs of this girl and doing everything in my power to assist, since negligence could lead to further harm. I believe the first step would be to speak with her privately about her concerns with sleeping pills and motivations for using them. This conversation would allow me to better understand her intentions and assess the situation to determine if my intervention or someone else's is necessary. If I leave this issue unattended, she may see another doctor unaware of her history who prescribes sleeping pills, potentially causing harm. So having an open discussion to grasp her perspective and needs would be critical before deciding how to proceed. My goal is preventing greater issues by proactively engaging with care and concern.
student-728
student-728
Interview
Interview
The core issue here is that if we don't intervene, the kids could continue assaulting this woman, which is highly unethical and dangerous. However, we need more information to properly address the situation. Some key questions: How often do these girls come by? Why are they hitting her - is the woman provoking them in some way? Is she potentially doing something illegal herself? There are a lot of unknowns to investigate first. I would approach the woman privately in a non-confrontational manner and ask for her perspective on the situation. If she reveals she is doing something illegal, I would likely have to report both parties to the proper authorities. However, if she is innocent, then we can look into reporting the assault by the girls to the police or appropriate powers, so official action can be taken. By thoughtfully intervening, we may be able to stop the assaults and protect the woman, which is an important responsibility as a bystander observing violence. But gathering more details first, rather than making assumptions, allows us to respond in the most fair, ethical manner for all involved. The goal is stopping harm while avoiding escalating the conflict further.
student-721
student-721
Interview
Interview
The prompt I'll be discussing centers around Dr. Chong, a physician who has been recommending homeopathic remedies for his patients. Homeopathic remedies are an alternative form of medicine involving biological materials from plants or animals. As stated, there isn't enough evidence that this actually works. Furthermore, Dr. Chong himself doesn't believe they work, but he assigns these treatments to patients with mild or subjective symptoms because he thinks they won't cause harm and will provide reassurance. I'm asked to discuss the ethical problems with this behavior. First, Dr. Chong doesn't believe the treatments work but makes patients think they do. This takes away from treatments patients could or should be getting. He's brushing off concerns because he thinks they'll naturally subside. This violates the principle of "first, do no harm." While he may not directly cause harm, he causes patients to not seek other treatments because patients often trust their doctors, especially long-term. So long-term patients may not get second opinions and will take ineffective treatments. It's based on his personal assessment that symptoms are mild or subjective. But misdiagnoses occur, and he puts patients in danger of not seeking other opinions or treatments that could actually help. Under the CanMEDS framework, doctors should be community health leaders, but he is failing by promoting unproven remedies. Even non-patients may start believing these work if they know someone recommended by Dr. Chong. They may disregard other professionals' advice. Dr. Chong has failed as a health expert by giving legitimacy to this medicine. Other physicians may have patients citing Dr. Chong, thinking if he recommends it, it must work. More people may believe in homeopathic remedies even though there's no evidence. Lastly, it works like a placebo, but there's not enough evidence that placebos have the positive effects Dr. Chong believes. In summary, he violates "first, do no harm" by dissuading patients from effective care, fails as a community health leader by promoting unproven remedies, and fails as a health expert by legitimizing homeopathy despite lack of evidence.
student-811
student-811
Interview
Interview
A few years ago, my extended family took a trip to my uncle's secluded lake cottage in Torber Morris, Ontario. We hadn't seen each other in a while, so it was a nice chance to reconnect. There were three families staying in the fairly spacious but isolated cottage. One night, the parents realized we were low on groceries and decided to go buy snacks so we could watch a movie later. Everyone left and I was alone in the pitch dark cottage. I tried to stay calm but was definitely afraid being there by myself. The nearest neighbor was kilometers away, so I had no way to walk anywhere at night. After about an hour, I suddenly saw a light through the living room window and heard footsteps. My heart started pounding and I couldn't breathe. I didn't know who could be out there and what might happen. I jumped up from the couch and cautiously looked out the window. To my enormous relief, it was just the parents returning! This was a terrifying moment, amplified by the remote setting. Being alone in the cottage far from anyone else made every sound seem threatening. While very scary in the moment, it ended up being nothing. But it gave me a lasting appreciation for how isolation can heighten fear and make the imagination run wild.
student-780
student-780
Interview
Interview
If I've been given responsibility to mediate a conflict between two people in the next room, I would first gather as much information as possible about the situation from both parties. I would make sure to listen closely to each side with compassion, empathy, and an aim to understand both perspectives. I would then ask each party to communicate their ideal solution or outcome. My goal would be finding common ground where neither is harmed and both gain what's most important to them. While I know this isn't always possible, adequate communication and understanding could get us there. As the mediator, I could facilitate this by providing a balanced perspective and allowing each side to fully voice their ideas without interruption, coming from a place of empathy. With this understanding approach, I believe some mutual understanding could be reached.
student-763
student-763
Interview
Interview
Today I'm asked a question - in my clerkship, I coincidentally am placed with my best friend. My best friend is continuing to share stories about their patients, calling them by their name and sharing details about their condition as well as their behavior. I'm asked what ethical issues I can foresee arising from this situation. I think right off the bat, the first thing that came to my mind was patient confidentiality. As a physician, you have a responsibility to keep patient information confidential, especially with the public. Another issue I can foresee happening is creating bias in myself. Because we are in the same clerkship and ward, I can foresee myself caring for some of these same patients. Knowing their name, condition, and behavior from my friend's stories might influence my own perceptions and biases before ever interacting with them myself and being able to form my own opinions with an open perspective. The last issue is jeopardizing trust and the workplace environment. If anyone were to find out, this could jeopardize trust not only between my friend and their patient, but also among colleagues and staff. Conversations can be misconstrued as gossip or rumors which can really affect workplace morale. As we're just starting out, we want to make good impressions and really practice those ethical standards we preach. So I can foresee that causing mistrust. However, I think it's important to communicate with staff and have opportunities to debrief and discuss cases, whether with friends and family. But there are ways to do that while respecting confidentiality. In my experience on a suicide hotline, those conversations were incredibly emotional and taxing. Without being able to discuss those feelings with other volunteers, it would have been very challenging to continue. So I think it's understandable to have these conversations and debrief cases with colleagues, but to do so without giving specific patient names or conditions so it remains confidential. I would encourage my friend to reframe the conversation to how they were feeling or if they wanted general medical advice rather than specifics about the patient. As an aspiring physician, collaboration is important to get perspectives on challenging cases, debrief, and take care of our mental health. Diverse perspectives can help patient care too. Perhaps my friend was misreading a situation and I could give a better outlook for them to go back with empathy and provide better care. So collaboration is essential but confidential.
student-808
student-808
Interview
Interview
In 8th grade, my elementary school basketball team was preparing for the regional tournament, which would be my final year at that school. As the team's leading scorer and offensive facilitator, a lot of pressure was on me to lead us to the championship. While I was confident in my abilities, I also knew the competition we would face. The day before the tournament, I was suddenly overcome with doubt about whether I could effectively marshal my teammates to play their roles and win. A big reason was that I wasn't very good at motivational speeches. I preferred to lead by example through my play. I knew I had to give some kind of speech to set the tone, but I struggled mightily to come up with anything good enough. The morning of the tournament, I still didn't have a plan and wondered if I would give a speech at all. But I knew my team needed that spark. So before our first game, I gathered everyone and gave a short, 1-minute speech. I clearly communicated our goal to win the championship and laid out how each player would contribute based on their strengths. I said I would lead the scoring and create opportunities for them. We didn't win the tournament, losing in the finals. But I was proud of what we accomplished against tough competition. A big factor was me overcoming self-doubt to motivate my team. What enabled me to push past the doubt was recalling positive moments of camaraderie with my teammates. Seeing our less experienced players score late in games reminded me of our strengths. Those memories motivated me to give the speech that ultimately helped lead us to the finals. Whenever self-doubt creeps in about your leadership abilities, remember your strengths and find ways to mitigate weaknesses. Focusing on past successes can help overcome doubt to make a difference. For me, that was the key to performing well under pressure.
student-771
student-771
Interview
Interview
If I haven't seen any problems right away, my instant reaction would be to take a second to reflect on why they feel this way. Are there any specific examples? Have I had these types of complaints before? If not, what potential situations in the past several days treating this patient could have created these issues? Were there times I was tired or had a lapse in judgment with my speech? I would really want to figure out what situations here could have led them to feeling this way, because I would strive for the best bedside manner and relationship with the patient and their family. After reflecting, I would want to talk to my supervisor to find out the specific complaints - where is my bedside manner lacking? What conversations or aspects were not good and where can I improve? I'd want to know if the supervisor thinks it's appropriate for me to potentially have an open conversation with the patient and family to improve the situation. At the end of the day, if they really feel I am not the right fit and there's nothing I can do, then it's about the patient's health and well-being. If they can't be persuaded to allow me to make changes, it may be best for me to step off the case because the patient's health comes first. However, hopefully they'd be willing to have a conversation with me about this. I'd love to not only improve the situation, but also improve myself for the future. I'd love to have a one-on-one conversation to listen to their complaints, figure out which aspects of my bedside manner need changing, and work collaboratively to make a plan for improvements going forward. I am confident in my abilities and would hope to give the best treatment. I would welcome the opportunity for feedback so I can be mindful of the changes they want and take it into consideration. If in the future it's just not a personality match after trying my best to make changes, I would have to move on and take it as a learning experience. I could have a conversation with my supervisor about whether these are ongoing issues for me, where I can improve, and if it was just a one-off personality clash. It's a good skill to be able to adapt, but if after trying to improve I'm still not able, I'll have to move on and continue improving for the future.
student-822
student-822
Interview
Interview
As the attending physician in this case, I would likely feel very uncomfortable with the profanity and anger directed at me. My first step would be to remove myself from the situation and take a moment to calm down. If possible, I would ask another attending or staff member to temporarily take over care so the patient is not neglected. Hopefully someone more detached can interact in a calmer, unbiased manner. Once I've had a chance to collect myself and be mindful, I would return to speak with the patient privately. I would talk in a calm tone, asking if they would like to voice any concerns and if there is anything I can do to help. I would be understanding that hospitalization can be an extremely stressful time, especially when dealing with significant medical issues. This may be contributing to their struggle with following advice and overall discomfort. My goal would be having an open discussion to understand their perspective, while remaining patient focused.
student-730
student-730
Interview
Interview
This is a difficult situation, so we need to consider both perspectives - that of the doctor and the government health insurance program. I believe it is unethical for doctors to recommend circumcisions without clearly informing patients of the risks and downsides, since this is not a medically necessary procedure. Doctors should provide patients with full information about the risks and cons so they can make a fully informed, autonomous decision. On the other hand, the government insurance program (OHIP) is no longer covering circumcisions, which fails to take into account people who need the surgery for religious reasons. The government should be more aware of religious beliefs requiring circumcision. A better approach could be to target coverage for those who need it for religious reasons, while also informing the general public that routine circumcision is unnecessary and carries some risks. This way we maintain patient autonomy but provide access when warranted by religious belief. The key is fully informing all patients and balancing access with education on risks and benefits. This allows patients to make autonomous choices while targeting coverage to those with religious need.
student-720
student-720
Interview
Interview
So why do I want to be a doctor? Well, there are many reasons why I want to be a doctor, but I'm going to tell you a bit about my experiences in the past that really made me want to become a doctor and really motivated me. Ever since I was born, I've had to help my father with his condition, which is multiple sclerosis, and it's always been pretty bad. I've always had to be there for him and to be empathetic towards his situation. It really helped me develop communication skills, but also empathy. Before I could even say something or say what made him uncomfortable, or if he needed to be repositioned in his bed, or if he needed a glass of water, I could just always read his thoughts and I could just feel what he was feeling and provide the necessary care. I could just see, for example, and notice things and I just knew that he needed something. It also contributed to bettering my communication skills because I could just talk to him about how he's feeling and I've always had to reassure him and make him know that it's always going to get better and that he's not alone in this. So I've had to offer a lot of reassurance also. Well, it's part of my day to day life, so I know what it's like to take care of someone. I know what it's like to be in a bit of a medical environment and as I said, it's always been part of my life and so it does not stress me, it does not disturb me. It's actually something I love doing. I love being there for him and being able to just put a smile on his face in any way I can. If it's by giving him a glass of water, then I'm very happy to do so. As I said, I've been there for him and showed empathy and told him that I'm always there for him. Also, when I was little, I had a huge accident with my right arm. After the surgery, I remember speaking with the doctors and they were laughing and they were really making me happy. They teased me a bit about the situation and it just put a smile on my face and it really made me happy and made me laugh. I just realized at that time that it's really who I wanted to be in life, that my goal in life was to just be able to put a smile on people's faces and just seeing people happy is what makes me happy. I felt comfortable, I felt not alone, I felt surrounded and I felt like I could trust them. That's another point I want to mention. It's that I've always gained people's trust easily. So I'm someone that people can count on and I've always gained their trust and for me that's really important. I like being someone who's trustworthy and just so that I can be able to help them, to help them. I also love interacting with other people, I love being social and I really learned a lot about myself and to interact with other people really makes me happy. Also in a more academic aspect. Well, I've always liked the biology course and when I was little I always had this book. It was very interactive and it was about the human body and I remember falling asleep with it every day. I also have a very analytical brain and I love solving issues and problems and it's something that's fun to me but I also always like to understand what's happening before solving a problem but I usually always come to a solution. I also have critical thinking which really helps me in situations and I think it's essential to be a doctor and to analyze things. I'm also very calm, I love reassuring people, I think it's really important to do so. I love offering a calm presence to people so that they feel safe and comfortable with me.
student-798
student-798
Interview
Interview
This is a difficult situation because as a physician, I always want to ensure that the patient, whoever they're associated with, is experiencing and having competent care, but also that they feel comfortable with the care that they are given. For them to feel uncomfortable is an injustice. As a physician, I would first in this situation, if they're talking to the supervisor, ask the supervisor if they would be comfortable enough meeting with me again. If they are, I would say that as a physician, my primary responsibility is towards the patient. I will do whatever I can in my power to ensure that your patient care experience is as comfortable as possible. I would ask if they're willing to meet with me in order to discuss how we can improve this relationship and what I can do to ensure that the patient is not only fully autonomous but is receiving competent and comfortable care. If they are comfortable enough meeting with me, then I would meet with the patient and their family. I would say to the family that I will do whatever I can in my power to ensure that you receive competent and comfortable care. I would address any concerns that they may have. I would ask if they were willing to continue with me as a physician, and if they believed that even though I address these issues, if they believed that they would have a more comfortable care experience with someone else, I would put them in contact with another physician, or I would ask my supervisor to put them in contact with another physician. Although in a perfect world, if I was being completely objective and there weren't any issues with the care, then I would want to continue with them being their physician. But if they believe they'd be more comfortable with someone else, the primary responsibility as a healthcare provider is that you give your patients the most comfortable experience that they can have. I would ensure that they are with a physician which can provide them with the care and comfort that they require.
student-819
student-819
Interview
Interview
As a doctor, your first role is to prioritize the patient and act in the patient's best interests. So of course, if the patients feel as if they want a different doctor, then I would oblige and try to help them find a different doctor that is a better fit for them. However, as a physician, you have a responsibility to be professional and try to better yourself and try to be the best you can be. So I would first reach out to the family and ask them what exactly I might have done wrong and what exactly I could do to be better in situations like this, because I want to learn from my mistakes and be better for the next patient. Maybe this bedside manner difficulty was because I was from a different culture than the patient. So in order for me to be a good health advocate and have cultural competence enough to give equal high quality care to patients from all different backgrounds, I have to try and figure out what the root of the problem is so I can address that problem myself. Lastly, as a doctor, you have to be a good communicator and build a good relationship with your patient and be able to empathize with them, explain things to them in a way they can understand and make sure that they have all the information that they need. So if I was not clear enough or not sympathetic enough to the patient situation, that I need to know so I can adjust my approach moving forward with different patients. I would also ask the family if they would like to give me an opportunity to fix my bedside manner and make it suit their needs better. And if they say no, I would of course tell them that's totally fine, and try to give them options of colleagues who might have the kind of bedside manner that they are most comfortable with and what they're looking for.
student-806
student-806
Interview
Interview
I agree this problematic behavior cannot be justified despite Dr. A's strong surgical outcomes. Fostering disrespect erodes team cohesion, which harms care quality. If staff feel constantly disrespected, they will be less motivated, compromising patient outcomes. Allowing this culture risks trainees emulating such conduct, propagating disrespectful patterns. Treating patients dismissively dehumanizes them, infringing on their rights and dignity. Research shows dehumanization impairs care. Though Dr. A's individual metrics are strong, condoning this behavior will enable greater harm long-term. A disrespectful environment will breed future disrespectful practitioners, eventually degrading care for countless patients. While short-term surgical results matter, the downstream effects of normalized mistreatment pose too great a risk. Upholding patient dignity and nurturing collaborative team cultures must remain paramount. Overall, Dr. A's pattern of disrespect cannot be justified solely by immediate outcomes, as it threatens patient wellbeing and staff integrity in the long run.
student-828
student-828
Interview
Interview
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
student-817
Interview
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
student-714
Interview
Interview
Thank you for the question. I distinctly remember the book that initially sparked my interest in what I want to pursue later in life. It was a basic book about human anatomy that I found in 8th grade. It had transparent pages where you could go through the layers of the human body - the skeleton, muscles, and I remember reaching the nervous system and brain. I remember being stunned for a few minutes while reading because to the 13 year old I was, this fundamental brain information was magic to me. I couldn't believe what I was reading, and most of it remains magic to me today. As cheesy as it sounds, it was then that I realized I wanted to dedicate my life to studying the human body, but the brain in particular. I didn't know how or where I'd do that, just that I wanted to in some way. It wasn't until years later when my grandmother fell ill that I saw neurological symptoms firsthand. She had Parkinson's which progressed to delirium. She was hallucinating and saying things that didn't make sense. I had seen people get sick before, but never display neurological symptoms like that. It was disturbing because someone I had known for so long suddenly became someone I didn't know due to changes in her brain. It deeply affected me and remains with me. Later, I decided to shadow a neurologist to witness the field up close. The neurologist dealt with patients with various neurological symptoms. What stuck with me was the position the physician had and his ability to give hope. I think that's extremely unique to a physician's profession. Many noble professions help people, but physicians can give hope. As neuro patients, we face frightening possibilities of our illnesses erasing who we are. So seeing the physician give hope, saying "You'll still be you, you'll survive" had a profound effect. It reminded me of my grandmother and the helplessness I felt. It encouraged me that if I could one day give hope to someone like my past self, I'd be eternally grateful. It reinforced my excitement to potentially pursue neurosurgery at U of T. So in summary, that book sparked my initial interest in the brain, my grandmother's illness made it real, and seeing a neurologist give hope to patients reinforced medicine as the career path to pursue. Thank you for the question.
student-810
student-810
Interview
Interview
In this scenario, my best friend tells me that he is a compulsive gambler and he asks for my money after discussing the broad implications of gambling on society. The first thing that I would do is gather as much information as possible. I will try to ask about his personal circumstances. They mentioned they don't have any money to buy even food - can they elaborate on that? What do they mean by no money? Are they in the negatives or barely getting by? In addition, are they in any form of danger? As of now, they mentioned needing to pay back loan sharks. Are they currently pressuring my friend or potentially threatening them? Third, if they don't have money now, how are they affording housing? If renting or paying a mortgage, how will they pay next month? Lastly, I have to provide empathy, listen non-judgmentally. Gambling addiction is like any addiction - it's very hard to quit, not just a matter of willpower but brain connections. So I want to support my friend without judgment. With that in mind, it's important to think about my friend's family. Have they reached out to family for money? Do they know about the gambling? How is their relationship after finding out? I want to consider their wellbeing and how I can support them too. Lastly, what kind of societal help has my friend sought out? For example, if they can't afford housing, have they reached out for housing aid, addiction counseling, financial aid? What societal help have they received or reached out for? So after gathering information, it's important to decide on my actions. I want to help my friend but not feed the gambling behavior. I will ask them to elaborate on using the money to "win it all back" - does that mean more gambling? I will let them know I'm happy to help pay back the loan sharks so they aren't in danger, but won't support gambling as a way out. So if they agree to pay back loans only, I will give the money. Then I'll try to connect them to addiction resources, financial aid, housing aid, etc. to guide them away from gambling and towards sustainability. That concludes my answer. Please let me know if you have any follow up questions. Thank you.
student-809
student-809
Interview
Interview
Physicians are very important in their role of educating the general public about topics in healthcare. This was very evident during the COVID-19 pandemic when there was a lot of misinformation being spread and many people were misinformed about the virus, vaccines, and healthcare in general. There is so much misinformation on the Internet that spreads quickly. I believe physicians are a vital resource and tool for educating the general public about healthcare topics. This is especially true when physicians can make evidence-based claims using research, either their own or others'. Physicians are specifically trained in healthcare, learning anatomy, physiology, biochemistry and other fundamental medical sciences. I think it's a very important role for physicians to use their position and knowledge to educate the general public. If some people don't believe or understand them, it's important to provide information in words a general audience can understand, whether they have medical education or not. Physicians should explain details and provide evidence about healthcare topics using language everyone can grasp. Sometimes, unfortunately, people have preconceptions and don't believe what physicians say. As a physician, it's important to aim to give a lot of information to provide that healthcare resource to people. It's up to them whether they accept and understand that information. Even with strong evidence, some may not want to believe the same thing. That's okay. I think a physician's role stops there - you can give education, guidance and resources but never force someone to believe as you do. Overall, I believe educating the general public about healthcare topics is a vital role for physicians.
student-715
student-715
Interview
Interview
In this situation with my sister, I would communicate the factors of risk and reliability to consider. There are some red flags around the health of the person receiving the embryo implantation and their capacity to sustain a pregnancy. We'd need to assess if they are being properly cared for and could provide a healthy environment for fetal development. This reminds me of an experience I had when looking to buy a cheap used car on Kijiji during a financially difficult time. At first glance, the low price seemed perfect. But when I mapped the seller's address, it was a sketchy, secluded barn rather than a house. Despite the initial appeal, observational evidence revealed too many risks and unreliability factors. So I decided not to go through with it. Similarly here, we need to carefully evaluate the safety and wellbeing of the person carrying the pregnancy before agreeing to this in vitro fertilization. Can we be fully confident this person is healthy enough to support a baby and provide proper care through gestation? The goal should be minimizing risks and maximizing the reliability of a healthy fetal environment. Just like I avoided the questionable used car purchase, proceeding requires fully addressing these concerns first.
student-781
student-781
Interview
Interview
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
student-713
Interview
Interview
I currently live with my grandparents and use a car provided by my dad for transportation to university - a privilege I really appreciate. However, about a year ago I was in a minor accident with friends late one night after an exam when we went out to celebrate. At first I was hesitant since I prefer early nights, but agreed to bond with them. Telling my family breached their trust, as they disapprove of me being out late. They felt I misused the car they provided for my education. Breaking this news and their disappointment was deeply upsetting. The situation was difficult, but I've persevered and things have improved. Looking back, I should have considered my family's wishes over my friends' social plans. My education is the priority they had in mind for the car, not late nights out. I regret the mistake in judgement, but I continue to work hard in my studies to honor their support. I remain grateful for the opportunity I have been given. The accident reinforced the importance of responsibility in upholding my family's trust.
student-757
student-757
Interview
Interview
Three key qualities that exemplify my personable nature are communication skills, patient advocacy, and ability to collaborate. Peers in school, work, and my personal life would describe me as personable - someone who connects well with others. This involves qualities like effectively communicating, standing up for patients, and finding common ground. I demonstrated these traits early on in my clinical experience volunteering at a family medical clinic. One day an elderly male patient was giving the receptionists a hard time and the other introverted volunteers looked to me to intervene. Despite having no experience, I approached the man and acknowledged his frustration. I engaged him in conversation, asked about his grandchildren, and found commonalities to establish a connection. Though initially angry, he soon relaxed and we had a meaningful interaction. This exemplified using communication, advocacy, and collaboration to resolve a tense situation. The ability to build rapport is so valuable for a healthcare provider. As a prospective physician assistant, I want to bring my personable nature to relate to patients, make them feel heard, and build trust. My interpersonal skills allow me to connect with diverse people, understand their needs, and forge lasting relationships. These qualities represent my strengths.
student-788
student-788
Interview
Interview
If a patient was interested in visiting an acupuncturist or chiropractor, I would first sit down with them to ask about the underlying issues causing them to seek these providers. It would begin by asking if they have a physical ailment or chronic pain. I would offer to run tests to determine the underlying cause of their pain and establish a beneficial, trusting relationship. We could do x-rays, medical tests, etc. to find the source of their pain and reason for wanting to visit an acupuncturist or chiropractor. If the patient still wished to see one after tests, I would research these fields myself to learn the potential benefits and risks, side effects, or harm to the patient. After doing this research, I would share what I learned and see if any medical staff had advice on things to look out for with these providers, like laboratory red flags or potential side effects. I would also discuss current therapies I'm providing and share my professional opinion that these medications can alleviate their pain or ailment. Additionally, I would ensure the patient knows I'm still there for them. I want to stress I do not want to overstep or lose their trust, and I respect their autonomy to visit these alternative providers. I would let them know if they have any questions or feel something is going wrong, they can still come to me for help. I would be happy to remain their physician and provide benefit if they feel I can. I would just ask them to be cautious and respect their choices.
student-825
student-825
Interview
Interview
I believe this is a complicated issue with many perspectives on universal basic income. There are pros and cons, but I am more in favor of it as I believe people should be able to provide for themselves and their families. As a physician, this career is about advocating for others, and the ultimate form of advocacy is ensuring people can provide for and advocate for themselves. A basic income is essential for people to be able to do that.
student-815
student-815
Interview
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
student-800
Interview
Interview
This is an important issue involving someone close to me, so I need to address it without bias but make clear the seriousness of her actions. I would ask to speak with her privately at a time when she's not exhausted or overwhelmed. Bringing donuts or something to show care, I'd gently ask how much she had to drink to understand what led to this. If heavy drinking is new or unusual for her, I'd want to know more about what caused that. Most importantly, I would advise her to seek out information on the person she hit - visit the intersection for cameras, check local medical centers. She needs to take responsibility for apologizing, compensating the victim's family, and correcting her mistake as much as possible. Drunk driving resulting in an accident is unacceptable. For the future, I would offer to be with her when drinking to ensure she doesn't drive impaired. I'd discuss alternatives like Uber, public transit, calling me or someone else for a ride. She can always contact me rather than drive drunk. If charges are pressed, I would encourage her to admit guilt and accept the consequences. Actively righting the wrong through apology and restitution may minimize penalties. But accountability is essential. My goal is helping her understand the gravity of her actions, take responsibility, and prevent any recurrence, while also providing support as her friend.
student-782
student-782
Interview
Interview
From what I understand in the prompt, I'm a physician. A 16 year old patient comes to me and wants a specific procedure. Her parents are in disagreement with that procedure. I'm kind of asked, who do I have to listen to in this situation? This is actually a very difficult situation. The ethical dilemma is here on think. First is autonomy versus being able to make a well informed decision and regarding the family's dynamic. Before I say what I would do, there's many perspectives I have to look at. At first there's a perspective of the patient, the 16 year old. Then there's a perspective of the family as well. And the last perspective is the perspective of the physician with the relationship with both the family and the patient. I'm going to discuss a bit of pros and cons within each perspective. In the perspective of the patient, the patient comes to the physician with trust. They come with, I don't know what the procedure is. This can be a life changing procedure. It can be a procedure that can enhance confidence. It can be a procedure that can treat an illness. Depending on the situation, I think if a patient comes to you with trust, that trust should be taken without the most importance. By accepting that procedure and doing it for the 16 year old, you're allowing them to keep having that confidence of physicians. If you don't do that treatment, you can possibly hinder a future relationship with the physician because the 60 year old might be upset and might not want to seek medical attention anymore. These are important things to consider. The family's perspective, I think it's a very similar perspective to the child. I know that in most cases, a family really wants what's best for their child. I know that they're looking out for the best interest of their child. We have to understand that maybe they're scared of this procedure. Maybe they don't know what the procedure entails and what the actual reason behind why the 16 year old wants that procedure. Lastly, it's the physician. The physician, I think, in this situation has to be well informed of the decision he's taking, because he has to make sure that the patient is well informed, that the family is well informed, that he tries his best to keep the relationship as positive as possible through this whole interaction with the disagreement within the family. For what I would do, if I were to listen to the patient or the family, this is very contextual based. I have to speak with the patient. I have to determine and see if they're in the mental capacity to make such decisions on their own. I have to understand if they understand the risk and complications of the procedure. I also have to see if this is a medically necessary treatment as it might not even be medically necessary. I have to gather that information. I have to know the reasoning of why my patient wants to have this procedure and if they're in the consent, if they're in the capacity to make the decision. If I can tell they're mature enough to make that choice on their own, I don't know if there's an age of consent in Canada, but I would grant that procedure to that patient should it be legal. Now, if they're not in the capacity and they don't understand what's going on and they want to do it for unnecessary reasons and put unnecessary risk on their body, and I can cause kind of harm to them by doing this procedure, I would not offer the treatment and not because I would listen to the family, but because I don't think it's the right course of action medically. But in either case, I think the approach I would take is to see if they're well informed, if they have the capacity to make that decision. After I make that choice, regardless of the choice, I will show that I still care for the patient. I will remain as a kind of shoulder to lean on for knowledge after the procedure to give them access to post depends if it's operations like post operative care or follow up procedures or follow up visits to see if that procedure went well. I will also speak with the family and let them know why I made my choice, that I didn't just do it to undermine them, but I did it because I believe that that procedure was medically necessary and that their child had the capacity to make that choice. But in large, I would try to keep my relationship with both the patient and the family as positive as possible as this may have long term implications on them wanting to seek medical attention and it can have long term negative consequences if I don't maintain that relationship, if they trust in the medical system.
student-832
student-832
Interview
Interview
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
student-745
Interview
Interview
As a physician, my main concerns are the patient's health and respecting their wishes. However, at 16 they are a minor, so I would also need to consider the parents' wishes if they are the legal guardians. I would want to have private conversations with the patient and parents separately to better understand the patient's desire for the procedure and gauge their knowledge so I can provide information and answer questions. Similarly, I would seek to comprehend the parents' opposition in a non-judgmental way by allowing them to voice concerns and addressing any questions so they may feel more comfortable. After these discussions, I would encourage the parents and child to speak together to understand both perspectives. My role is to serve as an impartial third party source of procedural information, not advocating for either side since my duty is to both the patient and the legal guardians. By facilitating open dialogue for all parties to voice their reasoning, I aim to find the best resolution that balances the patient's well-being, autonomy, and the parents' right to decide what is medically appropriate for their minor child.
student-749
student-749
Interview
Interview
As frustrating as it might be to hear a parent does not want to vaccinate their newborn, I believe the parent is still responsible for making that decision for their child. The newborn cannot be considered a mature minor to make decisions, so it is up to the parent. However, I would still do everything in my power to try to convince the parents to vaccinate. I would ask to meet with them and say I understand their concern - there is a lot of misinformation out there and it can be hard to discern reality from folly. I would tell them the facts honestly - vaccinating their newborn will significantly reduce the chance of developing the disease. If after hearing the facts they still believe their newborn should not be vaccinated, then I have to listen to the parents' choice, because they are making the decision for the child. I would need to let the parents decide what is best for their child.
student-816
student-816
Interview
Interview
In our province, I think our healthcare system overall does a pretty good job. With a public healthcare system like we have in Canada, where people are able to get hopefully accessible and inclusive care, there's definitely going to be shortcomings. But overall we see a system where we have our so-called "free healthcare," although we do pay taxes. In any system there's always going to be strengths and weaknesses. But I think overall we do a pretty good job. The issue I'm most passionate about would be accessibility and equality issues, specifically the treatment of indigenous people and people with disabilities. I don't want to make broad, sweeping statements about healthcare in general because it's not every single doctor or health authority that has these issues. But I think with indigenous people in our province and Canada, there have been many instances where they haven't been treated properly and haven't been given the same resources and opportunities to be successful. Some doctors are great, but there have been high profile and likely many unreported cases where indigenous people have not been given the same treatment - whether refused treatments, turned away due to prejudices, or not welcomed in a Western medical environment because as healthcare providers, we're unable or unwilling to accommodate certain values and beliefs. I think this is super important and something we can improve on. Where many indigenous people live in rural communities in BC, I think as a province we struggle to provide good, meaningful, equitable healthcare to people in rural and indigenous communities. It's something they really deserve and I'm quite passionate about. I think it's important that as we move forward, we educate current and future generations with knowledge on how to deal with these issues so professionals are better equipped to go in without prejudice and find solutions that work for both patient and doctor to have a good working relationship that maximizes health outcomes. All cultures and beliefs should be welcome in a healthcare setting by having empathetic people able to go in with no judgment or prejudice, and allow different views and practices that maximize patient outcomes. Having someone willing to listen and create meaningful, non-judgmental relationships with indigenous people in healthcare is key. I also mentioned people with disabilities. As Westerners and able-bodied people, there are barriers we don't think of that prevent access. Addressing those barriers is really important and something I'm passionate about because I firmly believe everyone should be given the opportunity to access our good healthcare system.
student-821
student-821
Interview
Interview
Hi Jason, it's good to see you today. I'm glad we could meet up. I was wondering how you've been the last few days since I haven't heard from you - I was concerned. How are the medical school applications going? Is everything okay generally? Have you been eating and sleeping alright? It was surprising when you didn't come to class since you're usually so diligent. I'm sure there's a logical reason, but as your friend I want to make sure you're doing well. Please let me know if there is anything I can do to help or if you need someone to talk to. I'm here for you and just want to make sure you're taking care of yourself. Let me know if you need anything at all.
student-755
student-755
Interview
Interview
This scenario, where Dr. Cheung is recommending homeopathic medicines to his patients despite the lack of scientific evidence and him not fully believing it either, calls up a number of fascinating ethical dilemmas. Initially, I thought that the doctor’s behavior was considered ethically wrong since he himself didn’t believe in homeopathic medicine due to the scant evidence, yet was recommending it to patients. However, if he communicated clearly about the lack of scientific evidence and how he does not believe in it to the patients, and the patients are aware of it, then it is not ethically wrong. Ultimately, the patients have the rights to be aware of the treatment plans, including the benefits and risks involved, before making informed decisions. So, if the patients are still willing to consent to the homeopathic approach, despite him explaining the risks involved, then going in accordance with respecting patients’ autonomy, this would not be an ethical issue. On the contrary, it becomes an ethical issue when the doctor withholds detailed explanations and information about the approach from his patients. Doing so, he violates patients’ autonomy and isn’t acting in their best interests. Using the psychological effect of placebo to create a false sense of reassurance is considered deceiving and misleading. This jeopardizes patients' trust for this doctor or even the entire medical system since patients may find out that the prescribed drug has no effect in improving their conditions. Hence, by failing to inform clearly about the treatment, he is preventing his patients from making an informed decision about their healthcare. However, this situation leaves out some details that are important before arriving at a final conclusion: [1] Is he doing business with or promoting homeopathic medicines because his name is on the meds? [2] Does he have a financial stake in these drugs? [3] Is he qualified to practice complementary and alternative medicine (CAM) to offer this treatment to patients? [4] Did he explore other alternatives within conventional medicine before recommending this approach? If he is doing business or has a commercial interest, it might be unethical for him to be recommending such treatment given that his clinical judgement could be clouded based on his business interest, suggesting a conflict of interest. Moreover, there is a likelihood that patients are easily persuaded as to the “reassurance” of the treatment through trust of an SMC-registered doctor. Hence, it is crucial to keep in mind the patient's autonomy and right to all information of potentially available treatments. In conclusion, it would be unethical for him to be recommending an approach that lacks scientific evidence. It is also equally unethical for him to create a false sense of reassurance for his patients just because he believes that homeopathic medicines do no harm. I would recommend that he stays transparent and be honest with his patients by openly discussing the lack of evidence and explaining the potential implications. Doing so, he maintains the trust and respect of his patients which will not result in misleading “reassurance”.
student-801
student-801
Interview
Interview
In this situation, I would carefully weigh the potential outcomes of a liver transplant for both patients. For the 64-year-old alcoholic, there is some uncertainty whether they would adhere to post-transplant treatments and lifestyle changes needed to maintain health. In contrast, the younger mother of three may have greater probability of benefit and compliance. Age is a factor, as the mother has more expected years of life ahead. There are also consequences for her children if she does not survive. However, if I could speak to the alcoholic and feel confident they would commit to sobriety and medical care, I would likely select them for transplant. Adherence is the key factor. I'd want to know the duration of alcoholism and any history of prior treatments failed due to non-compliance. If the alcoholic has repeatedly been non-adherent, I would select the mother to receive the liver. Her age and responsibility to her children tip the balance. But with demonstrated commitment to treatment from the alcoholic, I would support transplanting them over the slightly younger candidate. The decision rests significantly on my assessment of postoperative compliance to ensure success.
student-783
student-783
Interview
Interview
There are many reasons I want to be a doctor, but my personal patient experiences were what first made me want to pursue a career in medicine. When I was 15, I was in and out of the hospital for about a year due to a recurrent parapneumonic effusion. To be perfectly honest, I wasn't the best patient. I was really frustrated because I was a high achieving student athlete. I was missing a lot of school and practice. But I met some amazing doctors who really listened to my worries, my concerns, and they made me feel very understood. I felt like they saw me for the person that I was rather than the situation I was in, and they could kind of see past my teenage angst, and they would joke around with me about when I would rank their nasal endoscopy skills or talk to me about my biology homework. They also helped to develop a treatment plan that would allow me to get back to my training and get back to school. Those experiences inspired me to want to do the same for other people. I want to pursue a career in medicine so that I can make other people experiencing chronic illness or other medical issues feel seen and understood, advocated for during these really difficult times. But with that being said, a career in medicine is very challenging. So I wanted to make sure I explored my options and knew that this was for sure the direction I wanted to go. A couple of years ago, I started volunteering at a family medicine clinic in Stratford. And last year, I completed an internship at a hospital in Peterborough through my program. These clinical experiences really confirmed that this was the path I wanted to take. I honestly can't see myself doing anything other than being a doctor. Through those experiences, I learned how interesting the human body was. It's so complex. But there are also the problem solving skills and critical thinking skills that are required to develop a treatment plan and diagnose patients. It reminds me a bit of a really complex puzzle, putting all of these pieces together for each patient to create the optimal treatment plan. I just think it's so interesting. But also, you have this science aspect integrated with the social aspect of medicine. You're collaborating with a healthcare team. I really value being part of a team. I was part of a team sport for many years, and so I really enjoyed that aspect of medicine. But also you're collaborating with patients. I feel like the social aspect of medicine would keep the job really interesting because you could have ten patients who all have the flu, but your interactions with them are going to be so different because every person is unique. I really enjoy how I can have both the science aspect and the social aspect because I enjoy working with people, and I also enjoy science. I feel like that's kind of unique to medicine. The last reason why I want to pursue a career in medicine is because it would allow me to be a lifelong learner and continue with research. I'm currently finishing up my Master's degree. I'm very passionate about my research, but with research, sometimes you don't get to be the person to apply your findings. In medicine, I could continue with research to some extent and continue with some research projects and stay involved in that research community, but actually get to apply those findings to a clinical setting and see the results of that research, which I feel would be so rewarding. And so that's a huge reason why I would like to be a doctor.
student-803
student-803
Interview
Interview
I'll just start with a little bit of my background. I have a very active background. I've been involved in multiple sports throughout my life, whether that was gymnastics, horse riding, hockey, hiking, and weightlifting. Through those activities, I've been able to grow as a person and do those in a community with people and just improve my overall health and wellbeing. I realize the benefit that fitness can have for people and how much an injury can hinder those goals. As a physiotherapist, I would be able to help people achieve those fitness goals. I've also had numerous injuries from sports, and I've been in four car accidents. I know that makes me sound like a really bad driver, but I was a passenger in all of them. Just want to throw that in there. So anyways, I've been to the physiotherapist countless times through the years, and honestly, I wouldn't be where I was at today without them. I realized this is where my passion lies, that I want to be able to be in that role myself and help people recover because I've experienced so much benefit from physiotherapists. I love to be able to be in a direct role to help people get back to their normal activities. I also have a passion for analyzing human movement and being able to produce optimal performance, which I believe would be possible in my role as a physiotherapist. I've worked in retail for many years as an assistant manager and a supervisor, and through that time, I've been able to refine my communication skills and my teamwork skills as well. Both of these are extremely important as a physiotherapist. I would look forward to being able to use them in this career. I know this sounds a bit mundane, but I really do enjoy stocking shelves because I enjoy the challenge, the problem solving and just working with my hands. I really enjoy that. And I believe as a physiotherapist, I would be able to use those skills every day, and nothing would bring me greater satisfaction. I also have attention to detail, and I've been able to refine that through my management position. I believe that's a very necessary skill to have in healthcare when you're dealing with sensitive issues and medical records. I'm also a very empathetic person, and I have a passion for helping people who are in difficult positions. That's led me to volunteer with Special Olympics, where I was able to interact with athletes who had mental disabilities and just assist them in playing sports. And I've also volunteered at homeless shelters, interacting and serving the guests, also volunteering at a physio clinic for quite a while and being able to provide direct treatment to the patients. Through all of these things, I realized how much joy and satisfaction it gave me to be able to see the joy on people's faces as they were able to accomplish more than they thought they were able, or maybe move just a bit better. Just being able to play a role in their recovery and restoring mobility and helping them achieve their goals. So in summary, my physically active background, my experience in retail, my interaction with physiotherapists, and my passion for working with people has confirmed that physiotherapy is where I want to be.
student-804
student-804
Interview
Interview
All right, so the question is, if I was on the admissions committee, what would be the most important thing I would look for in a candidate? I think the most important attribute to become a doctor is actually empathy. So I will really want to look for an empathic person because if people are not empathetic and they become doctors, then patients can be really upset, they can be angry towards the physician and the physician just won't understand what's going on. Also, if they don't deliver news in an empathic manner or if they don't feel for the patient, then I think it can really damage the trust relationship that the patient has with the physician and overall just damage the patient's treatment. I also think that a doctor's job is to do the most good and the least harm. And if they're not empathetic, then I think it would eventually just hurt the patient more than do good because they won't feel respected, they won't feel like their feelings matter, they won't feel like their feelings are taken into consideration and they'll just feel like an object to the physician. So I think that's really important. I would also look for candidates who have good communication skills because I think it's important for a doctor to be able to communicate clearly and also simply what the diagnosis is so that the patient understands exactly what he will be going through. So yes, I think those are two very important factors. Also, I think one of the most important things is to be motivated to become a doctor. Because I think that if future physicians don't want to go into medicine and they're only forced to by their parents or they feel social pressure, then I think it can actually be really harmful to the patients and society in general, because physicians, like I said before, have to be empathetic, have to have good communication. But they also need to want to do this because this is a very stressful, I think, job, and it requires a lot of dedication and a lot of university time. And I think that if you're not motivated enough, it will actually make you become a more frustrated person. And no patient likes a frustrated doctor because it's easy for a patient to know when the doctor is actually annoyed with you or disrespects you or does not value you. So I think if you don't want to go into medicine, then it's probably the worst career path you could take if you're not sure of what you want to do because there are so many important things to look for before being a doctor. That's pretty much it. But I would also never neglect anyone in the admissions process because I think that everyone has their own skill set to show and to put forward. And even though I said what I thought were the most important attributes, I would also consider many others. And I would also let the interviewees surprise me. And if I find something that I find particularly interesting or a characteristic trait of a person that I think would make a good doctor, then I would not hesitate to take that person into the university.
student-799
student-799
Interview
Interview
The issue here is that if she continues this behavior, she will likely get an undeserved high grade, which is unfair to other students. However, I understand the pressures she faces to get a high GPA for medical school admission. I would approach her privately in a non-confrontational manner to gather more information on her motivations. If it was solely to get a high GPA, I would explain that this dishonest approach is unacceptable, but offer to help her find other interesting courses instead. If she agrees, I would gladly assist in finding an alternative. If she declines, I would urge her to confess to the professor so he can make appropriate adjustments. And if she refuses, I would inform the professor myself. I would apologize to her, but explain I must act with integrity. This allows us to maintain academic honesty while making an ethical decision before she improperly benefits.
student-723
student-723
Interview
Interview
The main reason I really want to become a physiotherapist started when I was young. I played a lot of sports and have always been interested in science. Playing sports, I've had the misfortune of many injuries. Starting around age 12, I've had to go to physio multiple times. I've been to many clinics as I got older, playing lacrosse at a high level and football. I've seen different physios because the teams have different affiliations. So I've had a lot of great experiences with physiotherapists. With my interest in science and studying anatomy and research in high school and university, I've reflected on my experiences and found physiotherapy combines my interests. It allows me to work one-on-one with people at the intersection of anatomy, physiology, physical activity, health, wellness, movement, sports, injury recovery, and improving daily living. You incorporate knowledge, research, and new developments in collaboration with doctors, occupational therapists, and other physiotherapists to create the best plan for each patient. This really interests me. My exposure to different physios provided great role models who inspired me to continue my journey as an athlete and scholar. When I was able to reevaluate what I value, those influences focused me on becoming a physiotherapist. Additionally, my experience coaching and working with kids with autism has shown I work well and communicate effectively one-on-one. I enjoy the process of helping someone improve their abilities and quality of life through movement in a one-on-one setting. I want to put people in a position to succeed. Coaching has allowed me to create positive environments and build relationships with each player to ensure they can improve, have fun, make friends, and gain lifelong healthy skills. These experiences have reinforced and further influenced my desire to be a physiotherapist, as I want to provide this on a daily basis. I think it plays to my strengths.
student-823
student-823
Interview
Interview
The most important thing is to understand my cousin's level of maturity. For a very young child, I would keep the explanation simple and clear. But for an older cousin who could grasp a more meaningful discussion, I would have a deeper conversation about the benefits of volunteering. First, I would ask about his current opinions to see his existing knowledge. I would challenge him with questions about how volunteering has helped people he knows, to expand his understanding of its community impact. I could use relevant current events or local examples to illustrate how volunteers create positive change. I would tie this to my cousin's own passions. If he loves animals, I may talk about our local humane society that relies on volunteers to provide services. I would help him identify causes he cares about so he can find fulfilling volunteer opportunities, rather than forcing unrelated experiences. Volunteering is most rewarding when you follow your passions. Additionally, I would share my own volunteering experiences and the profound impact they've had on me. Hopefully through thoughtful discussion tailored to his maturity level, I could open his mind to the personal benefits volunteering can provide, just as it has for me and others I know. My goal is to encourage him by educating in a way he can understand.
student-793
student-793
Interview
Interview
This is a difficult situation, 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
student-767
Interview
Interview
Recognizing such a complex scenario, my priority would be to uphold the integrity and principles of being a practicing medical practitioner while also emphasizing the importance of well-being for myself, my elderly patients and society as a whole. In this situation, I would give myself the vaccine because ensuring my health and safety during the outbreak would allow me to continue working to provide healthcare services to other elderly patients. Not only would I be benefiting myself, but I would be benefiting these patients of mine as well. Assisting these patients is a large responsibility of mine, and I am obliged to fulfill that responsibility. Giving the vaccine to a different person might not be the best option. I would give it to myself.
student-758
student-758
Interview
Interview
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
student-786
Interview
Interview
Before I begin, I just want to thank you for taking the time to listen to why I want to be a doctor. I'm a mature applicant now, and my decision to become a doctor was really something that I wanted to take my time with to make sure it was the right thing for me and explore all my options as a student. I liked the idea of medicine, exploring topics in health and science, but it wasn't until my professional work, education, and volunteer work that I've done as a working professional that really brought me back to medicine and made me realize that it was what I wanted to do with my life. To touch on those experiences as a working professional - right now, I'm a clinical trial monitor with the Canadian Cancer Trials Group at Queen's University. In this role, I have the opportunity to collaborate with research teams across the country on the clinical research that we're doing that is really improving care options available for patients. It's tremendously gratifying to be able to follow a patient's treatment story indirectly as a clinical trial monitor and get to know the best practices that are taking place at each of our clinical research sites. One of the trials that I'm tremendously proud to have worked on was one that improved survival and progression status in breast cancer patients. This was a huge landmark trial published in the New England Journal of Medicine, and has since been adopted as a treatment option for high risk breast cancer patients. I'm tremendously proud to have worked on it and I want to be able to translate experiences like that into a clinical care setting. I want to be able to find ways to improve patient care. One of the things that came to my mind is something that I learned in my part-time course on social determinants of health. I'm also a part-time student - I've taken courses in anatomy and social determinants of health. In the context of my work and existing education, I've really been able to integrate all of these things together into a more comprehensive image of what I think health and wellbeing actually are and ways to address them as a physician. I'm really excited at the prospect of a holistic care model - not only looking at clinical care and interventions, pharmacological and non-pharmacological, but also interventions that address the social determinants of health, like the underlying causes for why people experience the things they do. I think the most important thing, the experience that made me say "this is what I want to do", was working at the COVID-19 vaccination clinics. I think we'll all recall the uncertainty and anxiety people had about COVID-19 and how it was shaping the world. I wanted to get involved managing it as soon as I could, whether with tracking or vaccines. Specifically working in those vaccine clinics as part of that clinical care team was a really gratifying experience. One that I'm tremendously proud to have been involved in something that I'll be able to speak to for the rest of my life. Being told that I'm giving people their lives back by working at these clinics is something that I want to be able to experience every day as a doctor. As soon as I had that opportunity, that was it for me. I knew this is what I want to do. I think the person-to-person interaction is something that I've always loved. The integration of sociological and health factors that I've learned about from my work and school experiences have really brought me to this point where I'm ready to become a doctor, where I know that I want to be a doctor.
student-807
student-807
Interview
Interview
Yeah. This idea of a bonus fee per doctor visit for me, on the surface of things, it does not sound like a really good idea. The reason why is because it will create scenarios where nonadherence may arise. And nonadherence as a prospective physician assistant, I understand how risky and how dangerous that is. By nonadherence, I mean the fact that a lot of patients or potential patients may see that cost and not think that their particular condition is worth going to see the doctor for. For example, an older patient who may experience headaches. A headache could be an underlying factor, an underlying symptom for a much more severe condition like a stroke or some forms of diabetes or other heart disease. So that could create some confusion and that could all stem from that additional cost that comes from those visits. And another way I could see nonadherence coming up in this scenario is through patients just not following through with additional follow-ups, for example, or prescriptions. In my experience, when I was volunteering at a family walk-in clinic in the Peel region of Ontario, I've spoken and had conversations with some patients who did not feel like going through with their prescription was worth it. One person who I was having a chat with a few months ago during the middle part of my journey as a clinical volunteer told me how he had some form of eczema. And there was this cream, this topical cream that was prescribed to him by the physician at the clinic. But he was telling me how because of how expensive and pricey it was, that he didn't feel it was necessary or worth it to follow through with it. But now we can see that and how it's reflected in this scenario where some patients may see that cost and think that it's way too hefty and not follow up with what a physician may suggest or a prescription or another visit or a visit to another specialized clinic. And these are all factors that do come into play when creating this new policy. But one positive impact that I could see come out from this new change could be the decreased wait times as some patients may see that their condition isn't as serious or necessary to visit a doctor. And that could overall in the long run decrease how many patients there are in a clinic at a specific time. But once again, that does intertwine with the negative impacts because if a patient feels like symptoms aren't as serious, where do we draw that line? Where it becomes serious or where it may be part of an underlying disease that may be more serious? So that is yeah.
student-797
student-797
Interview
Interview
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
student-765
Interview
Interview
One time I disappointed my parents was when they asked me to pick up my sister from soccer practice. Both my parents were at work and had entrusted me with this responsibility. However, instead of diligently following through, I got distracted by other less urgent priorities like schoolwork and texting friends. As a result, my sister was left waiting alone at the field with no ride. My parents were very let down that I did not fulfill my duty responsibly. In hindsight, I should have prioritized better. The other tasks could have waited, but getting my sister on time was truly important. I learned an important lesson about setting the right priorities and fulfilling my obligations, especially when relying on me. Moving forward, I aim to match my actions to what matters most rather than getting distracted. I continue to feel regretful about that incident, but it helped reinforce values of responsibility and diligence that guide me today.
student-756
student-756
Interview
Interview
Right, so first off, I don't think it's wise to simply introduce a lower speed limit in a city just because another city did so. Each city is really specific and has its own unique population. In order to determine if a lower speed limit should be introduced in Edmonton, it's important to look not only at the specific routes, but also the demographics of the local population. I think we first need to look at Edmonton's routes to see if there are roads that pose heightened dangers to drivers, similar to what may have prompted the lower speed limit in Plymouth. It's key to understand why traffic incidents are happening in the first place. After analyzing the road conditions and safety issues, I would also examine the population. It could be relevant to see if Edmonton has a large population of young or elderly drivers who may struggle with driving at higher speeds. Other population factors like rates of impaired driving could also influence accident rates. Additionally, it would be prudent to assess road construction patterns and detour frequency. If Edmonton's roads face a lot of closures and rerouting, reducing speed limits could help prevent accidents. In summary, Plymouth's decision to reduce speed limits doesn't necessarily mean Edmonton should follow suit. Each city requires an independent analysis based on road conditions, population demographics, impaired driving rates, construction patterns, and other locality-specific factors. However, Plymouth's experience can provide a model to consider. If a detailed study determines Edmonton faces similar challenges that prompted Plymouth's speed limit decrease, a lower limit could be reasonable for our city as well - perhaps only on the most high-risk roads. The decision should ultimately be based on Edmonton's own traffic patterns, risks, and needs.
student-790
student-790
Interview
Interview
As part of this advocacy group, I believe everyone's opinions should be valued, so we must emphasize not routinely dismissing others' ideas. I would have a private, non-accusatory conversation with this student to understand their perspective on why they feel their ideas require more attention. While acknowledging their ideas may be great, I would explain the importance of collaborating towards our shared goal, as teamwork enables greater success. If they still choose to leave after this discussion where I had no ill intent and simply sought the group's betterment, I would reach out and reiterate that I only want what is best for the group. If there is still no understanding, unfortunately we may have to move forward without them. But hopefully the group is stronger overall by upholding respect for all members' contributions.
student-733
student-733
Interview
Interview
Well, the main issue here is that if the baby keeps screaming and crying, it could disturb the other passengers who may have important events the next day and need a good night's sleep. Also, the parents are likely feeling embarrassed about their baby's behavior. So we need to take both sides into account. What I would do is approach the parents in a polite, private manner so as not to embarrass them publicly. I would ask if anything is wrong with the baby - maybe the baby is hungry, needs a snack, doesn't have any toys, etc. Gathering more information first allows me to make a more informed decision about how to help. I could then offer some alternatives, like playing with the baby myself to provide a calming distraction if the baby is just feeling stressed from the plane environment. If the baby does settle down, problem solved. But if not, as a last resort I would put in earphones and listen to loud music so I don't hear the crying and can get some rest. The goal is to find a mutually considerate solution that respects the needs of both the parents and other passengers.
student-719
student-719
Interview
Interview
This is a difficult situation that requires considering multiple perspectives - that of the physician dating their patient, the patient themselves, and my own role and duty in this situation. As the patient's physician, they likely see them as a trustworthy source of care. However, physician-patient relationships have an inherent power imbalance, as physicians hold greater medical knowledge, which can unduly influence patients' decisions. This could lead to the physician not prioritizing evidence-based care with this particular patient. As this represents a conflict of interest, it raises ethical concerns regarding patient care at the clinic. Having recognized this issue, I have a duty to address it professionally and calmly, not making any rash judgments. I should initiate a discussion with the physician to outline my observations non-accusatorily. Framing this as a legal and risk mitigation issue may make it easier to convey. Emphasizing our shared commitment to patients' wellbeing is paramount. An alternative could be transferring the patient's care to me, allowing continuity while eliminating the conflict of interest. With trust between us, they may agree this is best. Please let me know if you need any clarification or have additional questions.
student-827
student-827
Interview
Interview
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
student-762
Interview
Interview
Deciding to pursue medicine and become a doctor is a big decision and it requires a lot of effort and takes a lot of time. I have thought very carefully about why I want to be a doctor and I have three main reasons. First, I want to be a lifelong learner. I chose to study at the University of Toronto for my undergraduate degree, particularly in neuroscience, because the field is so broad, there are so many different directions you can go with it. I was able to learn from some of the leading researchers in the field at the University of Toronto. Even after I finished my program requirements and could have just taken easier electives for the rest of my degree, I chose to pursue extra courses at the higher levels, like 400 and 300 level, because I'm really passionate about education. I want to learn as much as I can, and I even took six courses a semester, which is more than usually considered full time, because I wanted to get the most out of the education offered by the University of Toronto and learn as much as I can while enrolled there. Being a doctor is one of the only careers where you get to be a student forever, and you also get to apply your knowledge every single day, which is not something that many other academics get to do. So this is one of the main reasons why I would like to be a doctor. Second, I love forming relationships with people and maintaining them over a long period of time. Even just in the past year where I've been working and volunteering at the same hospital, I've been able to see the same patients every week for a year. It has been so rewarding and fulfilling to be able to see their progress and be able to contribute to their care every week. I think that this is a very unique opportunity. While some other members of the healthcare team are able to form some sort of lifelong relationship with patients like therapists or maybe nurse practitioners, physicians get to do this the most and to the highest level of depth, and you really get to know your patients. I am a person who loves human connection, and I love being able to help people and see their progress as I help them. So being a doctor would allow me to do this every day. Lastly, I'm really passionate about advocating for equal access to health care and equal quality of health care, regardless of one's socioeconomic, cultural or racial background. Currently, I do see some gaps in this. In Canada, even in the place where I volunteered, I found that many of the programs offered were Western-centric and didn't provide as much benefit to patients from Asia, Africa and other parts of the world. For example, I was once shadowing an occupational therapist who was teaching an elderly man with a TBI how to use the kitchen with a walker. Unfortunately, they didn't have the abrasive spices and ingredients that he would normally use at home. Instead, they had eggs, which he actually couldn't eat. So I used my knowledge of Asian culture because of my own background to try and figure out what kind of ingredients he uses in his household. We tried to simulate that with whatever we had, but obviously it wasn't an exact match, and it would have been more helpful to have a wider array of ingredients available. Another example is when doing music therapy, they would often play songs more popular in America and Canada, but not other areas. So when I see Asian patients, I try to ask them what kind of music they're used to listening to, and encourage the music therapist to play music similar to that, so it's more culturally relevant. So I think being a physician is the only profession where I could be a lifelong learner who advocates for people's health and forms lifelong relationships with patients. That is why I want to be a doctor.
student-805
student-805
Interview
Interview
Health inequalities refer to unequal access to healthcare services, education, and resources. In Canada, examples include lack of access to healthier foods for lower socioeconomic groups, reduced medical services in rural areas compared to urban centers, and insufficient culturally competent care for our diverse population. Addressing these requires engaging key stakeholders and utilizing both downstream and upstream solutions. For rural communities, downstream approaches could include community programs to empower healthy lifestyles through proper sleep, mental health support, social connection, physical activity, and self-care. Allocating more funding to develop rural healthcare facilities and services, in consultation with local providers and residents about specific needs, is critical. Upstream policy solutions should involve rural stakeholders in developing policies tailored to rural health, rather than the current focus on urban settings. For cultural competence, actively fostering diversity among healthcare practitioners is essential so they can understand and address the values and beliefs of diverse patients with sensitivity. Overall, resolving health inequalities requires multifaceted strategies engaging affected groups, addressing root causes, and expanding access through both systemic and local solutions. With collaboration, we can work to ensure all Canadians, regardless of socioeconomic status, geography, or background, have the opportunity to achieve their best health. Please let me know if you would like me to expand on any part of this response.
student-829
student-829
Interview
Interview
Thank you for your question. My responsibility here remains maintaining a positive relationship with the patient and family. If this reflects on my general behavior, it could also impact coworkers and other patients. To understand the situation better, I would first approach the patient, as they are my primary concern. In a comfortable, non-confrontational setting, I would gauge how they've been feeling and if anything is bothering them about treatment or my bedside manner. I would open a conversation to discuss any concerns and assure them I welcome feedback to provide the best care possible. If the patient seems willing to talk, it would be a good opportunity to take any feedback, reflect on it, and apply strategies to better support them. I would also speak to my supervisor to understand the full situation before approaching the family, so I have information on both sides. Again, it would be a private, non-judgmental way to make them feel comfortable explaining their concerns. I want to gain feedback on how I could improve and better support their family. If I can easily fix something that would benefit the situation, I will reflect and try to implement their suggestions to support them through this open conversation. I would also gauge any underlying biases occurring on both sides, like cultural or religious differences I'm not considering, or my own biases against patients - an important self-reflection for any physician. While doing so, I might better understand the family's biases regarding my race, ethnicity, gender, etc. that impact how I implement their feedback. Most importantly, my job is ensuring patient wellbeing. I would encourage and welcome their suggestions and feedback. I would also assure them that if our dynamic is not working, I'm happy to refer them to another physician for treatment continuity, as their wellbeing is my priority. If another physician can interact more positively, I would do so. Moving forward, I would also get perspectives from other healthcare professionals.
student-824
student-824
Interview
Interview
In this complex scenario, I would aim to balance public safety and the autonomy of elderly drivers. As someone living with grandparents, I understand the importance of independent transportation for convenience and self-reliance. However, certain health conditions associated with aging may pose risks. Rather than broad bans, I believe driving ability should be assessed case-by-case, perhaps with annual check-ins. This upholds seniors' freedom while addressing concerns. Driving represents vital independence for many older adults. At the same time, declining visual, cognitive or physical health could endanger others if not evaluated properly. Individualized assessments seem the fairest compromise between maintaining autonomy and ensuring road safety. With a thoughtful system of evaluation, we can preserve mobility and dignity for seniors while protecting the broader public.
student-753
student-753
Interview
Interview
In this complex situation, I would prioritize personal safety while looking out for the homeless individual's wellbeing. Rather than chasing the two girls and risking harm, I would stay with the individual, empathize by asking about their situation and experiences. I would inquire if they've raised this as a concern to authorities and offer assistance in doing so if desired. Providing emotional support and legal guidance within my abilities could help. If the individual wants assistance in reporting this mistreatment, I would help navigate that process with authorities. My focus is avoiding an unsafe confrontation while assisting this mistreated person in finding a constructive resolution. Listening compassionately and advising them on options to address this recurring issue is likely the most prudent course of action.
student-740
student-740
Interview
Interview
In such a scenario, my priority would be to ensure transparency and come to a collective agreement through careful deliberation with the other judges. Both presentations have very similar, on-par content, making it difficult to choose a sole winner. However, there are other factors the judges and I could consider. One is the delivery and enthusiasm or professionalism of the presenter. Another is the recency and relevance of the proposed solutions to the specific health issue and location of our event. For example, the presentation on access to primary care addresses a pressing issue in our current location. We could also consider the practicality and feasibility of the solutions - something with more profound real-world implications might meet our criteria. By discussing these factors, the other judges and I could thoughtfully decide on a winner through open deliberation.
student-760
student-760
Interview
Interview
When I was younger, I tried out for many soccer teams but could never make it. The players treated me poorly, saying I wasn't good enough and making fun of me. At the time, I felt disrespected without understanding their perspective. The kids may not have known how to properly treat others and thought it was a joke. What I really gained from that situation is more significant than their actions. I learned to never give up. I kept going and eventually made a soccer team. This experience applies to becoming a doctor. There will be many hard times, so you must keep trying even when you lack confidence. Perseverance will make you a great physician able to provide excellent care. While the teasing was difficult, it taught me an important lesson that guides me to this day - never quit in pursuit of your goals.
student-724
student-724
Interview
Interview
In this airplane scenario, my first approach would be to politely communicate with the parent and see if they could possibly switch seats with their screaming baby. If that doesn't work, I would offer to change my own seat as an alternative solution. This reminds me of a time during clinical experience when an elderly male patient was giving the receptionists a hard time about long wait times. Since the providers were very busy, I stepped out of my comfort zone as a volunteer with no patient experience and approached the man myself to try and calm the situation. I engaged him in civil conversation, acknowledged his frustration, and asked some questions about his concerns. Though initially still upset, he soon relaxed and we were able to connect on a human level. By the time providers were available, he had completely calmed down and thanked me as he left. Similarly here, though screaming babies can be grating, I would empathize with the stressed parent. If the noise became too much, I would politely communicate and try to find a mutually agreeable solution, whether that's them moving or me switching seats. The priority is addressing the issue compassionately through open communication and perspective taking.
student-787
student-787
Interview
Interview
This is obviously a very complex dilemma with no easy comprehensive solution that satisfies all stakeholders. The primary conflict is balancing free speech versus safety and well-being of users when social media platforms restrict or remove content deemed discriminatory or offensive. On one hand, allowing individuals to display any content exercises their right to free speech. However, this risks making parts of the user base feel unsafe or lose those users entirely, which impacts revenue. So platforms have to determine which content is truly discriminatory or offensive enough to warrant restricting. If content is designed to intentionally hurt certain groups, then removing it is warranted. But content not meant to be hurtful, even if offensive to some, requires more consideration before removal. There is no universally correct solution yet, as evidenced by cancel culture debates. Perspectives of free speech advocates and vulnerable groups like BIPOCs and LGBTQ+ must be balanced, which is extremely difficult. Personally, I would prioritize user safety on a social media platform, even at some cost to free speech. If content is likely to be broadly harmful if proliferated, removing it is reasonable. The top priority should be ensuring all users feel safe, welcome, and able to express themselves. So I agree with removing intentionally harmful content. But possibly offensive content requires more discussion before removal. Well-being of all users should be the number one priority for social media platforms.
student-768
student-768
Interview
Interview
First, I would greet Jason, thank him for having me over, and have an open conversation. I want to listen without judgment to understand why he hasn't been attending class and how I can help him return. There could be many underlying reasons I'm unaware of. If he's going through a difficult time, I'll offer support to help get him back on track for classes and medical school applications. If it's a lack of motivation or feeling discouraged by the difficulty, I can relate - medical school is challenging. In that case, we'd discuss his goals and ways I can assist, like studying together or working on applications. The aim is hearing his perspective, offering support tailored to his needs, and outlining how we can move forward productively. By having an empathetic discussion oriented around helping him achieve his dreams, I hope to get him back on the path towards success.
student-737
student-737
Interview
Interview
This past summer, I had the opportunity to work in landscape construction as a laborer, my first job of this kind. I felt nervous starting out. When I couldn't find retail or similar roles, I took a chance on this position given my active interests. On my first day, it was an emotional toll and I doubted myself, having never done manual labor before. It gave me empathy for those doing this daily. Waking at 6am and working to 6pm was grueling. But I persevered by learning from others, utilizing resources, and pushing through. I stuck with it for a few months. While challenging being new to this work, it was a growth experience. Stepping outside my comfort zone built resilience and appreciation for the hard work done by trade professionals who perform these demanding jobs every day. In the end, I'm grateful to have developed new skills and insights.
student-747
student-747
Interview
Interview
In this scenario with a patient with Down syndrome who is pregnant, my role as a healthcare provider is to advocate for my patient's wishes first and foremost. I appreciate the parents' perspective advising abortion, and will communicate I understand their view. However, I must uphold professional standards and prioritize my patient's autonomy. I would have an open conversation to ensure she has fully considered all options and implications involved. My goal is complete transparency so she can make a fully informed decision. Ultimately it is her choice, and I will support whatever she decides after thoughtful reflection. This reminds me of a high school friend's experience choosing a university. She wanted to attend York University nearby, but her parents pushed for farther options like Waterloo or McMaster. As her friend, I reinforced that this was her decision - she knew what would make her happiest and I advocated for her autonomy, despite her parents' strong opinions. My role was empowering her to make the choice for herself as an adult. Similarly here, while I will listen to parental concerns, my duty is to my patient. I will ensure she examines the situation comprehensively, then back her fully informed decision, whatever it may be. My priority is empowering my patient's self-determined choice.
student-785
student-785
Interview
Interview
Thank you for sharing this difficult situation. As physicians, we have a responsibility to disclose medical information to patients with decision-making capacity, even if family members object. Before acting, I would first meet privately with the parents to understand their hesitations around disclosure. They may have legitimate concerns about their son's mental health that I should consider. However, I would also explain the importance of respecting the boy's autonomy, given his terminal illness. Assuming he has decision-making capacity, he has a right to direct his own care based on his values. Withholding information could damage our therapeutic relationship and trust. I would offer to assess the boy's capacity and, if appropriate, slowly disclose details to him in a supportive manner. This may alleviate the parents' concerns. I would highlight that shared decision-making between us, the parents and the boy would lead to the best care plan. If after discussion the parents refuse disclosure due to risks like self-harm, I may defer briefly. But the boy's right to direct his care should be paramount, assuming capacity. Over time, I would continue advocating for transparency and autonomy in a compassionate, non-judgmental manner. Respectfully bridging this conflict between parents and patient requires patience and care. My goal is to reach a resolution where the boy receives key information while also addressing family concerns. Please let me know if you need any clarification or have additional questions.
student-830
student-830
Interview
Interview
As a physician in a position of authority navigating this complex issue, there are many factors to consider. Rather than directly advising based on personal opinions or biases, I would try to understand the family's full perspective. I would aim to grasp their personal, moral and ethical values, as well as any relevant cultural values. While not imparting any assumptions, I would assist them in whatever path they choose after thoughtful reflection. My role is not to provide a direct answer, but to encourage their process of making an informed decision aligned with their beliefs. By thoroughly listening rather than steering the family in a specific direction, I allow them to determine the course they feel is most appropriate based on their circumstances. My goal is to create an open and supportive environment for these difficult conversations.
student-739
student-739
Interview
Interview
I think this is a very important question, especially nowadays, when there are a lot of causes that are worth fighting for. I think being a physician or doctor, or any sort of medical degree, puts you in a position of authority and power in today's society. Being a clinician is a pretty well respected profession. A lot of what doctors say has a lot of sway in the public eye just because of the education that doctors go through and the innate feeling of trust that we're supposed to have in medical providers. So I think with that comes a lot of responsibility on ensuring that we are educating the public on matters of importance and ensuring that we are using our voices to make a difference, not just in the lives of clients or patients, but also in the general public. Because of this innate responsibility as medical professionals, we can also reflect back on some of the canons medical practitioners are supposed to follow, one of them being an advocate for patients and for people in your community. I think that medical students and physicians have a really strong role in activism as long as it doesn't conflict with the ability to provide care to patients and doesn't increase disparities between marginalized populations. As long as the activism is for a good cause, I think that we have a role in using our knowledge base. Healthcare providers are part of an interconnected team of specialists, and I think using that network is a very important thing to do. For me personally, I think there's always a place for activism, regardless of what profession you're in. This past summer, I was able to work with a lot of hospital lab employees, not necessarily medical practitioners, but those working in the core labs, working on blood, urine, specimen samples. I was working for a manufacturing research position that was in partnership with Hamilton Health Sciences, and we were able to talk to a lot of employees and get their opinions on their work environment and things that weren't very ergonomic or things that could be improved to help reduce workplace injuries in the future. By giving these employees a voice, we were able to advocate for them and focus our projects on creating a better work environment for them. I think that's a really niche take on activism just because you're not working with a very marginalized population, but you are working with people whose lives could be improved. And I think workers having a say in their work environment is important across the board, regardless of what work condition you're in. I think activism is a really important thing, especially if it shows your commitment to your community. If you are working with a marginalized population, I think if you don't advocate for that population outside of work, it doesn't bring you as close to the population you're caring for as it should. Because physicians tend to be in a position of power, they tend to be higher status just because of the nature of the profession. I think that everyone in those kinds of situations should be advocating for those with less fortunate situations. That's just my take on it.
student-820
student-820
Interview
Interview
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
student-812
Interview
Interview
My understanding of activism is grassroots movements driven by communities to advocate for policies and programs that positively impact people's lives. I believe physicians and medical students have a role in this duty. As community leaders directly affecting health, doctors can influence public health so patients are cared for beyond the clinic. I understand the challenges. With the demands of staying current on medicine, taking on activism requires great commitment and emotional investment. However, much health progress has resulted directly or indirectly from activism - like reproductive justice advocacy. This promotes not just healthy pregnancies or safe child rearing, but reproductive choice including contraceptive and healthcare access. One way medical students and doctors can engage in activism is advocating for increased access to contraceptives and reproductive healthcare. They can also start public health initiatives to improve sex education, so teenagers gain better understanding of safe sex, changes to their bodies, and reproductive health. Physicians can play a vital role in launching programs to ensure patients get care and knowledge to advocate for themselves. While difficult, activism allows doctors to create positive change beyond treating individuals.
student-738
student-738
Interview
Interview
My perspective on our role in activism is that physicians usually act on a more individual level as they're treating symptoms that patients may have. But I also believe that there are many health issues which are systemic, and that physicians should do their part in addressing these issues, maybe even appealing to government bodies when they don't agree with a piece of legislation. But at the same time, their primary responsibility is activism on a patient level. I believe that to be a competent physician, the doctor always needs to have the patient in mind and advocate for the patient's self interests.
student-818
student-818
Interview
Interview
In this complex scenario, I would assist these patients by educating and keeping them informed to promote autonomy and engagement in their treatment. The patient-doctor relationship is a two-way street requiring trust and transparency from both sides. When weighing if medication side effects are worthwhile, looking at the harm versus benefit is crucial. If risks outweigh advantages, exploring alternatives may be best. Cost and financial factors are also important considerations. Taking a holistic view and maintaining openness with patients can help find the ideal solution. My role is to provide the full picture regarding treatments so patients can voice preferences and collaborate in decision-making. By prioritizing their well-being and partnership, I aim to support patients in navigating difficult choices to optimize their health outcomes.
student-751
student-751
Interview
Interview
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
student-722
Interview
Interview
In this complex situation, I would aim to uphold my duties as a medical professional while also seeking to understand the individual's perspective. I would have a private conversation to gather details on their concerns with being hospitalized and empathize with their reasoning. Perhaps past hospital trauma is fueling this behavior. Recognizing the motivations behind their actions is key. I would offer emotional support and tailor my approach to accommodate their needs with sensitivity. This may involve being mindful when providing medical advice and directing them to additional mental health resources. My priority is fulfilling my role as their provider while also showing compassion. By listening and gaining insight into their viewpoint, I can better serve this patient in an ethically sound manner that addresses both their medical and emotional needs during a difficult hospitalization.
student-748
student-748
Interview
Interview
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
student-729
Interview
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
student-766
Interview
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
student-826
Interview
Interview
I think that this is a clear scenario of unprofessionalism. As a doctor, I have the patient's best interest at heart and have to follow the principle of beneficence. Although the relationship could be good for the patient, an intimate relationship between a doctor and patient is unprofessional and could impact the patient's care. The patient may be more inclined to follow a certain treatment just because the physician recommended it, which could affect their health outcomes. I would first have a private conversation with my colleague to understand the situation fully. I would not want to jump to conclusions or accuse them of something untrue. In our discussion, I would share my observations and ask questions to learn more, like how long the relationship has lasted, how serious it is, and if they are considering marriage. Based on the answers, I would decide what to do next. There are consequences to my colleague's actions. If it has been a long, serious relationship, I would consult the clinic's ethical policies to see if such relationships are allowed, and under what conditions. If so, I may have the patient switch doctors since it is still unprofessional. Or if they met outside the clinic and plan to marry, perhaps they can continue dating as the policies permit. If it seems more casual, I would encourage my colleague to speak with HR for guidance, and likely end the relationship if HR agrees it is inappropriate. I would follow up to ensure the situation is handled properly, and support my colleague through the process. Ultimately, I cannot make a unilateral decision without considering all factors and clinic policies. But I would aim to address this ethically and professionally.
student-792
student-792
Interview
Interview
This is tricky because the patient needs the medication, so it must be administered despite potential side effects. I would first research the literature to understand what other patients have experienced and how side effects were mitigated. Taking a holistic approach to understand the patient's specific needs and lifestyle is key. For example, I have stomach issues myself and make dietary and behavioral changes to alleviate problems that certain medications can exacerbate. After learning about the patient's lifestyle and listening to their concerns, I can offer tailored solutions to manage side effects. To determine if treatment is worthwhile, I would weigh the pros and cons. I would make a detailed list of the benefits and risks to inform our decision. I would also consult other doctors about their experiences managing similar cases. Most importantly, I would have an open discussion with the patient about their preferences and priorities. They have autonomy in the decision, so it must be made jointly. Ultimately, if side effects accompany a treatment that is critical for their survival, I would move forward to provide the best possible care. By researching thoroughly, listening to the patient, and weighing all factors, we can make the most ethical, personalized treatment decision.
student-726
student-726
Interview
Interview
This is a difficult situation since the husband is unaware. If he found out, it could damage their relationship. However, he may already know the truth. I would first approach Linda privately without her husband, since we've confirmed it's her biological son but not his. Due to confidentiality, we can only discuss with Linda initially. I would present the results and ask how she wants to proceed - if she wants me to share with her husband, I can. But ultimately, it is her decision and I would respect her preferences. If she does not want me to disclose to her husband because he is not the father, I would not do so. I have to abide by her wishes given the son is not his. My priority is having an open discussion with Linda first and then honoring her choices on how to handle this sensitive situation.
student-734
student-734
Interview
Interview
In this complex situation, I would balance respecting the individual's autonomy and recognizing their maturity while adhering to the research team's legal and ethical practices. If the team or local law requires adult consent from someone 18 or older, I would need to explain that to the individual. I would emphasize that I acknowledge their circumstances but must fulfill my obligations by following regulations. This upholds fairness while minimizing harm. My role requires navigating between compassion for their situation and compliance with laws and protocols. I would aim for transparency regarding the consent requirements while validating their capability as much as possible within appropriate boundaries.
student-742
student-742
Interview
Interview
That's very true. There are many careers where you're able to help people through different aspects of their life, I think. However, it's not so much that. I think medicine is just in a very unique position where you are able to not only take the latest in science, which is something I'm very passionate about, but you're also able to apply that to the human body. You're able to use that information to help people with their health and to help people who are in their most vulnerable times. So I think it's that combination of using science - the latest science - along with being able to work directly with people that makes me want to pursue a career in medicine. The personal, human aspect is so important to me because I think it's a real privilege to be able to work with people and help them understand what they're going through when they are suffering from an illness. You're able to help them understand potential treatment options and enable them to make the most informed decisions about their care. The opportunity to work alongside patients at such a crucial time is an enormous responsibility, but also extremely fulfilling and rewarding. It's the kind of positive impact I want to have on people's lives. For example, when my grandmother with Alzheimer's was living with us, I took it upon myself to help her with her medications. My grandmother would wake us up around three in the morning, crying and thinking she was going to die. No one could console her until I sat with her and explained that she just needed to take her medication. I was able to work with her, to help her understand why she needed each medication - for her blood pressure and for the Alzheimer's. She took multiple medications and I saw the huge impact it had on her when I was able to get her to take them. It would take a while, but eventually she would take the medication, start to feel better, and be able to go back to sleep. You could see how much it meant to her. And in my role as an emergency room scribe, I get to see physicians connect with patients daily. I observe them use their medical knowledge to help people recover and return to their normal lives. That connection with patients at such vulnerable moments, along with the ability to truly make a difference in their lives, is what I want for my own career. It's something I look forward to as a future physician and that few other careers can provide.
student-716
student-716
Interview
Interview
One time I disappointed my parents was during my brief stint on a higher-level soccer team. I had played soccer my whole life in Northern Ontario, where competition was limited. One year, I was good enough to make a team with kids a year older than me, around ages 12-13. This team traveled most weekends to play tournaments in Southern Ontario, about a 5 hour drive each way. Being a year younger at that developmental age meant I was less physically mature and lacked confidence compared to my older teammates. As a result, I hardly got any playing time during the tournaments. At first my parents reassured me, proud I even made the team. But I could see it wear on them that they were spending entire weekends traveling just to watch me sit on the bench. To ease their disappointment, I reevaluated my relationship with the sport. I loved soccer and the chance to compete, but wanted to enjoy playing more, and have my parents enjoy watching me play. So the next year, I dropped back down to my age group. I became captain, played entire games, and had much more fun. While it was good to get that higher-level experience, considering how I felt and accounting for my parents' experience led me to make a change. Consolidating onto an age-appropriate team ended up being better for me and my family. I was able to have a more fulfilling soccer career moving forward.
student-764
student-764
Interview
Interview
If I found this individual to be problematic towards myself, I might feel the need to bring this to their attention. However, if their behavior is affecting others more than myself, I would consult with them before bringing it to the individual's attention. I would want to engage in a private, open-ended dialogue to better understand their perspective. Perhaps it is a misunderstanding, or they are unaware of being stuck in their own perspective. My goal would be to kindly educate them and help them realize how their actions impact other group members and myself. If they left the group after our discussion, it would be unfortunate to lose a strong contributor. However, I would not feel at fault since I did what seemed necessary after consulting others - it would have been a collective decision. I could reach out after their departure to gain their perspective and hear their side, then potentially rectify the issue by mutually agreeing they return. Or, I may need to acknowledge and accept their departure, wish them the best, and part ways.
student-759
student-759
Interview
Interview
This is a tricky situation as I understand both sides of the family, and it's a very big decision that will impact many people including the family and baby. I grasp the father's perspective - if she proceeds, she can focus on her career and provide financially for the family. I also see the mother's concern about potential health risks to the baby from in vitro fertilization. I would first approach the older sister privately and non-confrontationally to gather more details on her motivations. I would suggest she research the scenario further to make a more informed choice. I would urge her to consult others she cares about for input. I would offer to help care for the baby if she decides to proceed. This allows us to come to a thoughtful decision while exploring options and impacts. By gathering more information and perspectives, we can support her through an ethical process to reach the best outcome.
student-725
student-725
Interview
Interview
I believe it is unprofessional for a physician to date their patient. As doctors, we must prioritize our patients' best interests and follow the principle of beneficence. Although the relationship may not directly harm the patient, it could impact their care and health outcomes. My first step would be to have a private conversation with my colleague to understand the situation fully. I would not want to make assumptions or accusations without hearing their perspective first. I would ask how long the relationship has been going on, how serious it is, and if there are plans like marriage. Depending on their responses, I would consult our clinic's ethical policies to see if such relationships are prohibited or if parameters exist. If it is a long-term, serious bond and our policies permit it with conditions, I may suggest the patient switch doctors while allowing the relationship to continue. However, if it violates our ethical code outright, I would encourage ending the affair. For a more casual relationship, I would urge my colleague to discuss it with HR and follow their guidance. In any case, I would provide support through the process and follow up to ensure the matter is handled properly. While sympathetic to their situation, our duty as physicians is to our patients first. We must make choices that promote their well-being.
student-791
student-791
Interview
Interview
I once had a family funeral happening at the same time as a basketball game where I was team captain. I chose to go to the game instead of attending the funeral with my mom, even though it was for a relative she was close to and she wanted my support. When I got home, I realized this was the wrong decision and felt terrible that my mom went through it alone when I could have been there for her. From that experience, I learned I need to prioritize and sacrifice for what's truly important, even if it's difficult. As a doctor, you sometimes have to sacrifice personal time to provide the best care for patients. Having compassion will help not only as a physician, but in all aspects of life. It builds character, integrity, respect, and love for others. My goal is remembering to put people first, as I should have done by being there for my mom during her time of need.
student-735
student-735
Interview
Interview
This is an incredibly difficult situation and likely the worst thing a physician could experience - seeing your patient die after discharge. The family's question about why you discharged the patient is completely valid. First, I would avoid becoming defensive. I would review the case notes, surgery recording if available, and consult other physicians involved in the patient's care to see if any mistakes or oversights occurred. I would do this quickly to get answers for the family. I would arrange a meeting with the family soon after to express my deepest condolences and give them space to share their concerns and frustrations. I would explain my rationale for discharging the patient based on her status at the time. If my review found no issues with her care, I would communicate we discharged her without expecting this outcome. I would do everything possible to understand what happened and be open to an autopsy with their consent. Most importantly, I would not absolve myself of potential blame. I would offer transparent theories about what could have occurred and potential solutions or ways to rectify the situation, even if unlikely to fully assuage their concerns. I would aim to be as open and honest as possible about what went wrong if anything did, or explain our reasoning if not. I would discuss what could have been done differently in hindsight and validate their concerns. There are many potential approaches, but the priorities are avoiding defensiveness, answering all questions, looking for more answers, and being transparent. This is devastating for the family, and no explanation will be fully satisfying. But I would work to help them get the answers they need while expressing empathy for their loss. Admitting fault if applicable and working to prevent recurrence is critical after an outcome like this.
student-770
student-770
Interview
Interview
I believe physician-assisted suicide can be ethically appropriate if certain conditions are met. The patient's medical condition must be deteriorating with no viable treatment options left. They should be fully informed of all alternatives, including hospice and palliative care focused on pain and symptom management. If after being provided information on and careful consideration of these options, the patient still believes physician-assisted suicide aligns with their values and preferences, their autonomy should be respected. However, it is imperative that the physician ensures the patient has full decision-making capacity and is making an informed, voluntary choice. With appropriate safeguards in place to confirm it is the patient's wish and that all alternatives have been explored, physician-assisted suicide could be conducted ethically in specific end-of-life care scenarios. The key is prioritizing patient autonomy based on fully informed consent.
student-775
student-775
Interview
Interview
I think there are several potential ethical issues in this scenario that should be addressed. The first step would be to speak privately with the attending physician, in a respectful manner, after the exam. I would start by asking if the patient consented to having students present for the intimate exam. Even if consent was obtained, I felt the patient looked uncomfortable when asked to lift her shirt with us in the room. Sensitive exams require direct consent from the patient, which wasn't clearly obtained here. I would explain my perspective - that getting the patient's explicit consent and ensuring her comfort should be the priority. However, I would listen openly if the attending has a different viewpoint, given their greater experience. If we cannot agree, I may need to raise the issue to a supervisor, as a last resort. As a student, I have limited power in this situation. If I felt very uncomfortable with the lack of consent and wished to leave but was refused, that would compound the ethical issues. My goal would be to have an open discussion and come to an understanding, so the patient's preferences regarding consent and privacy are respected in the future. This protects her dignity while also upholding ethical standards in medicine.
student-772
student-772
Interview
Interview
Throughout my life, I have helped care for my dad who has multiple sclerosis. His condition started worsening when I was around four or five years old, so I began assisting him at a young age. This experience has greatly developed my empathy. Even when my dad didn't explicitly ask for help, I could sense what he needed whether it was getting comfortable in bed, sitting up properly, or getting a glass of water. I learned to pay close attention to pick up on nonverbal cues. Through caring for my dad, I've become very attuned to others' health struggles and can truly empathize with their situations. There were also times when my dad's condition affected his mental health. During these difficult periods, I made an effort to communicate with him, show empathy, and reassure him that there is more to enjoy in life. He has told me this support helped tremendously, and now he is much happier and positive. I love bringing smiles to people's faces, so making my dad laugh and boosting his spirits is very rewarding. This experience taught me the importance of being there for others because you never know the impact your words and actions may have. I've learned to balance my own needs with caring for loved ones. As a future medical student, these skills of empathy, communication, and trust-building will be invaluable in developing rapport with patients. When patients feel heard, understood, and able to trust their provider, they are more likely to follow treatment recommendations. My lifelong experience caring for my dad has prepared me well for relating to future patients with compassion.
student-776
student-776
Interview
Interview
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
student-778
Interview
Interview
This can be a challenging situation. Doctors want to promote life and want their patients to live long and spend time with family. However, we have to consider the patient's feelings and quality of life with a critical condition, which can be extremely difficult. I believe physician-assisted suicide could be ethically appropriate if the patient is making a fully informed decision and is aware of alternatives like palliative care and the impact on loved ones. If after thorough discussion and reflection the patient still feels strongly that assisted suicide is the right choice, and the physician is comfortable proceeding, they should be able to move ahead. The key is ensuring it is truly the patient's autonomous, informed choice, with full comprehension of all options. If those conditions are met, then physician-assisted suicide could be conducted ethically.
student-754
student-754
Interview
Interview
The issue of legalizing marijuana in the Canadian healthcare system is complex, with several perspectives to consider. Some potential pros include providing a regulated source to offset potentially contaminated black market marijuana, and easier access for patients who use it medicinally, like cancer patients for nausea relief. Cons could be increased accessibility leading to misuse if public education on safe use and effects is lacking. Dangers like impaired driving are a concern if marijuana use is not informed and responsible. A regulated government source can ensure safety standards and avoid spread of illness from contaminated sources. At the same time, wider access must be accompanied by public education campaigns on potential side effects and safe, responsible use. Strict impaired driving laws should be upheld. If use is informed, overall costs to the healthcare system may be reduced compared to problems caused by dangerous substances like opioids. But appropriate regulation and education are key to maximize public health benefits and minimize harm. There are reasonable arguments on both sides, so thorough assessment of public health impacts is needed if considering legalization.
student-774
student-774
Interview
Interview
Once Brian explains his thoughts and feelings, we can develop a plan. I imagine he would be very upset and heartbroken. I would suggest Brian find support from teammates directly involved to see if they would join him in speaking with the coach. Together they could make the case for Brian to have at least some role they can both agree to. After compiling evidence and support, they would approach the coach honesty. I would help Brian prepare what to say and be very supportive through this process. If the worst case scenario happens and the coach still refuses, I would encourage Brian, though deeply painful, to put this aside for now and refocus his efforts on the Paralympics. Though heartbreaking, the Paralympics are also a globally recognized event to showcase his strengths and gain more popularity to further his career. I would urge Brian to continue working hard, try to move past this for now, and give his all at the Paralympics. This could provide opportunities for the Olympics in the future, while also inspiring others with disabilities with his strength and capability.
student-794
student-794
Interview
Interview
Having volunteered in a long-term care home, I understand the difficulty this situation poses, having witnessed patients pass away. While fulfilling your duties, you must remain mindful and empathetic on this sensitive topic. I would approach the family privately in a comfortable setting to offer emotional support and resources. I would also take time to reflect on my own feelings, as this is distressing for staff too. Practicing self-care and speaking with other healthcare practitioners to address my needs is important. My goal is providing compassionate care for the grieving family while recognizing the emotional toll on myself and taking steps to manage that burden as well. This requires an empathetic approach for the family combined with conscious efforts to tend to my own wellbeing during an extremely difficult time.
student-741
student-741
Interview
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