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I would talk more to my friend and see how she feels about the situation, and see if she'd feel comfortable talking to the people further about it and what exactly she would like in this situation (for the video to be deleted or not, etc.). If this is not something she is comfortable with, I would ask her if she would be comfortable if I spoke to them. If this was okay with my friend, I would approach the stranger in a non-confrontational video and try to know more about why she took that video and where it might be posted. I'd try to explain to her that some people might not be comfortable with their face being in someone's else's video and that it might be best to ensure that faces aren't showing. I'd try to follow through on whatever was previously agreed on with my friend.
student-446
In handling this situation, I would contact the group member privately, and try to clarify the situation. In a non-confrontational way, I would let them know the discrepancy between what they said about being in the hospital vs being out with a friend of mine. I would kindly ask, if the friend is lying that they complete the assignment in time, so as to be fair to the whole group. I would offer any help necessary, within the bounds of academic integrity. If the member refuses, I would esclate to the group, and we could decide where to go from there (i.e. contacting the professor/TA).
student-555
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
Cultures are what bring people together and make them feel connected to something greater than themselves. It is a way to collaborate with others and create something such as preparing for festivals and make sure that no one feels left out.
student-606
First thing i would do is not assume anything and have a non judental and non confrontational conversation with the student. I will allow them to explain if or why they may have been cheating and if there is a bigger issue going on that is conflicting with their academics. I will also let them know that if they are proven to have been cheating, I have a duty to act by ethical and moral standards and I do have to report her to the proffesor. Acting empathetically and compassionately, I will ask the student if there is any extra help or support that i could provide to better support their academic journey so that they can not make the same mistake again. I will try to actively understnad where they are coming from and remind them that their cheating affects other studwents as it is not fair to
student-37
This experience was during a school course assignment in which we had to design and produce an infographic related to a biochemical subject. There was another student in my group who took charge straight away assigning roles and determining due dates. I felt my role was largely completing my assigned section of the project and being a motivator for other students to give us encouragement to complete the assignment.
student-205
I would want to have a private conversation with my boss to respectfully explain my side of the story. I would tell him that I was sorry that this had happened and that I understand his concern, but that I had truly not stolen the money. I would suggest that if there's a video camera, that he could review it or ask why he thought it was me rather than another colleage.
student-356
oui, mais elle devrait prendre au sérieux les propos de son amie et etre a l'écoute d'elle. je proposerais quelles collaborent ensemble afin que les deux partis soient entendus et quel eurs idées soient valorisées afin davoir le \"meilleur des deux monde\" il y a une belle collaboration a faire ici et je pesne quil y a du p
student-85
I believe it is because it propagates kindness, and a culture of empathy and compassion. I think it is safe ot assume that all people generally want to be treated well, so by treating others as you want to be treated, you can reflect on your actions to behave in positive ways towards others. It think it also transcends cultures, religion, and comes down to the human nature of wanting to be treated well and inspiring people to treat others in the same manner.
student-584
Well this is a very tough situation since it involves someone breaking the law whilst also being an emotionally sensitive issue. I think the best way Kevin could approach this would be to talk to the employee about the stolen bread to see what he has to say first. Maybe he just felt embarrassed and didn't want to get caught. Bring up the stolen bread and that he got caught on camera in a very non-judgemental way. Actively listen to his issue and if so perhaps find a way to assist him. Personally if the lost funds are not too high I would pay for it myself and offer the employee resources such as, food stamps, shelters nearby that can help them out.
student-608
Hospitals have a duty to treat all patients according to the type of care that they require. In emergency room settings, this is typically done through a triage process where more urgent patients are seen first and less urgent patients are seen less quickly. In this case, there may be some implied pressure on the hospital team to treat the father differently due to the size of the recent donation. However, when charity is given freely, it is generally without the implication of preferential treatment and it would be unfair to the other patients to provide the father with preferential care, as it may take away from their own treatment. This goes along with the medical ethical principle of justice.
student-55
In this situation I would try to speak privately with the individual as it stated that I am a reltively good friend of the coworker. I would explain to them what I saw and would try my best to maintian sensitivity. I would explain that while I know they are experiencing financial and emotional struggles, that it is against store and company policy to be pocketting cash from the register. I would really want to be a friend to this individual and try my best to also turn them over to social support netwrks or research financial assitance programs that may be availble for them to ultilize.
student-154
I would talk more to my friend and see how she feels about the situation, and see if she'd feel comfortable talking to the people further about it and what exactly she would like in this situation (for the video to be deleted or not, etc.). If this is not something she is comfortable with, I would ask her if she would be comfortable if I spoke to them. If this was okay with my friend, I would approach the stranger in a non-confrontational video and try to know more about why she took that video and where it might be posted. I'd try to explain to her that some people might not be comfortable with their face being in someone's else's video and that it might be best to ensure that faces aren't showing. I'd try to follow through on whatever was previously agreed on with my friend.
student-446
THese neighbourhoods such as downtown areas, are usually very crowded and busy as they likely will have lots of shops or businesses or offices that people visit regularly. This means there is limited space to park, so the price is higher. The price is also higher to possibly encourage public transport service use in these areas, which will likely be more frequent than other less populated, less busy places.
student-434
I would be concern about the customer and at the same time would like to follow the stores policy to the best of my abilities. I would empathize with the customer as much as possibel about their medical bill and see if there is anything i can do to assist. I'd reach out the my manger to see if there was any other evidence of the customer's puchase that day, or if they connected it to the loyalty card or proof of purchare through a credit card perhaps. Ultimately if we can prove the customers purchase with the manager, we can come to the agreement to get a refund. Or we can refer the customer to a financial specialist in this way i am able to follow the stores policy and assure the customer gets the medical help they need.
student-72
This would greatly concern me as respect for historical sites are important. but i will request to talk to them privately, away from the crowd. I am hoping they agree. Then i would calmly voice my concern. I will then listen attentively to what they have to say, hoping the situaiton geets resolved from this
student-566
According to me, the quote suggests the importance of being confident. I agree that confidence is the key to any profession. It makes the job trustworthy and knowledgeable. It makes the professional look understanding. In the case of the medical field, patients trust and give more information to doctors who appear confident and know what they are doing as they seem to have more knowledge and experience.
student-338
J'essaierais d'arrêter mon ami de regarder le téléphone de l'hôte, étant donné qu'il s'agit de quelque chose de privé. Toutefois, s'il a obtenu sa permission avant, il s'agit d'une situation différente étant donné que l'hôte a déjà donné son consentement.
student-632
I would get involved since this is my friend, and I care about them. During one of our breaks, I would ask to talk with her in a private place and explain what I saw. I'd ask what happened, what her reasoning was, and say how out of character it seemed. Then, I would encourage her to either put the money back if this was the first occurrance and no damage had been done, or to report herself to the boss. Eventually, the boss is likely to find out when counting cash at the end of the night, and many cahsiers are watched on video camera regardless. Rather than her be fired outright, explaining herself may give her the chance to come back from her mistakes. Instead of stealing, I'd plead that maybe she could take on more hours, or I could help her find a second job.
student-90
I would first talk to them, ideally before presenting the project. I would ask them if they are going through any personal struggles that may be preventing them from participating. If yes, then I would direct them to the school counselor and offer to help them in any way I can. I would also, with their permission, explain their situation to the teacher. In solo projects, teachers sometimes modify the weight or deadline of an assignment if the student needs it and hopefully the teacher will be sympathetic. If the student is not doing the project because they do not want to work, I would explain in a non-judgemental way how his actions are unfair to the rest of the team in that they will work harder and not get the credit. I would encourage them to tell the teacher which parts they did and which the other teamates did. If they refuse, I would do so myself. This way, each member of the group gets credit for the work they did, whether big or small.
student-36
Kevin should have a private conversation with the employee so that both cna be comfortable to speeak the truth. once he has him in this private room, he should explain what he has seen on the camera and then ask kevin why he is stealing,in an open manner so he can understand the situaion better.
student-504
If the test bank contains questions from this class which we were not supposed to access, or which infringe upon academic misconduct, then I will not purchase the test bank as I do not wish to engage in any form of cheating, malpractice or inappropriate academic behaviour even if I was struggling.
student-329
The best way to give an apology is by approaching amy privately and asking her if she has some time to talk, if she says yes, then I will start by letting her know how you truly feel, be honest and give your apology in a genuine manner. If she says no, then I would ask her to arrange a time that would work better so we can talk.
student-403
No, I do not. Leadership skills is something that can always be improved upon. The world is constantly changing and our society is always becoming more diverse. Being a leader means to be a great listener and being open to other's perspectives. Hence, learning more about how we can strengthen our leadership skills with new perspectives such as through courses in professional schools would not be detrimental but will help further the skills of students.
student-507
From the prompt it seems as though I had may not begun the exam, nor had I used any of the notes on the exam. I would inform the professor on the exact situation and let them know I had no intention of cheating. I would ask them if they could allow me to take the exam on another day and apologize for my grave mistake of leaving the notes in pencil case. Furthermore, If I received no advantage (had the exam not begun) I would ask them if they could let me still complete the exam today.
student-500
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
I would not purchase the test as it is unethical to do so. It will not benefit me in the long-run to purchase these questions and do well in the course, as I would not be learning to my full potential. This is also unfair to my peers who have put in the effort and hard work, as now it is lowering the standards for success. To be fair all around, I would not purchase these tests.
student-332
During basic training in the military, we each needed to take turns leading the platoon. The majority of the time I was a follower in this case. This forced us to learn how to be a follower and support the leader's goals (since we would each take turns). I achieved this by confirming my responsibilities and the boundaries of my current role. This way I could be effective in help the team achieve their goals. It was also important to establish and maintain 2 way communication. Especially in stressful situations.
student-347
John is in a very difficult situation as on one hand, he must follow the law and if he doesn't, he might get into huge troubles. On the other hand, the elderly lady really needed to board the bus for an appointment, if she doesn't, she might miss an the appointment and ther may be huge consequences on her health. I think John can offer to pay for her ticket for now and ask her to pay it back at a later time. Or John can let her on and try to explain to his company the reasons he did so.
student-393
This does not have a right or wrong answer, as it would depend on the views of Jennfier finding out these new findings. I believe jennifer may have not know what heather said, and perhaps upon finding this out she may change her mind. That being said we must first find out what her opinion is on this, and whatever that may be, it is up to jennifer to create the club as it is her club after all. That being said though, jennifer must also talk to heather in order to justufy her decision.
student-221
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
I would discuss the situation with my supervisor and take full responsibility over the situation. I would apologize for not controlling access to the social media platform and inform him of steps I would take to mitigate the situation. I would then brainstorm possible solutions with my team and my supervisor to ask about ways to address the situation.
student-513
This situation involves a coworker appearing to take an idea that was myown and claim it as theirs. First I would inquire with them directly in a private and non-judemental manner after the meeting about the situation. I would inquire how he came with the idea. I would express how my idea greatly resembles his presented in the meeting. If he confesses to stealing the idea from me, then I would empathetically understand given the competitive nature of the workplace at times. However, I would also encourage and support him to confess this to the others in a setting such as the next team meeting so there is truth within the whole team/
student-467
Michelle is going through a rough time, and she has a very real motivator to try to win this competition unethically. However, her actions are still wrong. I would initially approach Michelle and tell her how her actions are wrong. This is a national competition and taking these drugs not only puts other who have been naturally training at a disadvantage, but they also risk Michelle's own health. I would ask Michelle to withdraw from the competition or to stop taking the drugs well ahead of time before the competition. I will tell her that if she does not do this and participate fairly, I will report her. I would suggest other competitions and ways she could make the money to help her mother. If she does not step up on her own, I would report her.
student-259
In this case the intervation of a proffesion is necessary as the wellbieng of the animal and the house owned is hte most importat. THat being the case it has to be taken into account that the economical conditions of the home ownes could be affected by the predense of this animals. If the animals were there often I would propse to create a fund that would help the house owners for a low price. If it is not frequent at all getting a proffesional form afar would be necessary. Either way it is always important to take care of the animals and the people and a price should not be in the way of someones wellbeing.
student-83
This is a hard situation as you do not want you and your gorup members to be trrated unfairly. The workload should be equal and due to the friend who is not completeling their work, the tasks become harder for your team. I would speak to the other group memebr privately and ask they why they are lying, in a non judgemtnal way. If there is somthing going on in their life that is causing them to need to lie, then I will try to support them where I can. But, I still would explain to them how their actions are affecting the rest of the team. I would asked them to speak to the rest of th group members and explain their situation so we can all work to gatherer to fins a solution
student-165
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
Kevin should speak to them privately, in an empathetic manner. He should advice them that it doesn't only hurt the relationship between the worker and the store, but also the store. If the store loses on the bread, they might not be able to pay the employees salary. Kevin should inform the employee that they are not mad, but understanding of the situation. Kevin should direct them to local food banks and other resources that can financially help them employee.
student-501
Before I immigrated to Canada, I told my mom that after I settled down, I will come back to take you with me. However, the process of settling down takes much longer than it was expected. When my mother finally got her visiting visa and arrived in Canada six years later, she blamed me for forgetting her behind.
student-558
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
Richard happened to stumble upon this when searhcing online. Although the information online is free to use by anyone, Richard has recognized that the questions are the same as what the teacher puts on the exams. Richard's friend Jessica may be in a difficult situation and she can be desperate for help from anyone. Richard as her friend shoudl naturally seek to help his friend. However, Richard should first check if this help is in line with academic honesty or whether it is not. If it is not, then he can offer Jessica other ways to help her such as setting up a study group or asking the teacher for some private help.
student-249
For my film class, our final project was to make a film highlighting minorities in Brazilian film. My team chose to focus on the favela to soccer pipeline. Our group leader was Brazilian and more familiar with the topic so he guided us in the process. However, when the presentation day came he showed up late and none of us had access to the final product. The project as a whole as incredibly fulfilling, however.
student-557
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
I belive it is important to educate individuals on the importance of having their own voice and standing up for the opinions or concerns in a workplace. Every employee has a right to a safe and welcoming environment, where they should be treated fairly and with grace. When speaking with a higher authority figure, it may seem challenging due to a power imbalance and the nerves that come with speaking up and the potential to have a \"bad -wrap\" with the higher authority figure. In this case, proper training such as educational videos can help improve higher authority and employee conversations so that their can be a positive relationship in place. Also, weekly meetings can be instituted between authority figures and staff in order to raise any concerns and get to know one-another.
student-219
I believe that Socrates said the statement as a reflection of his current self in the world. As individuals in society, there is an ever expanding wealth of knowledge in different domains that comes to light every day. By acknowledging that he (Socrates) does not know anything, it shows that he is aware of this wealth of knowledge and seeks to learn more about the world everyday.
student-290
I understand that my boss is upset with the missing money. I would try to have a calm and respectful conversation with my boss and be adamant about telling them that I'm not the one who stole the money but at the same time listening and acknowledging their frustrations and offer to help in finding out who the real culprit is.
student-444
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
À mon avis, les tarifs de stationnement devraient être abaissés. Il est important pour la santé mentale des patients d'avoir des proches qui peuvent les accompagner à travers leur rétablissement, et la santé mentale est directement relié à la santé physique de ces patients. L'accessibilité aux soins de qualité est un enjeu majeur, et pour arriver à un système de santé plus équitable, des prix abordables devraient être offerts. De plus, l'hôpital pourrait amasser de lA'rgent grâce à des levées de fonds. Bien des bénévoles se porteraient volontier à cette organisation. Les dons volontaires pourraient également être demandés.
student-602
I would tell the supervisor that when you were going through the company's Facebook feed you noticed that someone had posted this. I would tell them exactly how I found the post inanition to the fact that you believe that a meeting should be set up with the interns to fi
student-496
In this case the intervation of a proffesion is necessary as the wellbieng of the animal and the house owned is hte most importat. THat being the case it has to be taken into account that the economical conditions of the home ownes could be affected by the predense of this animals. If the animals were there often I would propse to create a fund that would help the house owners for a low price. If it is not frequent at all getting a proffesional form afar would be necessary. Either way it is always important to take care of the animals and the people and a price should not be in the way of someones wellbeing.
student-84
Parking is typically more expensive in areas where they know that more money can be made and the targeted audience is more willing to pay for this. Higher parking keeps a large portion of people out. This in turn makes sure there is no overcrowding/traffic and such. However, I do see how this can seem discriminatory of people that are not able to afford it.
student-374
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
I believe that this depends how this face affects my working situation. Indeed, if the political views do not play a role in the working environment, where the atmosphere is friendly and respectful no matter people's personal veiws, then I beileve that this is not a reason for me to leave my job. however, if the job I have has a great relationship with political views and that this leads me to have to act based on these views, then since I would not be sharing thee views, I believe that I might not stay at the job, that is only if the tasks that I have to complete require me to go against my set of values which are highlighted thrhough my political views.
student-68
I would recommend lending money if Samantha has a stable income. Maybe samamtha can also find someone else to get the loan from. or could ask someone to give 5000 and the couple will give th rest. If samantha is not fanancially stable, it would increase the chances of her not paying back on time, that doenst mean that she will not give back anything.
student-592
I understand that having fun at work is something important for group morale and team building. So its important for team members that are comfortable with eachother to joke around with eachother. Howecer, sometimes this can get ahead of ourselves and might causes us to overlook things that are offensive as they are too excited for the joke. My other coworker's feeling of being included and part of the team might eb jeopordized by this prank. I need to do something about it before it becomes too late.
student-111
I will not report him, as a friend and a peer I risk social exclusion for reporting him, and the upside of potentially teaching him a lesson is limited. I beleive it would be more effective to speak with him and try to get him help and support to quit or reduce his use, at the very minimal to teach about the effects. often disciplinary action such as suspending students does not solve the issues as a very similar situation happened to my cousin and now he is expelled and does even more drugs since he is never under supervsion
student-618
Firstly, I would check with the company if there are any legal policies on how to go about this. If there were, I would ensure those were followed. As well, I would announce the news in a way that is clear, empathetic and provides distinct next steps. The best way to do this would be to use a clear email that provided this information in a very clear manner. I would include a video in the email where I expressed what happened, and I would make myself available to answer questions as well.
student-102
No. I belive that instilling equity into a child's life is important. I would educate my child on the I'm[oratcne of realizing differences in financial status, social status and work status, however, deep inside we are all individuals and we all feel the same emotions and similar interests in life. If my 'poor' child had the same interests as the 'rich' one and enjoyed spending time with him for who he is and not what he owns, i would be a very proud parent.
student-192
I will verrify the words coming him by asking him more about the details whether it is a murder or a stealing case or anything else. and then I will approach him and show my thankfulness to him for being honest to me and further persuade him to go to police station and admit the crime by himself and say that I will be with him if he is too afraid.
student-694
The philospher probably means in this situaiton that there is a bountiful amount of knowledge in the world, and what we know right now is probabbly a small snippet of the total amount available. It may also point to more specifically how we interact with people, and how its important to go into situations with a blank slate and to not bring any assumptions into these conversations. Understanding that its very important to look and activly listen to the other persons opinion so that you get that helpful information is key to interacting with others.
student-39
I would get involved in this situation. As the coworker's friend, I would approach her first to have a private discussion. I would want to understand where she's coming from. I would then express my concern. I would express my opinion that it's incorrect to be stealing from the store and I would try my best to help her with alternative solutions. I would be sure to come from a place of care and genuine willingness to help rather than criticizing. At the end of the day, she is my friend and I would want what's best for her.
student-400
During my undergrad i used to work at a gas station, in which I had many responsibilites. I had to clean and he;lp customers and also promote the sale of items. One item that I did not feel comfortable promoting were cigarettes however I was still new at the time and was faraid to disobey my supervisor who mentioned that promotion is one of the obligations. Whjil;e not explicitly mentioned I percieved the sitatuion that I would be potentially fired if I were to bring it up. As he was my boss and recently hired me, I was afraid to bring this up to him as their may have been consequences.
student-323
If I confirm that they were absuing the cat I would approach them and take the cat away. I would ensure that they recgonzie how ehtically corrupt their behavirou was but say it in a calm tone to improve the chance that they listen. I would give them a chance to improve their mroal cahracter by not informign authroities or their parents so that they are not immediately labeled as abusers.
student-224
On the one hand, it is diffiuclt for people of lower socioeconomic status to pay for electricity snd meet this essential demand. On the other hand, electrical bills generate revenues for the government, which can be used for the greater good, including developing programs for socialization and betterment. I believe a solution would be to charge for electricity based on the persons income, a \"pay what you can\" system - the amount can be calculated as a percentage of income. This ensures equity.
student-565
There are a few different characteristics and life plan aspects to this question that my brother should consider. Although he has had a very positive experience with his teacher he should try to consider his own personal interests and life goals before making a decision. For example, what schooling will be required for this job, will it fulfill his financial goals, does he have other skills like organization, and good communication that would make him a good teacher.
student-58
If I were her I would ask more inforamtion from Heather on what books she belived she would be mroe confortable being incorpertated into the group. If she has no suggestions, Jnenifer should bring up some recocomdations as long as it is confortable woht Heather to ask what books she perefers. it is also important for jenifer to share her intrest in the club and make it sound as a team effort to get Heather more intrested in finding a solution.
student-498
A professional that does not look confused in his job would give reassurance to customers because they put their trust into the professional to get a job done. For example with a physician, they should not put unecessary stress on a patient when they already have a lot on their plate.
student-417
As intimidating as the situation would seem, I would tell myself to take a deep breath and calm down. Next, I would gather all the information I had at my current disposal. I would retrace my steps and try to recall how I got in this situation. Then, I would create a path I believe would get me out of the forest. Along the path I would leave traces and mental markers to ensure I could return to my original spot should the path prove unsuccessful. I would make note of that path in my mind or on paper if possible, and then I would continue a process of trial-and-error and elimination until I find a successful path out of the forest.
student-203
My main conern is nt being able to serve a customer as this is my responsibility, while also acknowleding that there may be a potential breach in guidelines. I would try to assess and see if there is merit to the comment or if this is a potential instance of discrimination to
student-336
My main concerns here are that I would not want to severely punish these teens for an action that was potentially not intended to break any rules. It is possible that they did not know it was a private property - sometimes signs are not as visible as the owners may think they are. I would also be concerned that fining them could deter them from pursuing any other charitable causes in the future. Its possible that not all these teens and their parents could even afford the fines. I would instead opt to first find out if they knew they were trespassing, give them a warning that if it happens again in the future, they will be fined. I would provide them resources to pursue their charitable efforts elsewhere which does not break any laws and regulations.
student-603
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
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
Though I would feel the urge to speak up during the meeting, I would suppress that urge because I believe it could create confrontation during the meeting. This would be very unprofessional at work and could actually negatively impact me, as the boss may view it as unacceptable and fire me. Thus, I would talk to my coworker after the meeting and ask them why they took credit and plead with them to acknowledge to the team that it was my idea.
student-445
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
My boss could not trust me and believes that I don't have integrity, which is not true, but I can't prove it.
student-686
The ethical situation in this scenario is complicated and requires a complex analysis. In this situation., I believe Dave should speak to the other people on the subway and ask them if they would be willing to appraoch the man together or back him up in case of a hostile situation. Dave should priortize the safety or himself, Rachel, and the subway riders. Dave should appraoch the man in a non-confrontational, non-judgemental way and asks gently if the man is ok. If the man responds that he is fine, Dave should leave him alone and instead report the situation to security or police once he gets off the train. If the main says he is not ok, Dave should tell him to speak to the subway workers or security who may be able to put him in contact with a social worker or other forms of support.
student-114
I would have a private non-confrontational conversation to help me understand why they felt they didnt need to or didnt want to contribute. If there were extenuating circumstances, I would discuss what he says with the rest of the group and decide if they warrant just letting him get a free grade for doing nothing. If he turns out to just be lazy, I would again discuss with my group, encouraging them to not let him take credit for their hard work. I would explain the situation to the teacher, and vouch for him to do the assignment with a different group or alone rather than simply giving him a 0 so he still learns something.
student-174
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
In this context, it appears as though the hospital is making an exorbitant amount of money off of their parking fees. Thus, I believe the parking fees should be lowered. Although the earnings were put towards useful assets to the hospital that will benefit patient care, it comes at the cost of patients being able to afford to visit their loved ones. The hospital should adjust their parking rates such that they are sufficient enough to maintain the parking lot and ensure they can staff the parking lot appropriately, while being low enough that all hospital visitors can reasonably afford to park.
student-208
In my mind I would first think about why the perosn want to surparise and see what intetnion, negative or psotive is it. i will also weight the posiblities of it being not taken offensive or taken offesive so taht I can expalin tot eh coworker on how the prank may affect the other person. I would pull the person to the side and let them know it is a great Idea and it would allow for strogner team comdradery but at the same time it amy fell hurtful . I would help him weight the optiosna nd reccomend we try a diffrent way on spenning time or ineracting with the person. i would ask if theya re okay with chaniging the pan inorder to respect the others feeling at the same time have fun but ethically.
student-250
I would first empathize with her feeling of lonliness as I understand that getting older may be hard for many, as they do not see people as regularly. I would tell her how much I would love to see her but explain that I have a very important exam that I need to study for. I would tell her that we should make a plan for something after my exam and that way she can look forward to seeing me, knowing it is planned. I can then study for my exam without feeling stressed about the time taken away for me to go see her.
student-223
This is a difficult situation as Jennifer is excited to start a new club as she is passionate about old romantic novels, however Heather is uncomfortable with Jennifer starting this club as it is not LGBTQ inclusive. I belive that Jennifer should still follow her goals and start the club of old romantic novels, however she should ensure that it is more inclusive as romance is a broad spectrum that can include the LGBTQ community. I would advise her to make Heather an executive member of the club and ask her to recommend and introduce books that are based on LGBTQ romance. In this way, inclusivity is formed and the two friends can bond over their love of novels.
student-243
Before making a rash decision to report this, I would have to gain more information from the patient, and also understand the challenging struggles of addiction and withdrawals. Although drug use is illegal, and even moreso in a prison, I would not want my patient to have to suffer from medical withdrawals from the drug, nor would I want them to be caused any harm. I would have a frank discussion with my patient about needing to stop the drug use and follow up with them, perhaps through drug testing. If the drug use persisted, I would feel obligated to report this, however, because the drugs could not only be being distributed and causing harm to other inmates, but also would be harming my own patient in the long run.
student-74
Initially, I may be tempted to tell him to immediately drop out to help take care of his mother. However, if I were to approach this calmly and objectively, dropping out may have lots of consequences for my friend such as having to reapply to school or to find another career path. I would first help him review his options first and only suggest dropping out of school as a last resort when there is no other option available.
student-29
This is a very difficult situation, as I have to consider both my mothers feelings as well as my own feelings and those of my fellow teammates and coach who all rely on me in different ways. I would first depending on my relationship with my mom, confide in her about this conflict, I would tell her I have the championship game that day, and tell her my team is relying on me, I would then see if she needed me there for emotional support. If I conclude that my mom really needs me, this would take pressedence over the game. I would then talk to my teammates and coach and explain to them the situation, I would try and make sure there was a replacement player who could be captain and I would try and explain everything they would need to know to fulfil my role.
student-120
It is important to give him a punishment so that other members dont feel like they can get away with anything without repercussions. Something like making him miss the next group trip or a suspension from the group if it his first infringement is more appropriate. However before any punishment it is important to consult the student on what compelled them to bring the alcohol. They may be and alcoholic and have addiction problems or something traumatic might be going on in thier lives so its important to get their side of the story before continuing. Providing the student support, understanding their position and helping them is the most important thing.
student-574
One likely reason may be that the public does not see these people in action - they work behind the scenes making sure everything is safe and running smoothly. On the other hand, healthcare workers are individuals people see often for personal care.
student-296
I will first speak to my patient and tell them the dangers of drug use to both themselves and others and advise them to stop taking it. I will also provide them with reoscrs and assistance to help overcome the drug reliance
student-593
I believe that leadership skills can always be developed and that leadership qualities can evolve as the world changes. We should be continuously questioning and adapting our leadership skills for different situations and environments. No, I don't think that this approach is counter-intuitive, leadership is earned everyday, we should always be looking to develop and improve those skills, especially as professionals.
student-366
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
This is a difficult situation as I am not really aware of why my friend is looking at the phone. There might be a case where the friend told him to look at it for something important or there also might be a chance that he is simply looking for fun or with some other intention. Not knowing what their relationship is, I will not directly stop him from looking at it. Instead, I will walk up to him and ask him about what he is doing. If he gets startled, there are more chances of him stealing some information from the phone. I will also let the other friend know about the situation so that he can take action that he finds is best for him. I will avoid taking a decision in that case.
student-351
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
In my opinion starting any new experience and methodology requires me skepticism. In this particular case, I believe one could refer to the popular belief system that I think therefore I am. It is very likely that those thinking of practicing mindfulness are afraid of letting go of their thoughts simply because those thought define who they are. Think of a scientist who has to stop thinking about their experiments. Those experiments might be a key part of that person's life and thus simply letting go of them might look scary at first.
student-554
I don't want to make any assumptions and cause much choas so I would gather more information. I would first try to find the intern that posted that content and have a private conversation with them first. I would let them know about my concern and that this can not only impact my career but theirs as well. After gathering all the information only rthen will I approach my supervisior in a private environment. I would try to explain the situation as best as I can without blaming anyone and resolve the issue.
student-545
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
he should first invite the employee to a private room and tell the worker calmly about the situation without any personal emotions, then he should also listen to the employee's point of view and his reason for stealing bread because even though kevin knows the general reason behind the stealing there might be more story in the stealing that he should know
student-494
WHile I understand the reluctance of a homeowner to pay for something they do not control, I also value the social responsibility of a homeonwner to ensure that their yard and whatever is in there does not pose a safety threat to the othere=s in their neighbourhood or community. This is especially imortant if the homeowner has children of if neighbours have childre, this is dangerous to the,
student-526
As I hear the yelling I would rush to the situation if possible with help from other employees. I would first work to separate the employee and the customer who is arguing as calmly as I could. I would move the employees to a private area and the customer. I would then tell the employee and the customer to take deep breaths to calm own and ask them what happened in that sitattuation. If there was an issue with product availaboility I would tell the customer that there is often limited product and unfortunately we cannot guarantee that a product will be there. I understand that this is frustrating, for the customer as he had an expectation. For the employee I would speak to him about the importance of patience and how you must maintain a professional environment. If this was his first time I would give him a warning on his conduct.
student-211
I think this is a complex topic. I can see both sides' story. On one hand, lowering taxes for cooperations gives them give them the incentive to stay motivated and keeps the environment competitive. However, lowering the tax for corporations only, creates an unfair gap between lower-income working class and higher-income CEOs. I believe that this gap should be minimized by increasing the tax of wealthy class people when they have reached a certain income.
student-460
This is a complex topic and has many layers. Firstly, there many appear to be inherent inequity in this corporate tax law since indiivudlas of higher status and power are often the ones who are in ownership of these businesses. This can be difficult for those individuals who are taxed more because they do not have the money or power to make their own businesses successful. However, the corproate tax also works to help these businesses expand and thus give enrichment to the communinty as a whole. Thus, I believe that although the corporate tax may appear to have inheerent disadvatnages, in the long-term it works for the benefit of the society as a whole.
student-258
I am worried about Robert's future at the school and how he may be feeling stressed during this time, due to the high stakes of the exam. I am also worried about the implications of Sarah releasing the questions before the exam, this would hinder the integrigity of the exam and the fairness of it, if some students look at the questions before hand and others don't. If the exam is canceled this would negatively impact those that haven been preparing for it. I would also be worried about the consequences that Sarah would face as a result of behaving unethically. I want to talk to robert to understand why he is feeling worried about the exam so that I can find the best way to support him. I want to talk to sarah to better understand her plans, and if she is in fact planning on behaving unethically, to talk about the implications of those actions to try and prevent her from following through.
student-354
I would sit down with the employees affected and ask what they know about the situation. I would then tell them that due to recent difficulties and mismanaging of numbers, we had to lay off 20% of employees. I would reassure that it is not something that they did specifically, it was a decision purely made because we didn't have the funds. I would try to adress any concerns and try to reccommend positions at different companies that fit their experitise.
student-493
Yes. I would ask them what they are doing. It might be that what seems like physical abuse is actually something to help the cat out of danger. This would require me to communicate with them and ask them about their actions before taking actions against them. If it seems that the teenagers are intentionally harming the cat I would confront them and ask them to stop with a firm tone. If they persist I will call the police and report them as animal abuse is not to be tolerated under any conditions and I am responsible as a citizen to stop any such behavior.
student-414
Dave should assess the situation for himself and gather more information before approaching the man. Dave should be aware that the man could need help and is not in a state of mind to advocate for himself. Dave should consider talking to others or finding a way to approach the man calmly if it is possible and try to connect him to resources.
student-710
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
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
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
This is a sensitive situation, as public health should be the top priority, yet tracking individuals' movements can impose major privacy risks that make citizens feel exposed. Given these competing concerns, the best approach may be finding alternative public health measures that lower disease spread while respecting privacy.
Suggestions already implemented worldwide include masking mandates, vaccination requirements, social distancing, and limits on gatherings. While controversial, dissecting perspectives on why they help can build understanding. Officials can share unbiased data on masks, hygiene and distancing to educate citizens that these measures effectively reduce transmission based on evidence.
It's also key to remind the public of the goal - reducing illnesses, hospitalizations and deaths. With limited hospital capacity, surging cases can overburden healthcare workers and restrict care for other emergencies. By informing citizens of these broad implications, they may better comprehend the purpose of safety measures despite privacy tradeoffs.
In summary, educating the public with clear evidence-based rationale for interventions can promote informed choices. Citizens may then continue safety practices willingly, knowing the societal benefits, while retaining autonomy over health decisions and minimizing invasive tracking. A thoughtful public health approach requires openness on all sides to find solutions.
student-766
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
One time I disappointed my parents was when they asked me to pick up my sister from soccer practice. Both my parents were at work and had entrusted me with this responsibility. However, instead of diligently following through, I got distracted by other less urgent priorities like schoolwork and texting friends. As a result, my sister was left waiting alone at the field with no ride. My parents were very let down that I did not fulfill my duty responsibly.
In hindsight, I should have prioritized better. The other tasks could have waited, but getting my sister on time was truly important. I learned an important lesson about setting the right priorities and fulfilling my obligations, especially when relying on me. Moving forward, I aim to match my actions to what matters most rather than getting distracted. I continue to feel regretful about that incident, but it helped reinforce values of responsibility and diligence that guide me today.
student-756
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
As a doctor, your first role is to prioritize the patient and act in the patient's best interests. So of course, if the patients feel as if they want a different doctor, then I would oblige and try to help them find a different doctor that is a better fit for them.
However, as a physician, you have a responsibility to be professional and try to better yourself and try to be the best you can be. So I would first reach out to the family and ask them what exactly I might have done wrong and what exactly I could do to be better in situations like this, because I want to learn from my mistakes and be better for the next patient.
Maybe this bedside manner difficulty was because I was from a different culture than the patient. So in order for me to be a good health advocate and have cultural competence enough to give equal high quality care to patients from all different backgrounds, I have to try and figure out what the root of the problem is so I can address that problem myself.
Lastly, as a doctor, you have to be a good communicator and build a good relationship with your patient and be able to empathize with them, explain things to them in a way they can understand and make sure that they have all the information that they need. So if I was not clear enough or not sympathetic enough to the patient situation, that I need to know so I can adjust my approach moving forward with different patients.
I would also ask the family if they would like to give me an opportunity to fix my bedside manner and make it suit their needs better. And if they say no, I would of course tell them that's totally fine, and try to give them options of colleagues who might have the kind of bedside manner that they are most comfortable with and what they're looking for.
student-806
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
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
In such a scenario, my priority would be to ensure transparency and come to a collective agreement through careful deliberation with the other judges. Both presentations have very similar, on-par content, making it difficult to choose a sole winner. However, there are other factors the judges and I could consider. One is the delivery and enthusiasm or professionalism of the presenter. Another is the recency and relevance of the proposed solutions to the specific health issue and location of our event. For example, the presentation on access to primary care addresses a pressing issue in our current location. We could also consider the practicality and feasibility of the solutions - something with more profound real-world implications might meet our criteria. By discussing these factors, the other judges and I could thoughtfully decide on a winner through open deliberation.
student-760
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
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
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
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
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
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
I believe it is ethical for any profession to strike if collective conditions and compensation are unjust, regardless of the immediacy or urgency of services. Nobody should be forced to work under inadequate conditions. Though there may be concerns about physicians failing duties to society by striking, as humans they have rights to free speech and standing up for beliefs. Healthcare is critical, but doctors deserve fair treatment too. However, certain steps could be taken to mitigate the effects on patients. Doctors could continue providing emergency and urgent care or give advanced notice so hospitals can make alternate arrangements. With the right precautions to avoid harm, physicians deserve to leverage strikes when necessary, just as any mistreated worker would. The goal would be raising awareness and advocating for change while minimizing disruption to patients.
student-746
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
There are many reasons I want to be a doctor, but my personal patient experiences were what first made me want to pursue a career in medicine.
When I was 15, I was in and out of the hospital for about a year due to a recurrent parapneumonic effusion. To be perfectly honest, I wasn't the best patient. I was really frustrated because I was a high achieving student athlete. I was missing a lot of school and practice. But I met some amazing doctors who really listened to my worries, my concerns, and they made me feel very understood.
I felt like they saw me for the person that I was rather than the situation I was in, and they could kind of see past my teenage angst, and they would joke around with me about when I would rank their nasal endoscopy skills or talk to me about my biology homework. They also helped to develop a treatment plan that would allow me to get back to my training and get back to school.
Those experiences inspired me to want to do the same for other people. I want to pursue a career in medicine so that I can make other people experiencing chronic illness or other medical issues feel seen and understood, advocated for during these really difficult times.
But with that being said, a career in medicine is very challenging. So I wanted to make sure I explored my options and knew that this was for sure the direction I wanted to go. A couple of years ago, I started volunteering at a family medicine clinic in Stratford. And last year, I completed an internship at a hospital in Peterborough through my program. These clinical experiences really confirmed that this was the path I wanted to take. I honestly can't see myself doing anything other than being a doctor.
Through those experiences, I learned how interesting the human body was. It's so complex. But there are also the problem solving skills and critical thinking skills that are required to develop a treatment plan and diagnose patients. It reminds me a bit of a really complex puzzle, putting all of these pieces together for each patient to create the optimal treatment plan. I just think it's so interesting.
But also, you have this science aspect integrated with the social aspect of medicine. You're collaborating with a healthcare team. I really value being part of a team. I was part of a team sport for many years, and so I really enjoyed that aspect of medicine. But also you're collaborating with patients. I feel like the social aspect of medicine would keep the job really interesting because you could have ten patients who all have the flu, but your interactions with them are going to be so different because every person is unique.
I really enjoy how I can have both the science aspect and the social aspect because I enjoy working with people, and I also enjoy science. I feel like that's kind of unique to medicine.
The last reason why I want to pursue a career in medicine is because it would allow me to be a lifelong learner and continue with research. I'm currently finishing up my Master's degree. I'm very passionate about my research, but with research, sometimes you don't get to be the person to apply your findings.
In medicine, I could continue with research to some extent and continue with some research projects and stay involved in that research community, but actually get to apply those findings to a clinical setting and see the results of that research, which I feel would be so rewarding. And so that's a huge reason why I would like to be a doctor.
student-803
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
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
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
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
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
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
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
In this complex situation, I would aim to uphold my duties as a medical professional while also seeking to understand the individual's perspective. I would have a private conversation to gather details on their concerns with being hospitalized and empathize with their reasoning. Perhaps past hospital trauma is fueling this behavior. Recognizing the motivations behind their actions is key. I would offer emotional support and tailor my approach to accommodate their needs with sensitivity. This may involve being mindful when providing medical advice and directing them to additional mental health resources. My priority is fulfilling my role as their provider while also showing compassion. By listening and gaining insight into their viewpoint, I can better serve this patient in an ethically sound manner that addresses both their medical and emotional needs during a difficult hospitalization.
student-748
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
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
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
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
The prompt is to discuss gambling in the larger sense and its implications for society. There are a lot of pros and cons to gambling. It is seen as a recreational activity - it can bring people together, give them something to do, be a stress reliever, or just fun if you go to a casino or buy a lottery ticket. Those are considered forms of gambling that can be harmless.
However, gambling also has significant downsides in that it can become addictive. Once addicted, it is very difficult to break the habit and can impact not just the gambler but their family and friends. It's difficult for addicted gamblers to see when they cross a line. Addiction is an illness that needs to be treated as such.
If someone with a gambling problem asks you for money, it's important not to give in right away. You need to convey worry for what they'll do with the money. Remain calm and not argumentative or accusatory - that doesn't help in these situations. Approach delicately.
Recommend solutions - say you're coming as a supportive friend who has looked into resources that can help, some form of rehabilitation may be necessary because you want them to avoid further harm. Identify you're trying to help, not control. Ultimately it is their choice to seek help, but your role is to facilitate that discussion and encourage them to reach out.
Gambling can have really detrimental impacts - I've heard of people losing homes, affecting family. I don't think the pros ever outweigh the cons. It can become a very harmful habit. I personally don't enjoy gambling, so maybe I'm biased, but I recognize it can be fun and social for some.
Organizations that run gambling have a duty to not promote unhealthy behavior and provide resources for those who become addicted. Friends and family have a duty to each other, and the community has a duty. But organizations like OLG have a responsibility to ensure they don't promote unhealthy habits and provide resources for gambling addiction.
student-812
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
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
This is a sensitive situation that requires compassion and transparency. As the surgeon who discharged a now deceased patient, the family deserves answers.
First, I would thoroughly review the patient's file, my discharge notes, and consult other providers involved to understand the full context that led to discharging her. This will help me better explain my rationale to the grieving family.
I would invite the family to meet in person if possible, or by phone/video if needed. Without making assumptions, I would let them express their feelings and ask questions without judgement. I understand their pain and confusion at losing someone they expected to recover.
I would walk through the treatment plan, health status at discharge, and reasoning in simple, clear terms. If I cannot fully answer a question, I would connect them with a provider who can.
Most importantly, I would acknowledge the enormous difficulty for the family, validating their emotions. I would offer as much support as I can, meeting again if desired, and connecting them with counseling/community resources during this devastating time.
My priority is being transparent about decisions made, while also providing compassion and support to help the family through grief over losing their loved one. Open communication and empathy are essential.
student-789
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
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
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
I'll just start with a little bit of my background. I have a very active background. I've been involved in multiple sports throughout my life, whether that was gymnastics, horse riding, hockey, hiking, and weightlifting.
Through those activities, I've been able to grow as a person and do those in a community with people and just improve my overall health and wellbeing. I realize the benefit that fitness can have for people and how much an injury can hinder those goals. As a physiotherapist, I would be able to help people achieve those fitness goals.
I've also had numerous injuries from sports, and I've been in four car accidents. I know that makes me sound like a really bad driver, but I was a passenger in all of them. Just want to throw that in there. So anyways, I've been to the physiotherapist countless times through the years, and honestly, I wouldn't be where I was at today without them.
I realized this is where my passion lies, that I want to be able to be in that role myself and help people recover because I've experienced so much benefit from physiotherapists. I love to be able to be in a direct role to help people get back to their normal activities. I also have a passion for analyzing human movement and being able to produce optimal performance, which I believe would be possible in my role as a physiotherapist.
I've worked in retail for many years as an assistant manager and a supervisor, and through that time, I've been able to refine my communication skills and my teamwork skills as well. Both of these are extremely important as a physiotherapist. I would look forward to being able to use them in this career.
I know this sounds a bit mundane, but I really do enjoy stocking shelves because I enjoy the challenge, the problem solving and just working with my hands. I really enjoy that. And I believe as a physiotherapist, I would be able to use those skills every day, and nothing would bring me greater satisfaction.
I also have attention to detail, and I've been able to refine that through my management position. I believe that's a very necessary skill to have in healthcare when you're dealing with sensitive issues and medical records.
I'm also a very empathetic person, and I have a passion for helping people who are in difficult positions. That's led me to volunteer with Special Olympics, where I was able to interact with athletes who had mental disabilities and just assist them in playing sports. And I've also volunteered at homeless shelters, interacting and serving the guests, also volunteering at a physio clinic for quite a while and being able to provide direct treatment to the patients.
Through all of these things, I realized how much joy and satisfaction it gave me to be able to see the joy on people's faces as they were able to accomplish more than they thought they were able, or maybe move just a bit better. Just being able to play a role in their recovery and restoring mobility and helping them achieve their goals.
So in summary, my physically active background, my experience in retail, my interaction with physiotherapists, and my passion for working with people has confirmed that physiotherapy is where I want to be.
student-804
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
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
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
This is a difficult situation, as the athlete plans to use prohibited anabolic steroids to train for competition. However, my role as this family's physician is to provide the best care regardless of circumstances.
I would first have a private conversation asking what he knows about steroid use - both medically and in terms of athletic consequences. It's important to ensure he fully comprehends the potential long-term health risks that could hinder his quality of life. This conversation can create an open environment for him to ask questions and voice concerns, which I would try to answer or consult a specialist if needed.
By establishing this relationship and addressing his questions, I aim to create a space where he knows I want to help. As his longtime physician with knowledge of his history, I would share that I'm willing to continue treating him. If he proceeds with steroids, I would monitor his health impacts - though ethically complex, it's key as a physician to approach with an open mind to provide the best care.
While steroid use may be prohibited and concerning, my priority is this patient's well-being. By having an open dialogue, I can ensure he makes an informed choice and feels comfortable coming to me for care, even if I cannot condone his actions.
student-767
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
Leadership and communication skills are invaluable for healthcare providers. In my experience, the ability to communicate effectively engenders trust and rapport with patients. Skilled communicators can understand patients’ perspectives and establish meaningful relationships.
Early in my volunteering at a family clinic, I recognized a need for better teamwork among volunteers. At first, we barely knew each other’s names. I decided to hold a meeting for us to introduce ourselves, share experiences, and align on how to collaborate productively. Although we each had leadership abilities, bringing them together enabled joint decision-making and unity.
After coming together as a team, we worked much more efficiently. One doctor even noticed the dramatic improvement in our teamwork. We created a “code blue” to call for assistance when needed. Our meetings enabled understanding of each role, and incorporating our strengths allowed effective collaboration.
Developing our individual leadership skills while also bonding as a unit was deeply inspiring. This experience showed me the tremendous value of communication, leadership, and teamwork in healthcare roles. It is something I will carry forward in my career.
student-786
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Thanks for the question. In this case, it's a very difficult scenario because while I care about this boy's well being and also want to ensure transparency and honesty when communicating with him, I also have to balance the importance of respecting his parents decision as well.
The first thing I would do in this specific scenario is try to understand why the parents don't want to tell the twelve year old boy about the diagnosis. There are many possible reasons and I don't want to assume. It could be that it could damage him or hurt him psychologically. It could be that perhaps his mental wellbeing could adversely affect his physical health, or perhaps there might be a risk of self harm if that boy finds out he was diagnosed with a terminal illness. There are a multitude of reasons, and I would set up a private meeting with both of the parents to have an open and honest conversation regarding their concerns. After hearing their concerns, then I would probably help them share some alternatives. So I would also share my point of view.
Specifically in this specific scenario, I can understand that the boy, if he doesn't know, he would not be able to make an autonomous choice since there is no minimum decision making capacity. If that boy has demonstrated comprehension as well as insight and demonstrated decision making capacity as a physician, it's also important to ensure that the boy can have an autonomous choice and make decisions that reflect his own personal values and beliefs. For example, his beliefs of continuing with the type of treatment and the types of side effects he's willing to endure might be completely different than that of his parents. So it's really important to have an open dialogue and understand the boys preferences in order to have him make an informed and autonomous decision making process.
However, with the parents, they also have a concern and after gathering more information, I would try to and after sharing that with the parents on the boy's autonomy and ability to make an informed decision, I would try to again see the scenario. If the parents are concerned that the boy might self harm after finding out this news, then I would not tell the boy because that could be very dangerous to him and perhaps he needs some time to digest this information. However, if it is for perhaps alternative reasons such as the parents may not know how to disclose this news to the boy or they're not ready to do so yet, I would try to respect that. And if they want to disclose at a certain point, then I would help them in any way I can. Perhaps setting up a meeting with all of us. And perhaps I can disclose it, or his parents can disclose it, but being very sensitive about it while also to the boy explaining it in a way so that he can understand what a malignancy is and what are some of the consequences and repercussions.
I think if this is a scenario, I would definitely encourage the parents to disclose the news to the boy so that we can also understand his values and preferences and help create care that is comprehensive and also takes into account his perspective while also helping him with therapy or other types of counseling so that he can digest and take in this information.
So ultimately, in summary, my main concern here is again for the boys' wellbeing. I would first want to gather a lot more information from the parents on their primary concern as to why they don't want to disclose this means. I would then after listening to them share some of my concerns such as perhaps the boy. We're not integrating the boys will and autonomous allowing him to make an autonomous choice. And lastly, I would try to if there is no risk that this boy is involved in may self harm, then I would try to encourage the parents to share that with the boy and facilitate that conversation. So we are navigating that in a sensitive way. This is a very difficult topic in general because again there are no easy alternatives. However, it's really important to be patient and to acknowledge that since this boy is a minor, the parents may know something that I don't and so we need to respect that and respect the parents' decision.
student-833
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
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
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
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
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
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
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
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
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
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
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
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
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
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
This is a difficult situation because as a physician, I always want to ensure that the patient, whoever they're associated with, is experiencing and having competent care, but also that they feel comfortable with the care that they are given. For them to feel uncomfortable is an injustice. As a physician, I would first in this situation, if they're talking to the supervisor, ask the supervisor if they would be comfortable enough meeting with me again. If they are, I would say that as a physician, my primary responsibility is towards the patient. I will do whatever I can in my power to ensure that your patient care experience is as comfortable as possible. I would ask if they're willing to meet with me in order to discuss how we can improve this relationship and what I can do to ensure that the patient is not only fully autonomous but is receiving competent and comfortable care.
If they are comfortable enough meeting with me, then I would meet with the patient and their family. I would say to the family that I will do whatever I can in my power to ensure that you receive competent and comfortable care. I would address any concerns that they may have. I would ask if they were willing to continue with me as a physician, and if they believed that even though I address these issues, if they believed that they would have a more comfortable care experience with someone else, I would put them in contact with another physician, or I would ask my supervisor to put them in contact with another physician.
Although in a perfect world, if I was being completely objective and there weren't any issues with the care, then I would want to continue with them being their physician. But if they believe they'd be more comfortable with someone else, the primary responsibility as a healthcare provider is that you give your patients the most comfortable experience that they can have. I would ensure that they are with a physician which can provide them with the care and comfort that they require.
student-819
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
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
I can share an experience when I was working at a nursing home during the pandemic and facilitating visits between residents and their families. To give a bit more context, I started in the summer of 2020 working at this nursing home. At the time we had just started to open up visits between residents and their families, but all of the visits were outside and they needed to maintain physical distancing.
The schedule for the visits was really tightly packed because people hadn't seen their family members in a long time and so there wasn't a ton of time for each visit - I believe they had 30 minutes. Our schedule was pretty much always full because we only had so many spots so that everyone could maintain physical distancing.
It was important that I was bringing residents downstairs and outside to their visits on time so that they got the full amount of time with their family members. That was really important to me because it had been so long since they had seen their family and it's really good for their mental wellbeing. I wanted them to be able to have this time.
In an effort to ensure that I was on time for the schedule, I would go up early to their rooms and I made sure that I had enough time to bring them down. But the issue was I wasn't trained on any sort of lifts, so if a patient or a resident was in bed or needed to use the bathroom before going down for their visit, I did not have the training to do that and it would have been unsafe if I had attempted to do that.
So I had to go and ask a PSW or a nurse to help me get the resident ready to go outside in those cases. Now, this was difficult because sometimes the PSWs were pretty much always very busy. They had a lot of residents and needed to be doing showers or helping with feeding and so on. And so I felt really badly going and asking for help, but again, I could not do it on my own without jeopardizing the safety of the resident.
So I went and I would ask them and I had a positive relationship with the PSWs, so they didn't mind helping, but I could tell that they were very overwhelmed and I wanted to make the process a bit easier.
What I did was from then on, I would print off a schedule of the visits and bring that to the nurses and PSWs every morning. It would be posted in the nurse's room every morning so that they knew when each resident was going down to their visits and they could prepare when it was most convenient for them. They weren't in the middle of showering a resident when I was trying to find them to toilet another resident.
I also asked them for their feedback - was this working for them? It seemed to be working better, but I wanted to make sure that I was integrating feedback from them. They actually asked me, after their shift change in the afternoon, if I could come up and just give them a rundown of the afternoon visit schedule, which I was happy to do, and that let things run a lot smoother.
It also let me get all of the residents down safely to their visits and in a timely manner so they could have that time with their families. It built my relationship and a positive relationship with the PSWs and nurses because I think they understood that I respected their time and I could see that they were very busy. Although I needed their help, I think that they felt respected in the process.
I also made sure that I was helping them in return. I didn't want to just be taking and asking them for help. I wanted to ease their burden as well. So I would help them with feeding at meal times and with the snack cart. I would spend time with residents who took a bit more of their time attention wise and just help them out in those ways.
I think that's really important in a future career as a physician, because I'm not going to have all of the answers, depending on my specialty. There's going to be times where I'm going to need help from other physicians, from other specialties, and I'll need help from other members of the healthcare team in order to optimize patient outcomes.
I want to ensure that although I need help, I am not just taking from others and I'm also contributing to this healthcare team and communicating with them in order to come to the best solution for our patients.
student-802
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
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
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
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
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
As the attending physician in this case, I would likely feel very uncomfortable with the profanity and anger directed at me. My first step would be to remove myself from the situation and take a moment to calm down. If possible, I would ask another attending or staff member to temporarily take over care so the patient is not neglected. Hopefully someone more detached can interact in a calmer, unbiased manner. Once I've had a chance to collect myself and be mindful, I would return to speak with the patient privately. I would talk in a calm tone, asking if they would like to voice any concerns and if there is anything I can do to help. I would be understanding that hospitalization can be an extremely stressful time, especially when dealing with significant medical issues. This may be contributing to their struggle with following advice and overall discomfort. My goal would be having an open discussion to understand their perspective, while remaining patient focused.
student-730
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
I agree this problematic behavior cannot be justified despite Dr. A's strong surgical outcomes. Fostering disrespect erodes team cohesion, which harms care quality. If staff feel constantly disrespected, they will be less motivated, compromising patient outcomes. Allowing this culture risks trainees emulating such conduct, propagating disrespectful patterns. Treating patients dismissively dehumanizes them, infringing on their rights and dignity. Research shows dehumanization impairs care. Though Dr. A's individual metrics are strong, condoning this behavior will enable greater harm long-term. A disrespectful environment will breed future disrespectful practitioners, eventually degrading care for countless patients. While short-term surgical results matter, the downstream effects of normalized mistreatment pose too great a risk. Upholding patient dignity and nurturing collaborative team cultures must remain paramount. Overall, Dr. A's pattern of disrespect cannot be justified solely by immediate outcomes, as it threatens patient wellbeing and staff integrity in the long run.
student-828
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
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