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700+ Casper Responses

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Casper

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

student-309

Casper

Kevin should first confirm that his employee is indeed actually stealing the bread and not paying for it. He can do this but privately speaking to the employee to confirm. If the employee does confirm that he has been stealing the bread, Kevin should continue to find the reason for his action. Since it seems like the employee is in a tough position finacially, Kevin could give the employee ways to save on money and maybe do ohter things to find food. For example, there are some homeless shelters that provide food to the underserve. Kevin could give the employee some ways to find food instead of stealing.

student-311

Casper

First, I understand that Kevin is in difficult situation. As a manager, he has a duty to uphold store policies but as his boss he might feel a responsibilty towards his employee as well. The employee might also have a reason for why he cannot and did not pay for the bread, such as not having enough money due to a financial burden he has recently had to take on. Kevin should privately and nonjudgementally chat with the employee and let them know that they would like to help out in any way they can but that unfortunately they cannot go on with their behaviour as it is stealing.

student-429

Casper

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

student-571

Casper

Firstly, I would approach Sammy in a non-judgemental or confrontational manner and understand the details of the situation without making assumptions. I would then express to Sammy how this is not acting with integrity and is against the law. I would encourage Sammy to do the correct thing and come forward to confess for the crime. If this fails to happen, I would need to act within my own morals and tell law enforcement myself about Sammy.

student-383

Casper

In my mind, my main concern is the wellbeing of my friends, acaemicand mental. I am worried that Sarah will put herself and Robert's academic record in danger, and that she would put herself and Robert at an unfair advantage from the rest of thier class. I think that Sarah should not be leaking the exam is she is doing so.

student-88

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

Casper

I understand that John is in a difficult situation. He likely wants to help the elderly lady, given that she has an important appointment to attend, which has to do with her health. However, John does not want to get in trouble by letting the lady onto the bus without paying. In this case, I suggest that John orders the elderly lady an Uber or taxi so that the elderly lady can make it to her appointment. This costs more money than a bus, but the elderly lady could pay John back at a later time. If neither of them can afford an Uber/taxi, perhaps one of them has a friend who can offer the elderly lady a ride. Since the appointment is urgent, it is likely not possible to reschedule.

student-63

Casper

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

student-457

Casper

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

student-670

Casper

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

student-532

Casper

I immigrated to Canada from Pakistan. Growing up, I was deeply engaged in Pakistani culture and was never exposed to western media or movies. The only two English songs I knew were by Taylor Swift and Justin Beiber. My parents got a job in a small town in Alberta and we were the only immigrant family there. I felt a sense of isolation and seclusion as I was different from everyone else. Students talked about basketball and hockey during lunch break at school and I did not know anything about those sports. I felt that I did not belong as I couldnt speak English and struggled to fit in due to my background. However, this feeling did not last long. I started to make friends in the next 2 weeks and they invited me to their house and basketball games. I started learning about Canadian culture and overtime felt more included in the conversations.

student-125

Casper

I believe that Einstein meant that curiosity is the root of many ideas, inventions, discoveries, etc. We need curiosity. It starts with a keen interest to uncover answers to unresolved questions/issues, and this interest (curiosity) is what motivates one to pursue the answers and solutions.

student-616

Casper

I would not give the customer a refund, although I understand that they are struggling financially. Because I don't know the truth to the situation, I would offer solutions which would not go against store rules. For example, I would provide a list of reselling companies/services which they could use to get some of their money back, so that it could help them out while not putting my job in jeopardy.

student-213

Casper

I was a member of both the club and community service committees. I had to help in organizing and running events to bring club members closer together, but also participate in different fundraisers for children with cancer. I essentially had to follow instructions provided by the leaders of each committee while collaborating with other members to achieve our goals in the best way possible.

student-217

Casper

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

student-481

Casper

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

Casper

meme si les avantages de la circoncision ne dépassent pas les risques de cette procédure, au moins elles ne font pas plus de mal que de bon. ainsi, si les risques ne sont pas plus grands que les avantages, en tant que gouvernement, il faut considérer que la culture est très importante pour un grand nombre de personnes et donc, je pensequil serait éthique de les laisser faire la circoncision. Ne pas le faire serait alors une discrimination, selon moi.

student-110

Casper

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

student-462

Casper

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

Casper

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

student-54

Casper

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

student-15

Casper

Of course there are benefits to volunteering. There is a certain kind of job of helping others while expecting nothing in return. While I can see why people might not see a benefit for volunteering, maybe someone is very financially in need and cannot afford helping others for free, while they could use that time to work at a job that will feed their family. Volunteering for those that can have that spare time, can help them gain a new perspective on the lives of others especially those in need.

student-293

Casper

I think back to a time when I was a waitress at a restaurant. While I wasn't the leader their were often two other waitresses with me on shift and then the owner of the restaurant acted as a leader. Often time when the restaurant was bustling as a group we would have to manage organization of tables, cleaning tables, putting in orders making sure they are correct and checking on each others tables when the other waitresses got tied up with other situations in the restaurant.

student-226

Casper

As Jennifer, my main concern is the wellbeing of Heather and to put together a club that Jennifer is passionate about. I think Jennifer should have a private, non-confrontational discussion with Heather, outlining the goal of the club is bring together people who enjoy Old Romantic Books (ex. writing, timeline, etc.), and not to put down LGBTQ+ members. If possible, Jennifer can include books in that era that are also LGBTQ+ friendly to help make Heather feel more welcome.

student-654

Casper

I would start by empathizing with my friend and asking him if he plagiarized his work. If he said yes, I would tell him that I will help him the best that I can to finish it with his own work. If I would come from a place of understanding and validate the stress he has been under and would offer to go through the course content with him on a day that we don't have an assignment due.

student-506

Casper

I was late for a friends birthday that I was planning because i was busy making food for the dinner after golfing. Because of this, I missed the entire golf game and was sightly late bringing food for the dinner. I had promised i would be there but i was not there for the whole event.

student-407

Casper

I would approach Amy privately and communicate my mistake to her. I would tell her that I really do appreciate the work she does for our company, state the things that she did well, and apologize deeply (telling her that it was an honest mistake).

student-567

Casper

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

student-659

Casper

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

student-335

Casper

I know it might be annoying to pay for something one cannot control, but the damages these animals cause to the house is undeniable and unfortunateely, the governemtn does not cover removing them. a major reason is peace of mind, paying to remove them gives the owners peace of mind that their properties are safe from the smell and destruction of these animals

student-599

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

Casper

Yes, it is as the store is generalizing that all students might steal from the store. It is not considering that if one student needs to buy something urgently during school hours, such as a menstrual product.

student-391

Casper

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

student-635

Casper

I would not encourage them to drop out without first discussing other options. First of all I would explain that I am very sorry to hear that they are going through this situation and that I am here to support them no matter what their decision is. I would first of all suggest that they discuss the situation with the course coordinator so that they can provide some additional insight or lighten the course work. Alternatively if they still want to drop out I would suggest that they postpone a semester and see how things go, if they ultimately decide to drop out I will support them either way

student-382

Casper

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

student-701

Casper

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

student-170

Casper

I think this is a complex situation on one hand Jennifer does not want to potentially lose a friend but at the same time she wants to do something that she is passionate about. I think Jennifer should discuss the matter with Heather more extensively what it is exactly about the club that she doesn't not feel comfortable with. Perhaps it was a misunderstanding in the way she portrayed it. If jENnifer is not trying to offend anyone then she should have the right to open a club that she is passionate about and explain to her friend Heather that she is not trying to offend her in any way.

student-604

Casper

I will simply report that someone else has posted the post on social media. I would refrain from naming any of my colleagues as suspects. The account may have got hacked, and I simply do not have enough information to tell them whether I think it was one of the other people who posted it.

student-395

Casper

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

student-655

Casper

I can understand skepticism because some individuals find it difficult to accept new practices without enough research to confirm its validity and reliability and some individuals may have a hard time grasping the concept that they can't physically see. For example, with certain medications, we can see noticeable changes after starting but how do you know if the change in burnout symptoms is mindfulness?

student-46

Casper

As I am a student like my friend, and upon reading his work i could tell that he plagiarized, it is highly likely that a prof or TA will catch on to the illegitimacy of my friend's actions. I would let my friend know what I have noticed in his work. I can not assume that he plagiarized so I will need to talk to him to get some context. If he confirms that he had to use outside sources, but tried to change up wording, I will let him know that this is not okay. Not only will it cause a consequence for him in his academics if caught, it also is disrespectful of the efforts of all the students with honest lab reports. I would encourage my friend to reach out to the professor to get an extension so as to complete the report to the best of his abilities, in a manner that is true to his capabilites.

student-124

Casper

To an extent, yes. But there are many factors to consider and I do not think this is ethical behvaiour in practice The poor need food to survive, and they benefit greatly from food being provided to them. However, where is the food being stolen from? The original owner of the food is negatively impacted by the stealing.

student-679

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

Casper

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

student-12

Casper

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

student-700

Casper

i participated in an cultural event organized by my school's chinese club, the activity was to make the dumplings, other then making dumplings, i help the team to set up everything such as bowls the ingredients, etc

student-473

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

Casper

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

student-673

Casper

I can understand why the hospital would impose parking fees to raise money and better their hospital equipment, which would ultimately benefice the patients care. On the other hand, it can be difficult for certain group to affrod those fees. Perharps, if there's is evidence and the concerns is raised, the parkign price sould be lowred to facilitate access to others.

student-690

Casper

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

student-365

Casper

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

student-141

Casper

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

student-82

Casper

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

student-344

Casper

They would need to consider things like, the education he needs to achieve this, any financial implications of education. I would suggest than they do interships or shadowing of a teacher, to see the behind the scenes of the life of a teacher. Once, gathering all of this information one can make a more educated decision.

student-617

Casper

Before announcing I would get to the bottom of what was counted as messing with finances. Did the executive take money and has the money/ spent it. If so, I would look into getting the money back. I would ask other executives about anything that was noticed. If it happens that there just is no money and the math was making it look like we were making more I would let the employees know ASAP to give them as much time as possible and say that we will provide references and if we had any sister companies I would inquire about sending some employees to them. I w

student-288

Casper

As a high schoool student myself, it is apparent that I would get shocked. However, handling the situation calmly, I will first of all approach the student. What is seen by your eyes is often not the case. Just based on my sight of seeing him smoke marijuana, I will not directly jump into a conclusion of reporting him. He could be using it for a medical reason perhaps. After approaching him, I will calmly ask him if he knows that is marijuana and that it is not proper for him to smoke it. Only after getting more information from him, I will report him to the supervisor so that such cases don't happen in the future. However, I will accompany him to the supervisor if he is willing to tell the teacher himself.

student-562

Casper

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

student-260

Casper

Cheryl should not message her friend as this is overstepping a professional boundary. It is the patient's right to let family members know about their health and I do not have the right to do so on my own. If the grandfather asks Cheryl to let their friend know then Cheryl can do that as that does not go against the grandfather's autonomy (as long as no professional rules are breached that are made by the hospital they are shadowing at)>

student-345

Casper

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

student-363

Casper

Although the risk of circumcision outweigh the bennefits, outlawing this procedure would be religious discrimination because it would force me to go against my religious beliefs and would take away my autonomy to choose if I wanted to be circumcised.

student-613

Casper

I understand why heather feels this is a glorifying heterosexual club and she could feel excluded by it as she is part of the LGBTQ+ community. Although she may feel this way because of her own personal experiences, I do feel as though it is a fine club to create. Jennifer can talk to heather and sk her how she can make it more inclusive to the LGBTQ+ community in a non-confrontational manner.

student-539

Casper

I don't agree with this statement because what this statment implies is that in order to solve a problem we must engage in problematic behavior. Although the poor must be addressed and helped, if we people end up stealing in order to give resources to the poor than we end up with another problem being that other people who also need those resouces won;t have access to them. In order to help the poor we must exerise moral conduct and ethically source the needs that the poor should be provided with.

student-312

Casper

I am going to approach this student and ask if I can speak with her privately. I would ask her if she was cheating. I would offer her the chance to explain herself and her reasoning. I would not jump to any conclusion as she may have a legitimate reason for why the notes were on her desk. If she does have a reason I would listen to her and give her the benefit of the doubt. Maybe they were in her case by accident. If she confesses that she was cheating I would speak with her non-judgementally and tell her that it is against the school's policy to cheat and that I will have to speak with the professor and have a conversation about what to do next.

student-101

Casper

I would not like to immediately assume that Emily is unfaithful as any number of situations could have happerned. First I would confront Emily and get her side. From there if she admits to being unfaithful I would urge her to be honest to Daniel, and if she refuses I would have to tell daniel. If the situation is not unfaithful then I would let it go.

student-465

Casper

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

student-581

Casper

The rule teaches others to be considerate of others and treat others in a compassionate fashion. Most cultures do want to promote harmony among their population. Teaching others to treat each other amicably would be prosocial behaviour.

student-706

Casper

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

student-242

Casper

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

student-322

Casper

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

student-371

Casper

Stealing is an illegal and punishable action, but doing so to help the poor shows that the stealing was done with good intention. In this sense, I agree with the statement in that it is ethical to help the poor, however, it is unethical to steal because it negatively impacts the store that got stolen from. In addition, if the store owner finds out that the person stealing is associated with the poor, it will lead to unwanted negative stereotypes being added to the poor and risk the poor facing more discrimination from society. Therefore, the potential net outcome of stealing for the poor is unethical, and so I don't agree with it entirely.

student-570

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

Casper

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

student-216

Casper

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

student-282

Casper

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

student-247

Casper

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

Casper

The most pressing issue here is an ethical dilemma regarding whether to turn yourself in or not. I would take a look at my situation, and I would understand the desire to drive away and not get caught if I were in a serious financial situation or in a rush. At the same time, the person who got hit may also feel upset and be in a similar situation. In the end of both cases, I would not drive away because it could be unfair for the other person, so I would gather more information to see how the other person feels and their current situation by leaving a contact number if I was in a rush. If I was in a serious financial situation, then I would ask the other person if I could undergo a payment plan or look for other resources in the community I could use to support myself.

student-117

Casper

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

student-79

Casper

Someone may not agree with this because they view education as a luxury. Someone who believes that educational institutions should continue charging high prices may view education as a status symbol rather than a fundamental right.

student-75

Casper

While homeowners have no control over the circumstance of having animals invade their property, their property is still the one being affected. For this reason, homeowners pay for animal control.

student-682

Casper

I believe it would be. I would feel like there is a targeted decision to ban a practice my religious group from a practice they require.

student-528

Casper

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

student-456

Casper

Given the major advantages of having new ultrasound machines in the department, it will be tough to convince the hospital to lower the prices. However, it is of upmost importance for loved ones to see their family. Therefore, I believe they should remain the same, and those who can't afford it are given temporary passes that allows them to park for free.

student-681

Casper

someone might not agree that education should be a right because they may not consider education necessary or feasible to provide. education can be expensive to give to everyone, and attempting to provide it for everyone could compromise the quality of education. also, there are many lines of work, such as trades, that do not require much education and still make a reasonable living. a tradesperson may argue that education does not need to be a right if it damages the economy. additionally,

student-190

Casper

In this situation since George is being let go by Sarahs digression and she also knows him well, it might be better coming from here that an unknown human resources representative that has never met George. She could explain her reasoning and sympatically let me go. If she does not know George well and just knows that he is not performing well enough for the company then I think it would be okay for Human Resources to speak with him and tell him why he is being let go. In this end it is easier to hear hard information from a friend than it is an unknown person since they could do it more empathically.

student-65

Casper

Volunteering can aid in many ways. It can help build a person's network by interacting with volunteer coordinators and co-volunteers in the same field as you. Moreover, by volunteering, one can gain experience in skills that would be helpful in one's career in the future, interpersonal, communication and teamworking skills are all critical when applying to jobs in any sector.

student-709

Casper

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

student-151

Casper

I would get involved. As an employee, it is my responsibly to strive towards a honest work environment and the success of the business. The coworker being hishonst and stealing detracts from that. As a fiend I would work with her to find alternatives to earning the money she needs. There are resources available to provide her with the are she needs so she can get back on her feet.

student-550

Casper

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

student-594

Casper

Even though I'm struggling with this class, the ethical thing to do is to not buy the test bank as this would be breaking school policy and my integirty. This could also have consequences such as suspension, expulsion, etc. In addition, it's also unfair to the other students who studied hard with no external resources to help them. If I was struggling, I'd find alternatives such as a tutor, my TAs, the professor, or friends for help.

student-270

Casper

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

student-2

Casper

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

student-428

Casper

No, this is not discrimination, because discrimination involves certain groups being treated differently based on a specific factor. In this case, I am being treated the same as everyone else who is under the same government as I am. Although I am not being discriminated against, I may feel as though my right to make decisions regarding my own body has been taken away.

student-561

Casper

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

student-641

Casper

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

student-384

Casper

Since I just started the job, this puts me in a difficult position because I definitely want to foster a positive work environment and make friends, however, i also want to uphold my integrity and be honest. So, I would feel the need to say in a nonaccusatory way, something along the lines of \"oh, i thought I might have saw you accidentally bump into the tv, but I might be wrong.\" And this is the truth. Maybe i wasn't paying attention, or maybe the lighting or angle made it look like they bumped into the tv but didn't. So, I would not want to falsely accuse my coworker

student-276

Casper

no, i would not drive away. although it is tempting to not face the potential reprucssions, one must remain ethical in such a situation. in order to maintain the order of society, it is important to take responsibility for our actions, priotize the well-being of others, and maintain moral principles.

student-319

Casper

I think this can be a very scary and stressful situation, especially if you are alone in a new place. However, I think that if you remain calm you might be able to think clear and come up with solutions or clues that can lead you to the right direction. I would try to yell and see if other people are around me, but I would also have trust and confidence in myself that I would be able to find my way on my own, as long as i am brave and calm.

student-92

Casper

My interpretation of this quote is that professionals may not always need to know everything about the job they have. My initial reaction to this quote was that I did not agree with it, for a number of reasons. First, I think it is higihly necessary that we have educated professionals who have had thorough training to ensure that the policies and procedures of their job are being enforced. In some professions, such as healthcare providers, having someone pretend to know what they are doing could be life-threatening, which would introduce a whole host of other issues. On the other hand, some specifics of a job may not need to be memorized. For example, a doctor will not reasonably know every in and out of a complex disorder. Yet, this does not mean he or she should pretend to understand the diagnosis, but it may mean that he or she will use reference materials instead.

student-30

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

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

Casper

My coworker is in a difficult situation because our boss is making her feel uncomfortable. If she is able to, I would encourage her to talk to her boss about these concerns and voice how she feels uncomfortable. If need be, I would be there for her if she did not want to confront the boss alone. Her discussion with the manager would determine her next step. If the manager no longer makes her feel uncomfortable, then all is well. However , if the manager continues, I would encourage her to report it to upper management and get the help she needs. After the situation has been addressed, I would check back in with her to see how she feels and if it is still reoccuring

student-32

Casper

My response to Jeffrey would be to explain that I also personally don't understand why this is a thing in society. I would explain to him that I empathize with him, and I understand how excluded and even invalidated he might feel by society's catering toward Christian holidays. As I also don't celebrate Christian holidays, I would offer to spend those days with him so that he doesn't feel isolated from society by everything being shut down.

student-173

Casper

I am concerned of the well being of my coworker as well. I am worried that he is going to be upset and offended about this practical joke. I am also worried about the other cowworker becoming angry against me if I tell the other coworker that he is planning a prank on him.

student-667

Casper

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

student-647

Interview

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

student-808

Interview

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

student-816

Interview

One time I disappointed my parents was during my brief stint on a higher-level soccer team. I had played soccer my whole life in Northern Ontario, where competition was limited. One year, I was good enough to make a team with kids a year older than me, around ages 12-13. This team traveled most weekends to play tournaments in Southern Ontario, about a 5 hour drive each way. Being a year younger at that developmental age meant I was less physically mature and lacked confidence compared to my older teammates. As a result, I hardly got any playing time during the tournaments. At first my parents reassured me, proud I even made the team. But I could see it wear on them that they were spending entire weekends traveling just to watch me sit on the bench. To ease their disappointment, I reevaluated my relationship with the sport. I loved soccer and the chance to compete, but wanted to enjoy playing more, and have my parents enjoy watching me play. So the next year, I dropped back down to my age group. I became captain, played entire games, and had much more fun. While it was good to get that higher-level experience, considering how I felt and accounting for my parents' experience led me to make a change. Consolidating onto an age-appropriate team ended up being better for me and my family. I was able to have a more fulfilling soccer career moving forward.

student-764

Interview

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

student-751

Interview

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

student-818

Interview

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

student-771

Interview

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

student-749

Interview

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

student-717

Interview

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

student-768

Interview

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

student-715

Interview

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

student-788

Interview

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

student-718

Interview

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

student-729

Interview

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

student-752

Interview

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

student-747

Interview

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

student-714

Interview

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

student-722

Interview

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

student-750

Interview

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

student-716

Interview

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

student-741

Interview

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

student-739

Interview

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

student-829

Interview

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

student-826

Interview

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

student-830

Interview

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

student-754

Interview

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

student-737

Interview

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

student-723

Interview

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

student-795

Interview

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

student-719

Interview

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

student-810

Interview

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

student-744

Interview

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

student-785

Interview

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

student-807

Interview

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

student-782

Interview

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

student-781

Interview

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

student-753

Interview

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

student-831

Interview

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

student-725

Interview

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

student-787

Interview

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

student-724

Interview

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

student-728

Interview

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

student-745

Interview

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

student-726

Interview

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

student-809

Interview

Deciding to pursue medicine and become a doctor is a big decision and it requires a lot of effort and takes a lot of time. I have thought very carefully about why I want to be a doctor and I have three main reasons. First, I want to be a lifelong learner. I chose to study at the University of Toronto for my undergraduate degree, particularly in neuroscience, because the field is so broad, there are so many different directions you can go with it. I was able to learn from some of the leading researchers in the field at the University of Toronto. Even after I finished my program requirements and could have just taken easier electives for the rest of my degree, I chose to pursue extra courses at the higher levels, like 400 and 300 level, because I'm really passionate about education. I want to learn as much as I can, and I even took six courses a semester, which is more than usually considered full time, because I wanted to get the most out of the education offered by the University of Toronto and learn as much as I can while enrolled there. Being a doctor is one of the only careers where you get to be a student forever, and you also get to apply your knowledge every single day, which is not something that many other academics get to do. So this is one of the main reasons why I would like to be a doctor. Second, I love forming relationships with people and maintaining them over a long period of time. Even just in the past year where I've been working and volunteering at the same hospital, I've been able to see the same patients every week for a year. It has been so rewarding and fulfilling to be able to see their progress and be able to contribute to their care every week. I think that this is a very unique opportunity. While some other members of the healthcare team are able to form some sort of lifelong relationship with patients like therapists or maybe nurse practitioners, physicians get to do this the most and to the highest level of depth, and you really get to know your patients. I am a person who loves human connection, and I love being able to help people and see their progress as I help them. So being a doctor would allow me to do this every day. Lastly, I'm really passionate about advocating for equal access to health care and equal quality of health care, regardless of one's socioeconomic, cultural or racial background. Currently, I do see some gaps in this. In Canada, even in the place where I volunteered, I found that many of the programs offered were Western-centric and didn't provide as much benefit to patients from Asia, Africa and other parts of the world. For example, I was once shadowing an occupational therapist who was teaching an elderly man with a TBI how to use the kitchen with a walker. Unfortunately, they didn't have the abrasive spices and ingredients that he would normally use at home. Instead, they had eggs, which he actually couldn't eat. So I used my knowledge of Asian culture because of my own background to try and figure out what kind of ingredients he uses in his household. We tried to simulate that with whatever we had, but obviously it wasn't an exact match, and it would have been more helpful to have a wider array of ingredients available. Another example is when doing music therapy, they would often play songs more popular in America and Canada, but not other areas. So when I see Asian patients, I try to ask them what kind of music they're used to listening to, and encourage the music therapist to play music similar to that, so it's more culturally relevant. So I think being a physician is the only profession where I could be a lifelong learner who advocates for people's health and forms lifelong relationships with patients. That is why I want to be a doctor.

student-805

Interview

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

student-792

Interview

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

student-769

Interview

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

student-821

Interview

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

student-738

Interview

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

student-736

Interview

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

student-776

Interview

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

student-814

Interview

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

student-820

Interview

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

student-825

Interview

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

student-779

Interview

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

student-778

Interview

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

student-775

Interview

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

student-800

Interview

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

student-796

Interview

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

student-735

Interview

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

student-824

Interview

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

student-774

Interview

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

student-813

Interview

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

student-832

Interview

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

student-790

Interview

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

student-755

Interview

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

student-765

Interview

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

student-772

Interview

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

student-761

Interview

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

student-734

Interview

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

student-758

Interview

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

student-757

Interview

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

student-773

Interview

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

student-817

Interview

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

student-759

Interview

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

student-733

Interview

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

student-793

Interview

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

student-797

Interview

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

student-732

Interview

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

student-784

Interview

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

student-770

Interview

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

student-727

Interview

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

student-731

Interview

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

student-783

Interview

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

student-720

Interview

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

student-742

Interview

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

student-777

Interview

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

student-791

Interview

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

student-763

Interview

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

student-794

Interview

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

student-713

Interview

The main reason I really want to become a physiotherapist started when I was young. I played a lot of sports and have always been interested in science. Playing sports, I've had the misfortune of many injuries. Starting around age 12, I've had to go to physio multiple times. I've been to many clinics as I got older, playing lacrosse at a high level and football. I've seen different physios because the teams have different affiliations. So I've had a lot of great experiences with physiotherapists. With my interest in science and studying anatomy and research in high school and university, I've reflected on my experiences and found physiotherapy combines my interests. It allows me to work one-on-one with people at the intersection of anatomy, physiology, physical activity, health, wellness, movement, sports, injury recovery, and improving daily living. You incorporate knowledge, research, and new developments in collaboration with doctors, occupational therapists, and other physiotherapists to create the best plan for each patient. This really interests me. My exposure to different physios provided great role models who inspired me to continue my journey as an athlete and scholar. When I was able to reevaluate what I value, those influences focused me on becoming a physiotherapist. Additionally, my experience coaching and working with kids with autism has shown I work well and communicate effectively one-on-one. I enjoy the process of helping someone improve their abilities and quality of life through movement in a one-on-one setting. I want to put people in a position to succeed. Coaching has allowed me to create positive environments and build relationships with each player to ensure they can improve, have fun, make friends, and gain lifelong healthy skills. These experiences have reinforced and further influenced my desire to be a physiotherapist, as I want to provide this on a daily basis. I think it plays to my strengths.

student-823

Interview

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

student-780

Interview

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

student-743

Interview

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

student-740

Interview

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

student-799

Interview

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

student-801

Interview

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

student-811

Interview

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

student-827

Interview

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

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