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700+ Casper Responses

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Casper

Although the way Jessica's parents are treating her is completely wrong and unjust, I understand how Jessica's concern on being sent to a foster home. However, I believe that I must take action, as child abuse should be taken seriously. I would first talk to Jessica in a private and empathetic manner, and let her know that I am sorry for everything that she is going through. I would then stress to her that her family situation is not okay and that her parents are not treating her well. I would validate her concerns, but also let her know that she could be much happier in a different environment, with caretakers that treat her properly. I would also offer my assistance in the matter to ensure that she will be taken care of differently.

student-121

Casper

This is discrimination, even if it is fact based. The store owners saw the stealing and generalized the behaviour, assuming that all teenagers steal, which is false and discriminatory. It is unfair to the non-stealing teenagers. However, I understand the store owners perspective as, financially, this might be a good strategy for their store.

student-171

Casper

I beleive i need to look at this from both sides. YEs we are very reliant on electricity and it is needed in a majority of western societies. But some nations in less developed areas have to make do without it. I see that in areas of varying climate and weather from very cold to very hot may need heating and cooling in their homes to survive. But the government needs to make money as wel to offer other services like medicine, shelters, school programs. I think that stoppign the charge is dificult, but lessening the chrage may be the only way to allow equal access as you still need a home and others expenses to have electricity.

student-598

Casper

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

student-30

Casper

Given the situation, I would first verify the feelings of the patients towards the game. I would likely ask each resident individually privately in an empathetic tone open ended questions. I would probably ask what their feelings are towards this game, it there another activity that they may have a preference for. In this situation I would like to promote the autonomy of the patients and allow them to make their own decisions rather than misleading them into enjoying this game. I would also express that I am open to lead any alternative game that they might like to play and that I am here for them.

student-237

Casper

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

Casper

No, I wouldn't forbid the poor child from being friends with the rich one, because that would mean that anyone that is richer than you can't be yior friend and thats not have life works.

student-696

Casper

Because I know that they are lying I would talk to them in a passive manner and remind them about the situations of the group. By skipping you are disadvantage the other members who worked hard on their part and I want to show my friend the situations my group members are coming from. Lying is also not a good thing where integrity is important in society and their future. Building trust is a necessary skill and this can lead to bad habits. So I would ask them to come back and work on the assignment

student-459

Casper

This indeed is a challenging situation for John. First of all, john should consult the city law and make sure if the law is strict. If it offers some levy, then john can let the woman board the bus. However, if the law is strict and doesnt allow any exceptions in medical circumstances, then I think John should follow the law. He should apologize to the lady and explain her the whole situation. He can inform of next bus timings so she can put her purse in the meantime. Similary, informing her of taxi schedule, if avaliable, will also be beneficial. After John finishes work, he should reach out to his manager or the city hall, informing of this situation and starting a discussion about having exceptions for medical emergenies.

student-193

Casper

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

Casper

This is a difficult situation for John as he may feel a conflict between his responsibility to his job and what he may feel morally to do. On one hand, it is understandable that one may want to \"make an exception\" to the rules for the case of this kind elderly lady who is rushing to an urgent appointment, as there is empathy for her situation. On the other hand, in his role, John has a responsibility to uphold the regulations of this employer requiring all to pay a bus fair. In this situation, it is important that John upholds the responsibilities and rules of his job - but to enforce them in a way that listens to the lady's concerns. He should tell her that he understands he predicament, and that he is sorry for the difficult position this puts her, but that he must follow the regulations of his employer, for fairness to them and also to the other passengers on the bus. He may also then suggest alternative methods of obtaining a ticket, for instance if there is anyone close by or anyone she could call for a ticket, or if there is any other way to get her to her destination.

student-1

Casper

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

student-654

Casper

No, that would be morally incorrect. Yes, his daughter donated a generous sum on money to the hospital; however, she did it own of her own desire. It is important to respect everyone equally regardless of exterior factors such as donation especially in a professional healthcare setting. All human lives are fundamentally equally. Hospital should aim to approach every case in an equitable fashion and unbiased - these are important in professional practice. treating a patient differently based onwhether they have donated or not would violate justice, fairness, and non-discrimination

student-71

Casper

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

student-413

Casper

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

student-141

Casper

I am answering this question as if I am Jennifer. It is explitely cleear that this is a situation where one of my best friends feels very uncomfortable, which I know because she has clearly verbalized this to me. I first need to ask her if she can precisely walk me through her though process, for why these books are \"glorifying heterosexual relationships\" (if she is comfortable) and I will provide my POV (if she is willign to hear it) , emphasizing the literary and academic significance of these books. At the end of the day, I should prioritize my friendships over a club, especially if Heather has overall been a great friend to me and supported me and added value and happiness to my life, as a way of me giving back to her, and find other ways to channel my passion for this cause/reason for wanting to establish this club.I would also repeatedly acknowlege to heather that I will try my best to make this club a safe space and inclusive to LGBTQ participants. .

student-17

Casper

As the supervisor, my priority would be addressing the situation in a manner that's respectful to both my employee and the customer. I would first approach and ask what is going on to get a better understanding of the situation. I would then ask my employee to take a break in the staff room while I address the customer's concerns. I'd apologize on behalf of my employee and take the time to address this customer's concerns so that they nad other customers in the store nearbyfeel comfortable returning to our grocery store in the future.

student-155

Casper

I would first listen to this customer and empathize with their situation. I would then tell them that unfortunately I am not allowed to give them a refund as it goes against our store policy and it would be putting my job in jeopardy. However, I care about their situation and would like to support them to the best of my ability. I would research funding resources as well start a go fund me page.

student-206

Casper

I would be understanding of how he might feel, because i would also be very frustrated if someone stole money from the buisiness. I would try to reconcile with him by showing my loyalty to the company and explain to him that i would never do that. I would cooperate with him to find the actual culprit.

student-646

Casper

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

student-46

Casper

This is a difficult situation. I understand that the company has a strict policy that requires a receipt for any returns to be processed and the policy must be followed by all of the employees. I can also understand the customer's situation and understand that they need the money in order to pay for their medical bills. I would first gather more information from the customer and ask if he has the receipt at home somewhere and if he can return with the receipt. After gathering this information, then I would escalate the situation to my supervisor and work with them to get the issue resolved.

student-420

Casper

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

Casper

Yes, I have had similar personal experience with this myself. While it was not dedicated training, I have gone through several experiences at school and work where morals were threatened and the only way to defend them was by standing up to authority. I believe proper training would offer a way to practice this, particularly what to say in these situations, for those who feel fearful in doing so. I understand that many people come from cultures where authority is highly regarded and this value makes it difficult to stand up to authority when necessary.

student-464

Casper

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

student-701

Casper

I would assess my surroundings to determine where I am, if I have any food or water nearby, and possibly shelter. I'd tell myself that this situation could last a while and I need to prepare the best way possible.

student-605

Casper

As a coworker it is my duty to hold my peers to a high ethical standard as well as look after company belongings. I would pull my coworker aside and be transparent in my thoughts. I'd tell him/her that I understand it might be scary to look bad in front of the manager but lying is not the correct thing to do. I would tell him/her to do the right thing and tell the manager what had really happened. If he/she is still scared to speak to the manager I'd offer to go with him in attempts to mediate the situation. I would suggest the coworker come to a compromise with the manager about how he/she can make up for the damage.

student-105

Casper

While letting her board isn't fair to all the other passengers who paid for their tickets, if the lady truly is running late for her medical appointment, it would be best to show understanding and kindness in a stressful situation. I think he should let her on (or maybe pay for her ticket himself) but remind her of the policy that she should abide to.

student-630

Casper

Though it is possible that other people may be a better fit for the puppy and in a background check by a pet adoption agency they may find issues, I believe they still have the right to adopt the puppy. I think They have the right because he saved the puppy and thus obviously is kind and caring towards animals and further there are many animals that are waiting to be adopted thus if the puppy was put back up for adoption it is possible they would not be adopted.

student-488

Casper

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

Casper

All patients regardless of background, socioeconomic status, race, gender, etc. must be treated with the same level of respect and care by healthcare workers, to ensure the system is working in a just and ethical manner. It would not be right for the man to receive improved care based on the donation that his daughter made.

student-522

Casper

This is difficult because I am concerned about the wellbeing of the lady but it is also against company rules to let people ride without a ticket. I would first gather more information about how far the lady lives, what time the appointment is, and what exactly my company policy says. if the lady lives close and has enough Time to catch the next bus I would tell her to do so. I would also check my company policy and call my supervisor quickly to see if there is any clause about dealing with situations like this. If there is, I would tell John to let her on. If the policy is strict despite any situation, I would apologize profusely to the lady and see if there is a family member that can drive her or if she can take the next bus.

student-419

Casper

This man may be harmed by PSW if the situation is left unattended As a visitor and compassionate citizen I want to make sure this man is not being subject to harm in a place of care I would feel the responsibility to intervene in some manner I wouuld first take the PSW aside and ask her if there was a problem. I would have ashley do the same with the man. We would reconvene and discuss and if the man indicated potential abuse or if either of us had reason to expect it we would report the incident to an autghority. Although this would be inconvenient to the PSW we would be able to more justly establish what happened here.

student-489

Casper

I would ask to speak to the individual recording in a private locations. I would then respectfully exlpalin to them the situation, and try to understand if there's any compromise or solution we can work out together. For instance, I would offer to record a video of them and their friends, or ask them to kindly delete the video as it makes my friend uncomfortable.

student-168

Casper

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

student-593

Casper

Overall, I believe this taxing system is not entirely fair, because it can cause an immense burden on individuals not involved in corporations, making the wealthy more wealthy and the poor further disadvantaged. Individuals who are working hard to earn their money independelty should not be penalized by paying higher taxes, and we should instead understand their perspective and perhaps raise taxes on the more weathy corporations who can afford to pay higher taxes.

student-461

Casper

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

student-528

Casper

My main concern is the fairness to all members, and the wellbeing of the no-show student if they try to take credits without any effort. They might facing some difficulties, so I would talk with them privately to see are they experiencing something difficult. If no, then I would tell them that they need to put effort on the project, so we could do the presentation togteher, and I would like to help them. If they do, then I would ask is there anything we can help, and we will help them go through the difficulties, and help them do the project together. If the difficulty cannot be solved, I would like to ask our teacher, and come up a solution together.

student-636

Casper

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

Casper

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

Casper

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

Casper

This does not have a right or wrong answer, as it would depend on the views of Jennfier finding out these new findings. I believe jennifer may have not know what heather said, and perhaps upon finding this out she may change her mind. That being said we must first find out what her opinion is on this, and whatever that may be, it is up to jennifer to create the club as it is her club after all. That being said though, jennifer must also talk to heather in order to justufy her decision.

student-221

Casper

I think that both of the people in this situation could have handled it better. For example, the man may be prejudiced against healthcare workers. However, he may have also had bad experiences with healthcare workers during covid and they may have caused the death of his family members. He could also be just having a bad day. Or he did not mean to be rude wiht his question and could be just bad at reading social cues. I think that the healthcare worker should have also been more understanding with his response and not take it as hostile. However, it is very understandable that someone may be irratable after a long and tiring shift at work. I think overall, both people in this situation could have handled it bettwe however, no one is in the wrong persay as they may both have valid reasons for their interactions.

student-33

Casper

je crois que cette citation veut dire quun professionel doit avoir lair de savoir ce qu'il sont en train de faire, soit davoir lair compétent, afin dinspirer de la confiance dans leurs clients/patients. un professionel ne doit pas avoir lair perdu tout le temps et doit être confiant en soi meême.

student-136

Casper

As someone who is potentially getting recorded on somebody's phone, my primary concern would be the comfort of my friend. I would first want to ask my friend in a private and non-judgemental manner if she feels comfortable being in the video. It is possible that I may have misread her, and she is comfortable, in which case I would not take further cation. However, if my friend discloses that she is unconformatbel with the situation, I would encourage her to ask the person to not speak to the person about this or ask if she would like me to. If I speak to the person, i would first ask them if they are recording us, as they may not be. If they are indeed recording us, I would kindly and respectfully ask them to keep up out of the frame as we are not comfortable with being in the video.

student-104

Casper

As the bus driver, John has a professional responsibility to follow the rules. So, I am concerned about the elderly lady's health, upholding justice (everybody else paid, so it would be unfair to let her on without paying), and also john's reputation and job (because he could face consequences for letting her on). So, I would first try to find an alternative solution. Could john wait while the lady walks back to her house? Would another passenger be willing to pay the $2 (or whatever the bus fair is in funtown), i have done that a couple of times, but its unfair to expect others to. Also, if john has the means and is seriously concerned about the lady, could he possibly pay for her?

student-210

Casper

student-598

Casper

In this sitautio I would tell the customer the polciy of the business that I could not give back without a receipt and suggest they looked in different places for it. I could not break company polciy since that would jeopardize my own job and make me a non-trustworyh employee.

student-162

Casper

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

student-140

Casper

I think the right course of action would be to make sure the puppy didn't belong to anyone first. If the puppy didn't belong to anyone then I think he has the right to adopt the puppy. If the puppy does have an owner, then I think it would be our responsibility to try our best to find the owner and to return their puppy.

student-470

Casper

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

student-170

Casper

I 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

Casper

If I had previsouly told Lucas that idea and it was clear when I told him that he did not come up with it himself I would have a private chat with Lucas to determine why he stole it. If he had jsutfiable reasons like he needed a promotion because of a new child I would keep quiet and help him develop this idea so that it works. If he has no justifable excuse I would tell him that is was morally wrong to steal my idea but still keep quiet and began working on problems that the idea may face. There is always a future opporunity to improve the idea and next time I will not share it with him. Right now howver it would seem desparate for me to tell others it was my idea, which may discredit my suggestions in the future.

student-431

Casper

Making sure I am in no harm, I would tell the teenagers to stop abusing the cat immediately. Further, I would say that physically abusing an animal is unethical since it is an abuse of power. I would ask them to walk away and leave the cat alone.

student-408

Casper

il doit lui parler dans son bureau en privée de sa découverte de manière non confrontationnelle et non jugemental. Le bien être de son employée est important mais aussi le respect de règles de l eatblissmenet l est aussi. Il doit lui parler pour connaitre les motif du vole et se montrer compréhensif par rapport à ces raisons tout en lui expliquant comment cel a affecte de manière neagrtif les ren=venu du magasin - lui proposer les ressources auxquels il peut beneficer pour l aider fiancieremenr et lui demander de ne plus voler - lui proposer des shift supplémentaires - etc mais si container à voler devoir être plus surtitres dan ces mesure

student-514

Casper

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

student-587

Casper

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

student-395

Casper

I tried to give feedback from an empathetic approach, highlighted how I had been in a similar circumstance and how I approached it rather than being authorattive or demeaning. When I was playing basketball for a team competing in a high level competition I was injured for a while and had to watch from the bench. The player who was tasked with filling in for me was really struggling with remembering plays and keeping up physically. Two years ago I was in the exact same position, so I wanted to help him as the players before me had helped me. I told him how I had been in a similar situation and how to use limericks to remember play calls and to stay in motion to handle physicality had helped me, to try it and how I didn't know everything and if he was still confused approaching the coach would be a good solution too.

student-31

Casper

In this situation I would intervene and not let the coworker perform the prank as it would likely be considered offensive by the recepient and damage the relationship between the coworkers. I would speak in private to the person pulling the prank and ask in a nonconfrontational manner why they want to pull the prank. It may be the case that this person pulls pranks to get to know people better. I would then explain why they should not pull the prank as they may not realise the effect it could have on the recepient. I would then explain that if they did not stop the prank, I would have to speak up

student-169

Casper

Although he may want to help his friend Jessica, it may be best for him not to share the database with her as it be not help her understand the material better. Instead, he should ask Jessica if she has used any of the schools after school tutoring services that could help her perform better in the course

student-642

Casper

I live in a border town so I often cross to Mexico. I've encountered a lot of homeless individuals during my visits. One time, I was approached by a 5 year old boy whom I saw crossed the street by himself to ask me for some change. The street was populated and I couldn't help but think of the kids safety so I asked him where his parents were. He proceeded to point towards a women located at some distance. I wanted to walk over to her and tell her that she needed to watch over her child and be more careful.

student-672

Casper

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

student-301

Casper

Kevin should plan to talk to his empolyee after work one day. He should ask how himself and his famliy is doing. I wold then say \" I have notice some bread going missing in the store lately, do yo know anything about it?\" I the emplyee confessess to stealing it for his family I would let him know I understand that he is a great need and only doing this out of nesscity. I would then work ot a plan for him to be able to take the stale loaf they can no longer be served in the cafe or ofer to set him up with other services that may help.

student-656

Casper

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

student-535

Casper

This situation invlives examzing the case to ensure my academic well being while also ensureing I am not accusing someone of something they did not do. First i would examinie the room and see maybe i mispalced my book, ask the front desk if someone refported a lost book, ask the people around. If I still could not find it, I would start a friendly converstaion with the person and ask \"Have you seen my book that was here, I missplaced it I think\". If they said they did not then I would give them my number and ask to report to me. I would also report to the lost and found section. i have no enough evidence to accuse them. If my book had some marks, then ai owuld politely ask the person to look at their book for some reference and ensure my mark is not there, then its not my book. I wuoul want to ensure their well bing and so i would no jump to conclusion.

student-406

Casper

There was a time when I was working as a Personal Trainer and I came across a client that was very discouraged about her goals and did not know how she would be able to achieve them. More specifically she felt embarrased about working out in front of others in the gym

student-402

Casper

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

student-248

Casper

I don't believe it is right to adopt the new puppy without first looking to find it's owner. Since it's a young pu[ppy, the parents of the puppy and their owner may be worreid for it's safety and looking for it. Keeping the puppy wouldn't resolve their stress, and rather I would suggest helping him find it's owner by palcing flyers around the area. I would contact animal shelters seeing if they know of a missing puppy, and ask if they haven't to look after the puppy untill it's owners are found. If they aren't foudn and he still wnats to keep it, I believe it is alright to let him .

student-614

Casper

I would go up to them and talk with them. I would ask them why are they throwing trash on the ground and ask for them to pick it up and find the nearest trash can and dispose of it there, directing them to any ones I know of. I find people often do this stuff but will throw it out properly if mentioned. If they make a fight I try to calm it down and throw out the trash myself.

student-377

Casper

i would first have a private conversation with the student prior to reporting, as the student may be dealing with health or personal issues. After the presentation, i would have a private and non-confrontational conversation and ask them how have they been doing and what obsticals they had completing their part of the project. If they explain that they have been dealing with health issues or personal issues such as a family death, i would tell them i understand and thank them for confiding in me. I would advise them to speak tot he teacher about their personal troubles causing them to not finish their part of the project, and to come up with a solution with grading scheme. If they explain that they simply did not want to complete the project or did nothave time too, i would kindly explain the importance of everyone's contribution to this project and how hard everyone worked. Then i would advise him to speak to the teacher about the grading scheme as they did not finish their part.

student-56

Casper

I think this person might have encountered a scenario where they were treated poorly by a student. Its important to understand what might have led them to make this type of statement and not ignore their feelings. That being said, they are making a general statement about a group of people which is hurtful.

student-272

Casper

I would start by bringing aside my shy friend to ask if they are okay and if the videotaping bothered them. If they explain that they do not want to be in the video, I would propose to them that we talk to the other friend to ask politely if they could maybe cut out the part where we see the shy friend. This way, the videotaper would still have a part of the video from the event and my shy friend would not be in the video.

student-600

Casper

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

student-124

Casper

I would approach the situation by asking the person in a calm, non-confrontational manner if that text book is theres. it could very well be there's so I would ensure t ogive the person the benefit of the doubt. the person could have also had reasoning to take the text book, so whether it is there's or not I would be empathetic towards them.

student-516

Casper

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

Casper

This is a difficult situation because I am worried about the wellbeing of my group members but also about being fair to my group and myself since it is not fair for someone to bail on a project last minute. I would first gather more information by privately talking to the member in a non-judgmental manner and asking about his injury. I would also ask him about how he is able to go out with my friend when he is unwell. Maybe he just went out of the hospital for a little if allowed by his doctor before returning. If so, I would approach the teacher for an extension after explaining the circumstances. If he is actually lying about being injured, I would explain how is actions are affecting the group and ask him to complete his part. If he does great, if he does not then I would report him to the teacher. I would also give him option to come forward himself before repo

student-392

Casper

On the one hand, it is diffiuclt for people of lower socioeconomic status to pay for electricity snd meet this essential demand. On the other hand, electrical bills generate revenues for the government, which can be used for the greater good, including developing programs for socialization and betterment. I believe a solution would be to charge for electricity based on the persons income, a \"pay what you can\" system - the amount can be calculated as a percentage of income. This ensures equity.

student-565

Casper

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

student-235

Casper

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

student-275

Casper

This is a diffuclt situation as i empathise with Michelles personal struggles and his mother's heath concerns. However, i am also worried for Michelle's heath and wellbeing, as well as personal integrity. I would start by having a private conversation with Michelle prior to reporting in order to gather information. I would first tell him i am sorry for what his mother is dealing with and what he is dealing with. I would then ask him if he is taking the performance enhancing drugs and for how long. If he doesn't know about the reprocussions of these drugs, i would educate him how they can cause heart attack, stroke and anxiety. I would advise him to stop them and drop out of the marathon as it is illegal to be on the drugs in the marathon and he can become disqualified. If he doesn't, i would have to report him for his head;th and wellbeing

student-321

Casper

I can understand the concerns Ashley may have about what she observed however I would ask her not to jump to any outlying conclusions just yet. Instead, I would present Ashley with the case in which maybe the elderly man may have hearing issues in which caused the PSW to appear as though she was yelling at the man. Also, it could be possible that one of the elderlies illnesses could cause them to be more susceptible to bruises or it could even be bed sores.

student-569

Casper

This is a dilemma since John should respect the law but it's also incredibly important for the lady to make her medical appointment - she may have imoprtant medical concerns that require urgent attention and waiting may cause her to have a poor outcome. In these situations, I think its important to look for alternatives in which both criteria can be met, and perhaps stopping the bus and asking fellow passengers if anyone has a spare ticket to help this woman out could provide a solution. In y experience, people are often eager to help in these cases. If I were in John's shoes, and none of the passengers offer to help, I would either purchase the ticket myself or allow this lady to come on the bus at no charge, as I believe the medical situation necessitates this potential infringmenet here.

student-416

Casper

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

student-371

Casper

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

Casper

From my expereince, I realised that teamwork may fail when communication is not optimal and not enough collaboration within the team takes place. I believe it is important that each member of the team knows its role and listens to each others concerns to help each other out and work together.

student-624

Casper

I believe that proper training can make it easier to stand up to authority. You can be taught what words and phrases are important to hit a cord with authority so that they will listen to you. If you feel like you need to stand up to authority, you should know how to do it in a correct manner that is non confrontational and you will be listened to.

student-524

Casper

I believe that it means that a person does not need a reason to be curious. If someone wants to know about something, they don't need to explain their hunger for knowledge, their curiosity. Humans tend to want to understand the world around them. It is why we explain unexplainable phenomena by using a religious lens. It is also why we put such importance on science and scientific discovery.

student-389

Casper

Unfortunately, I do not believe there is a way to fix this. As a student, we are given ample opportunity to get rid of any aids before an exam begins and are often told several times to place any non-transparent items such as water bottles and pouches on the floor. From the perspective of the professor, there is no way of telling which students are cheating and which ones just made a mistake, as in my case. Regardless, I would try to explain my situation to the professor via a private meeting while also acknowledging that I do not expect them to revert my fail.

student-191

Casper

I would not forbid my child from being friends with another due to our financial status, instead I would offer support and explanations to my child as to why our situation is the way that it is, and how his friend may be fortunate to have those toys, but it doesn't mean that we love our child any less. It would be unfair to him to lose a friend becasue of our finances.

student-510

Casper

I realize there exist a power dynamic between my boss and I and he has some power over me. I woudl approach my boss and ask if he has proof over why he believes I stole the money. if he does not have proof and is still adamant on me stealing the money, I would reach out to HR and let them know the situation. If no change has been made I would resign. I woudl not feel comfortable and be able to work to the best of my ability when my intergeity has been questioned by my own boss.

student-236

Casper

I don't think this is counter-intuitive and it is important to have a growth mindset and think of leadership as a process of lifelong learning. Something that can be conintually improved upon as you progress within your career. It should never be set in stone and true leaders are always finding ways t improve their skills. In addition, leadership comes into play within different contexts. For example, the leadership individuals may be exposed to pre-professional school may serve as a foundation for more complex forms later on in their development process.

student-73

Casper

they should not treat the person in a different manner than the other patients. Yes, he is an amaazing person for donating and he should be congratulated for his donation which will help the hospital buy new equiptment and save lives. But as a patient, he does not have nay greater rights than the other people needing healthcare attention as well. To treat him differently would be unfair and it could bias how the hospital is runnign and how the employees operate, which could leave some people to not get the resources they need desperatly

student-449

Casper

Looking at the situation as a whole, I see that they have committed a crime of tresspassing but they have not done any vandalization or additional crimes to that. They are holding a charity event that is good for the community and as teens I do not want to play a large negative role in their lives for attempting to do something good. If the teens have tresspassed before, i may have to do a regular fine for them. But if this is their first time getting a ticket, I will still have to follow the rules of the law and give a ticket, but I would make sure that it is a minimal ticket and explain with compassion to the teens that i am sorry I have to give them a ticket, i think they are doing great work but next time do it on public property

student-361

Casper

I would not simply laugh along with my co-workers because even though we are in a casual environment, I still don't think it is nice or appropriate to make rude comments about other people, especially if they were to be heard. I will try to steer the conversation away from the negative talks and focus on other topics. I will also look around my cowokers, as it may just be one or two people that are making the comments and everyone else laughing along because they don't know what else to do. If so, I will approach these co-workers in a non-judgemental and friendly manner in private about the comments and how some people might think it is a bit insensitive. I won't be jdugemental but i will just mention how some people might feel uncomfortable hearing them.

student-333

Casper

As the situation is already tense, I would approach it in a calm manner and start off by providing the distressed consumer what they may need so that they stopping yelling, and also allow the employee I would also reassure both parties involved that everything can get sorted, and provide them support in any way I can.

student-256

Casper

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

student-641

Casper

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

student-647

Casper

Yes, it would be religious discrimination for a restaurant to not offer pasta because they would not be accommodating for the group of people who can only eat pasta. The people who can only eat pasta would not have another food option to order from the restaurant. In that case, they would not be able to enjoy the restaurant the way that others who don't have this dietary restriction would be able to. This group would instead be compelled to go find another restaurant that does, in fact, serve pasta. As a result, it would be religious discrimination on the restairant's part.

student-43

Casper

If I were janet, I would listen shelly to t and understand were she is coming from. I would support her and let her know I am there for her. I would tell her that she needs to do what she believes what is best for herself. If her parents care about her, they should come around to her being a lesbian, but this is not always the case. IF shelly wants to tell her parents I would be there for her, and even be with her when she tells her parents if that helps her. I do not know how her parents will react, but I will be there for shelly whether she tells them or not. IF she thinks it is unsafe for her to tell them, thne I understand and will support her no matter what.

student-183

Casper

In a situation as tough as this one, I would definitely need more information. I would figure out what she was using because some performance enhancing chemicals are legal such as creatine. However, if the performance enhancing drug was illegal, I would try to persuade her to stop taking them immediately. It is unethical to win the race by cheating, even in the circumstances she is under. If she complies, then I would not report her. If she tells me she's going to keep using them, then I would explain to her that I have an ethical responsibility to report her. I would not judge her and I would try to help her and her family out in any way I could.

student-483

Casper

I was in a group project where the other group members had been previous friends but i was meeting everyone for the first time. They had many inside jokes and would mainly talk amoungst themselves. I felt that the discussions were being made mainly betweeen them and that I was never called upon for my opinion. I could have inserted myself more int the conversation and tried to get to know everyone more but i felt intimidated a t the start of the group project. Additonally, they would work on the project at eachothers house and not invite me all the time.

student-455

Casper

I was part of a school project for one of my science courses in university. We were asked to write lab report in a short period of time given all the other course loads. Given the busy schedule, it was difficult to find mutal time. I encouraged the group to divide tasks and work on our own and then meet for the final results. This has helped us maintain positive group dynamics and seucced in the project.

student-609

Casper

Whilst I can understand why Richard may want to tell Jessica about the database, in order to help her out, it would not be an appropriate thing to do. By providing Jessica the data base it provides her with an unfair advantage over other students who may not have access and may also be struggling with the course. Furthermore providing the database to Jessica also disadvantages her as she may properly learn the content which could create problems with more advanced units later in her degree. Richar should instead offer to tutor Jessica or encourage her to raise her concerns with the lecturer

student-355

Casper

This can be a difficult situation as you want to be kind to your friend but you also want to follow the rules of the school. I would first come up to him in a calm and non judgmental way and tell him that smoking on school property is prohibited. I would give him a change to move off of the school yard or stop smoking. If he refused to do so, I would tell someone at the school to ensure that the policy is enforced. I would also want to make sure he is doing okay by asking him if there is anythgin going on in his personal life that I may be able to help with witout overstepping boundaries

student-148

Casper

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

Casper

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

student-54

Interview

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

student-799

Interview

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

student-759

Interview

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

student-776

Interview

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

student-718

Interview

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

student-814

Interview

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

student-761

Interview

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

student-769

Interview

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

student-805

Interview

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

student-735

Interview

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

student-829

Interview

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

student-745

Interview

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

student-803

Interview

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

student-804

Interview

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

student-795

Interview

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

student-780

Interview

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

student-816

Interview

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

student-772

Interview

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

student-733

Interview

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

student-770

Interview

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

student-747

Interview

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

student-781

Interview

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

student-719

Interview

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

student-830

Interview

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

student-790

Interview

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

student-810

Interview

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

Interview

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

student-730

Interview

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

student-750

Interview

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

student-732

Interview

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

student-723

Interview

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

student-785

Interview

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

student-763

Interview

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

student-760

Interview

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

student-791

Interview

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

student-767

Interview

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

student-775

Interview

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

student-801

Interview

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

student-737

Interview

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

student-755

Interview

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

student-789

Interview

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

student-808

Interview

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

student-738

Interview

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

student-817

Interview

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

student-713

Interview

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

student-815

Interview

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

student-774

Interview

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

student-794

Interview

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

student-753

Interview

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

student-826

Interview

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

student-782

Interview

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

student-800

Interview

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

student-762

Interview

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

student-783

Interview

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

student-784

Interview

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

student-717

Interview

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

student-754

Interview

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

student-831

Interview

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

student-788

Interview

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

student-744

Interview

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

student-778

Interview

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

student-806

Interview

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

student-821

Interview

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

student-793

Interview

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

student-742

Interview

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

student-823

Interview

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

student-726

Interview

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

student-736

Interview

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

student-786

Interview

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

student-809

Interview

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

student-768

Interview

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

student-820

Interview

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

student-828

Interview

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

student-819

Interview

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

student-771

Interview

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

Interview

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

student-825

Interview

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

student-765

Interview

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

student-822

Interview

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

student-740

Interview

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

student-731

Interview

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

student-773

Interview

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

student-720

Interview

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

student-811

Interview

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

student-824

Interview

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

student-777

Interview

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

student-832

Interview

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

student-749

Interview

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

student-724

Interview

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

student-807

Interview

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

student-818

Interview

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

student-728

Interview

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

student-787

Interview

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

student-792

Interview

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

student-758

Interview

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

student-748

Interview

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

student-813

Interview

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

student-722

Interview

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

student-721

Interview

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

Interview

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

student-741

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