AI attempts MMI prompts

ChatGPT answers the Big list of public MMI questions

Does an AI respond better than you do? Better get practicing!

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Beginner
Dr. Cheung recommends homeopathic medicines to his patients. There is no scientific evidence or widely accepted theory to suggest that homeopathic medicines work, and Dr. Cheung doesn't believe them to. He recommends homeopathic medicine to people with mild and non-specific symptoms such as fatigue, headaches and muscle aches, because he believes that it will do no harm, but will give them reassurance. Consider the ethical problems that Dr. Cheung's behaviour might pose. Discuss these issues with the interviewer.
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ChatGPT's answer ...

I believe Dr. Cheung's behavior is ethically questionable because, while he may believe that homeopathic medicines will do no harm, there is still no scientific evidence that suggests they will provide any benefit. Further, by encouraging the use of homeopathic medicines, Dr. Cheung may be providing false reassurance to his patients and leading them to forgo more effective treatments for their ailments. Additionally, this practice could be seen as deceptive and misleading, as Dr. Cheung is straying from accepted scientific norms.

Dr. Cheung should consider the ethical implications of his actions and be honest and transparent with his patients. He must openly discuss the lack of evidence for homeopathic treatments and explain their potential harm. Doing so will maintain the trust and respect of his patients, while still providing them with compassion. Furthermore, Dr. Cheung should focus on conventional medical treatments, recommending homeopathic medicines only when they are a patient's last resort option.

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Beginner
Imagine you are the principal of a full fee paying school. There has been an allegation by members of the public of an incident in a park in which at least two senior school students were seen verbally abusing a young person with intellectual impairment for the amusement of a group of other students. Two final year students are to attend a hearing with the principal to explain their actions in the incident. What are the issues the principal is likely to consider at the hearing?
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ChatGPT's answer ...

The principal is likely to consider a range of issues at the hearing. Firstly, the students' actions must be carefully evaluated in order to determine their culpability and whether their behaviour is reasonable in the circumstances. Secondly, the principal may take into account the students' age and experience, as well as their personal attributes, to assess the level of responsibility assigned to each student and determine the appropriateness of any potential sanction. Additionally, the principal will consider how the incident reflects on the school's reputation and the values it holds, and this will be compared to those of the offending students. Finally, the principal must consider the impact of the incident on the young person with intellectual impairment, as this will determine the kind of restorative action required to promote healing and reconciliation. All these factors are essential to ensure full accountability and an appropriate resolution to the incident.

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Intermediate
A physician picked up a car accident victim from the street and brought him to the ER in his car. He did not want to wait for an ambulance because the patient‟s condition was critical. Physical examination in the ER reveals quadriplegia. Is the physician liable for this consequence?
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ChatGPT's answer ...

The accountability for the uncertain outcome of medical care, such as the one described in this case, is a difficult challenge to answer. The medical reality is that medical practice is inherently unpredictable and outcomes can never be guaranteed. In this case, the physician is likely not liable since they acted out of the necessity to save the patient's life and acted with the patient's best interests in mind. Additionally, in these emergency situations, the physician is often not presented with a safer option than using their own vehicle and taking action as rapidly as possible. The physician acted in the best interest of the patient by placing their wellbeing above all else and is therefore, not considered liable for the patient's outcome.

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Beginner
You are a second year student shadowing a doctor in the O.R. Once the patient, an obese female has been given general anesthetic and the procedure is under way the doctors start to make comments about her weight and call her names that you find inappropriate but most of all unprofessional. Do you talk to the doctor about his comments or do you keep your comments to yourself? Why?
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ChatGPT's answer ...

I believe it is my responsibility, as someone of medical authority, to address any inappropriate behaviour in the workplace. I would speak to the doctor privately about his comments, and explain why such language is hurtful and not conducive to a professional medical environment.

In my opinion, treating each patient with respect, empathy, and professionalism is paramount to the success of any medical procedure. Making derogatory comments about a patient's weight contributes to a hostile work environment. Additionally, overemphasizing an individual's weight not only has the potential to be hurtful but can also be harmful to the patient's mental and physical health.

I believe that a successful medical team is a united one. I would ensure that this doctor understands how his words can be seen as derogatory and unprofessional and advocate for the patient's right to their own dignity and respect.

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Beginner
Your company needs both you and a co-worker (Sara, a colleague from another branch of the company) to attend a critical business meeting in San Diego. You have just arrived to drive Sara to the airport. Sara is in the room.
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ChatGPT's answer ...

I have arrived to drive Sara to the airport. I'm pleased to report that Sara is in the room and ready to go. We have discussed what we need to do at the meeting and I'm confident that she is well-prepared. We both understand how important this business meeting is and we want to do our best and make sure the meeting is a success.

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Advanced
It has been argued that wait times for organ transplants can be significantly sped up through surgeries and donations from other countries. You are a physician working with a patient who you noticed had recently gone to the Mexico to receive a liver transplant. What are the ethical issues involved?
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ChatGPT's answer ...

Ethical issues involved with a patient receiving an organ transplant from another country include: informed consent, safety standards and regulations, quality of the organ, and reasonable cost.

In the case of informed consent, it is essential that the patient understands the risks and benefits of travelling abroad to receive a transplant, and that they understand that they are taking a risk by travelling outside of their home country, as health regulation and safety can vary.

Regarding safety standards and regulations, it is essential that the patient is aware of the standards and regulations of the countries or organizations they are travelling to receive their transplant from. This includes being aware of how the liver -- or other types of organs -- were initially obtained, and if the donor provided their informed consent for the organs to be transplanted.

Quality of the organ is also an ethical issue, as the patient needs to be aware that the organ they are transplanting may not be up to the same standards as if they had received an organ from their home country.

Finally, reasonable cost is an ethical issue associated with organ transplant. The patient needs to understand the cost of the transplant, and potential additional costs such as travel and accommodations associated, to ensure that the cost is reasonable and not exploitative.

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Intermediate
In June 2011, the Vancouver Canucks lost the Stanley Cup and riots broke out in Downtown Vancouver. Discuss the impact on the community and the range of health care professionals at St. Paul‟s Hospital.
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ChatGPT's answer ...

The event of the Vancouver Canucks' 2011 Stanley Cup loss had a devastating impact on the community, and it put a strain on the professionals at St. Paul’s Hospital. From what I recall, the emergency room and trauma teams were busy all night treating non-life threatening injuries resulting from the riots. It was a very stressful night for the health care team at St. Paul’s, as they had to take urgent care of people who had been injured in the riot as well as continue their usual duties.

The most significant impact of the Vancouver Canucks' 2011 Stanley Cup loss was on the mental health of the community. Students and young adults were the most affected, many showing signs of depression or anger issues. The event was a huge blow to the city’s morale, and the professionals at St. Paul’s had to work around the clock to provide care and support to those affected. A range of health care professionals, such as psychiatrists, psychologists and social workers, were necessary to address the mental health needs of the community following the riots.

Overall, the Vancouver Canucks' 2011 Stanley Cup loss had a major impact on the community and the demands on the care staff at St. Paul’s. The event highlighted just how vital experienced health care professionals are in times of crisis and unrest, and it was a powerful reminder of the importance of mental health care.

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Advanced
Dr. Who is a physician for Mr. Bean and his wife. Dr. Who discovers that Mr. Bean has an STI. Mr. Bean does not wish to tell his wife . What should Dr. Who do? Explore the ethics surrounding this scenario.
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ChatGPT's answer ...

As a physician, it is my ethical responsibility to act in the best interest of my patient. In the case of Mr. Bean, I would first make sure he understands the importance of informing his wife of his STI and the risks associated with not doing so. I would also make sure he understands she has the right to make her own judgement on how to best protect her health. I would also recommend that he seek counseling to explore the best way to approach his wife.

Additionally, I would provide Mr. Bean's wife education on STIs and the risk of contracting it if it is not treated properly. I would also recommend that she seek testing, as it is possible she contracted the same STI from Mr. Bean.

It is my duty to protect and advoate for the health and wellbeing of both of my patients. The ethical decision here is to provide education, resources and support in a safe, confidential manner. The patient's wishes and rights must be respected, while also advocating for the health of all involved.

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Advanced
Discuss any topical health care issue that is unique to the Pacific Northwest region (or region for Med School you are applying to)?
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ChatGPT's answer ...

As a physician practicing in the Pacific Northwest, one of the most pertinent health care issues that we’re facing is the rise of opioid addiction. As the crisis spreads, many people are being put at risk and the numbers of deaths are on the rise every year. This has led to an increase in resources and efforts to combat the opioid epidemic. Some of these interventions include access to medications that can help with addiction, such as buprenorphine, as well as places where individuals can safely dispose of unused prescriptions in order to help prevent misuse. In addition, there is an ongoing dialogue to provide better access to mental health resources, as many people that are developing addiction habits are being driven to drug use out of desperation. All of these efforts are geared toward providing better and more comprehensive care, in order to help address this issue in our region.

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Beginner
The daughter of the interviewer is 16 years old. She is adamant that she have a tattoo next week. The interviewer is against letting her daughter have a tattoo and this is causing much friction in the household. What advice would you give the interviewer?
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ChatGPT's answer ...

I would start by advocating for open communication. It's important that the daughter and her parents talk about the implications of getting a tattoo before making a decision. This is especially important at 16-years-old, as tattoos may permanently mark her body. The implications of having a tattoo at a young age need to be discussed before the daughter makes a decision.

It's also important to understand why the daughter is interested in getting a tattoo. Does she feel like it expresses her identity? Does she want to feel more grown-up? It's important to explore any motivations that the daughter has for getting a tattoo.

In addition, it's important to recognize the legal implications. In Canada, minors (persons under the age of 18) must be accompanied by a parent or guardian to get a tattoo. The daughter's parents should think about what message they are sending by accompanying her to get a tattoo and consider if it is okay for them to consent for their daughter to get a tattoo.

Ultimately, it is the daughter's choice. She may make a decision to get a tattoo, and parents need to accept that she is ready to make that choice. However, it is important for her to fully understand the implications and make an informed decision.

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Beginner
A high school student has to choose between two colleges. The student had several friends who were similar to himself in values and abilities at each school. All of his friends at school A liked it on both educational and social grounds; all of them at school B had deep reservations on both grounds. The student visited both schools for a day and his impressions were the reverse; he enjoyed school B, but had reservations about school A. Dr. James Wanstedt provided a testimonial that school B provides a superior education. Furthermore, the registrar at school B has just released a report claiming that the employment rate for graduates of school B is 93%, 10 percent higher than it was 10 years ago. Finally, an unbiased consumer advocate reports that 98% of the alumni association have indicated that they were happy or very happy with the education they received at school B. Which school should the student choose? Discuss the student's decision with the examiner.
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ChatGPT's answer ...

I believe that the student should ultimately choose the school that best fits their needs. School B seems to have a lot of evidence in favor of it, with the Dr. Wanstedt testimonial and the recent report from the registrar. Additionally, the 98% satisfaction rate from the alumni association is also a big plus. However, the student should also weigh their personal impressions from the daylong visit. If he enjoyed school B more, but was still unsure of its educational and social merits, then he should make sure to look into the school since his friends, who have similar values and abilities, all seem to be happy there. Ultimately, the student should choose the school that best fits his needs and values after gathering as much information as possible.

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Intermediate
You are a physician who has finished his or her day and decide it's appropriate to leave on time for the first time in months. You have promised to meet your family for dinner. You suddenly receive a phone call from Mrs. Black, a 87 year old patient in a nursing home long time, who wishes that you attend to her long-standing condition. She has been patient of yours for 15 years and refuses to see another doctor. What issues are involved? How would you approach this situation?
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ChatGPT's answer ...

I understand that Mrs. Black is a long-time and loyal patient whom I am grateful for, and I empathize that she wishes to receive medical attention from me, even at the expense of my own personal plans. That being said, I would approach this situation with the utmost respect for Mrs. Black's trust and long-standing relationship with me.

I would first discuss the conflict at hand with Mrs. Black and explain that my plans have already been made, and that I am unable to break them. However, I would be willing to make alternative arrangements that could potentially allow me to attend to her medical needs while still managing my personal obligations. We could try to find an earlier time, or a different day that is convenient for both of us.

I understand the importance of continuity of care and would honor Mrs. Black's wish to receive my care. That being said, I would make sure to also suggest other healthcare providers in the area who could provide her with the same high-quality care that she has come to expect from me.

Working together with Mrs. Black, I am confident that we can find a solution that meets her medical needs. I will strive to do my best to ensure that Mrs. Black's medical needs are met in a timely and ethical manner.

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Advanced
You and 3 friends are watching a 70 yr old man prepare a hot-air balloon. The balloon is ready and the man is holding one of the 5 released anchors ropes that are all 6m long. His 10 yr old grandson is already in the basket. A gust of wind raises the balloon 2m off the ground. The man shouts for help and you and your friends each grab close to the end of one of the other anchor ropes. The balloon raises so high that even though you are holding onto the ropes, you are lifted off the ground to a height of 7m. What would you do in this situation.
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ChatGPT's answer ...

In this situation, my first priority would be to take into account the safety of the man, his grandson, and the three of us holding onto the ropes. I would call for help from those on the ground who have the capacity to provide assistance in maneuvering the balloon safely. I would suggest that those on the ground use methods such as tying off the four ropes to a large, sturdy object in order to lower the balloon and ensure safe descent. Depending on the availability of assistance and materials, I might also suggest adding additional weight to the balloon in order to bring it back safely to the ground, if possible. In any case, my primary goal would be to get the man and his grandson safely down and to guarantee their safety and well-being.

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Advanced
A 18-year old man is diagnosed to have suspected bacterial meningitis. He refuses therapy and returns to the college dormitory. What should a physician do in this situation?
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ChatGPT's answer ...

If a patient is diagnosed with suspected bacterial meningitis and refuses therapy, it is important to follow-up with the patient and ensure proper safety measures are taken. First, the physician should ensure the patient is aware of the severity of their condition and potential consequences if they do not seek proper medical attention. It is also essential to inform the patient of the risk they pose to those around them, should they choose not to receive treatment.

In addition to continuing to explain the dangers of their condition, it is important to research the patient's options regarding proper care and treatment, including any financial aid or support groups that would provide meaningful assistance. Lastly, the physician should ensure that there is a strong support system in place at the patient's college dorm. This would include the availability of resources such as counselors, mental health professionals, and other home remedies if possible. Through continued conversations with the patient, the physician should work to ensure that the patient receives the care they need and that their safety is prioritized at all times.

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Beginner
You have a meeting set up with Frankie. He is the son of a family friend who moved to Thunder Bay about 20 years ago and so you have never met him. He has come down from Thunder Bay to look over "southern universities". He urgently needs some information on schools as he will have to make some serious decisions soon. He is happy to get this meeting as he realizes how tight your schedule is. In fact your next meeting is in 8 minutes. Frankie is in the room.
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ChatGPT's answer ...

Hello Frankie! It’s great to meet you. I can tell you a bit about medical schools in Canada that you may be interested in. Depending on your academic background and qualifications, there are some great programs available. First, you would need to check if there are any prerequisite courses you need to take in order to be eligible to apply.

Also, depending on whether you want to pursue MD or DO, you should start looking into programs that offer that. Additionally, look for programs offering specialties that you’re interested in and ones with a good track record for getting students into top residencies. Even if the university isn’t particularly well known, a good program can be a great fit for you.

Finally, don’t be afraid to ask around—reaching out to doctors, advisors, and current students in the program can help you get a better understanding of what a program offers.

Does that make sense? Is there anything else I can answer for you?

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Advanced
Your friend Jason hasn't come to class for a few days. Being a hardworking premed student, he very seldom skips classes. You know that he is applying to medical school in the past several weeks. You called his house and he said you can visit him. You decided to pay him a visit after your classes. Enter the room and talk to Jason.
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ChatGPT's answer ...

Hello Jason, it's so good to see you! I was a bit worried when you didn't come to class the other day, especially since I know you've been working hard on your medical school applications. Is everything okay?

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Beginner
You and your best friend try out for the varsity track team. You just find out you got in, but your friend was rejected for the 3rd time. Enter the room.
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ChatGPT's answer ...

I was so excited when I got the news that I had made the varsity track team. Unfortunately, seeing the disappointment on my best friend's face when they found out that they had been rejected for the 3rd time was heartbreaking. Knowing that I was the one to make it when they hadn't made it for the third time really stirred up thoughts of guilt. I wanted to be supportive of my friend, so I immediately hugged them and told them that it was going to be okay. I told them to keep their head up and that I would be there for them no matter what. I could then see a trickle of hope in their eyes as we moved forward together, both of us having faced different outcomes.

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Intermediate
In his recent novel „I am Charlotte Simmons‟, Tom Wolfe bases on life at a typical university in North America. He develops various characters and describes their lives, surroundings, beliefs, and moral behaviour while they are at the university. Wolfe acknowledges that it is 40 years since he himself was a student at university. Consequently, his children, currently at university, read the drafts of the book as it was been written and ensured that the descriptions associated with life at this fictitious university were appropriate for the modern day. What changes to the original script do you think Wolfe‟s children made?
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ChatGPT's answer ...

I believe one of the key changes that Wolfe’s children likely made to his script was related to technology. 40 years ago, when Wolfe was a medical student, mobile phones, computers, and the internet were still in their infancy, so much of his original script would have been out of date compared to the way university life looks today. His children probably urged him to make the changes to accurately reflect the modern university experience, where technology plays a huge role in student life, whether it be communication, learning, or even socializing. In addition to this, I believe they also ensured that he correctly captured the social and cultural values of today's university students.

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Beginner
Without using your hands, explain how to tie shoe laces.
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ChatGPT's answer ...

Tying shoe laces without using your hands is a skill anyone can learn with a little bit of practice. The steps are as follows:

  1. Start with the shoe laces in each hand to create a cross shape.

  2. Place one foot inside the loop of laces.

  3. Holding onto one of the laces with your toes, rotate your foot so that the laces wrap around your ankle.

  4. Move either the right or left lace up and over the right foot, keeping tension on the laces.

  5. Pull the top of the lace upward so that they twist in the middle of the loop that is already around the ankle.

  6. Grab the remaining lace with the toes of your foot and pull the lace over the one that is already up toward the laces.

  7. Pull the laces tight and make sure that both loops are the same size.

And there you have it! You have securely tied your shoe laces without using your hands!

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Advanced
Recently, certain hospitals in the Vancouver Area have been charging patients $29/day for their hospital fee on top of the fees charged to MSP. What are the implications of this policy? Discuss both positive and negative impacts with the interviewer.
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ChatGPT's answer ...

The recent $29/day hospital fee policy has far-reaching implications for the hospitals in the Vancouver area. On the positive side, this fee may help encourage financial responsibility in patients. By paying for part of their care, financially literate patients can ensure that they are contributing to their medical care in a responsible way. Furthermore, these fees can help cover some of the costs associated with medical care, offsetting the burden on public healthcare funds.

On the other hand, the $29/day fee may have some negative implications. This fee could lead to some people delaying care, as they may not be able to afford this extra cost. Additionally, some people may struggle to pay the fee when coupled with other costs such as prescription medication. These fees could also have a disproportionate impact on those on low incomes, people with chronic conditions, and those who are uninsured.

To mitigate the financial impact, it is important to ensure that appropriate arrangements are in place to support those who cannot afford to pay. This could include flexible payment plans, discounts, and subsidies to ensure financial access. Banks and credit unions may also be able to provide financial assistance to cover these fees. Finally, an evaluation of the policy should be conducted to determine the efficacy of the fee and its impact on patients.

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Advanced
Your best friend and partner are undergoing in vitro fertilization to have a baby. The technique allows for the selection of certain characteristics for the child by identifying them in the embryo before implantation. Your friend asks for advice on the characteristics they should select. How would you respond to your friend?
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ChatGPT's answer ...

I would tell my friend that they should make the best decision for them and their partner based on their personal values. I would make sure they understand the legal and scientific implications of their decision and be sure they have been fully informed by a health care provider of the potential short and long term implications of their decisions. Ultimately, I would encourage my friend to trust their instincts and make the decision that feels right for them.

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Advanced
An athlete who is training for the Olympics admits that he is using anabolic steroids and asks you to monitor his liver function. He would prefer to be under your care, as you are his family physician and you know his history. However, he states that if you do not agree, he will go to a walk-in clinic. Discuss the ethical issues in this case.
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ChatGPT's answer ...

As a physician, my primary concern is for the patient's health and well-being. My response to this patient's request is to strongly advise him against using anabolic steroids, as they are linked to serious health issues, including liver damage.

I would also advise him to seek medical care from a specialist rather than relying on a walk-in clinic, as that type of care may not be able to address the negative effects of steroid use on his body. Additionally, I would discuss with him the possibility of providing anonymous testing for drugs in his system to help him monitor his health, as well as the potential risks of using steroids in the long term.

Finally, I would want to discuss the ethical issues surrounding the use of such performance enhancers, including questions of fairness and health implications. Ultimately, I would urge him to consider other methods of training and competing to avoid the risks associated with anabolic steroid use.

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Intermediate
Many fire-related tragedies in Canada have been the result of children playing with fire. Discuss the roles and responsibilities of parents, lighter companies and society with respect to this issue.
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ChatGPT's answer ...

Parents have the primary responsibility to prevent children from playing with fire. Parents should ensure that any fires are supervised, that their home is equipped with smoke detectors and fire extinguishers, and that their child has a basic understanding of fire safety. Lighter companies should ensure that lighters are childproof, or at least not easily accessible to children. They should also ensure proper warnings and safety information on the packaging of their products. Lastly, society as a whole should engage in efforts to educate parents and communities about the risks of fires, to ensure that everyone is aware of the concerns and knows how to best protect themselves and their children.

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Advanced
Tasers are under greater public scrutiny. What are the medical, public health, public policy, legal and practical issues involved? What is your position as regards the use of tasers by public officials and in the private sector?
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ChatGPT's answer ...

As a medical doctor, I believe it is important to review all aspects of the issue when it comes to the use of tasers by public officials and in the private sector. Medical wise, the use of tasers can have medical repercussions, including physical trauma and the possibility of cardiac arrest. From a public health standpoint, the magnitude of harm tasers may pose to our population must be thoroughly considered. From a policy perspective, it is essential to determine what conditions and scenarios warrant the proper usage of tasers. Legally, proper laws need to be established that make sure the rights of those using tasers are honored and respected. Finally, the practical side of the issue must be taken into account to make sure that tasers are used only when absolutely necessary.

My position on the use of tasers by public officials and in the private sector is that we must make sure that those using tasers are properly trained, and that the laws established are followed and enforced to ensure the safety of all individuals involved. Moreover, tasers should only be used in extreme circumstances in which it is necessary to de-escalate a situation.

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Advanced
Deterrent Fees (Knowledge of the Health Care System) Recently, the Prime Minister of Canada raised the issue of deterrent fees (a small charge, say $10, which everyone who initiates a visit to a health professional would have to pay at the first contact) as a way to control health care costs. The assumption is that this will deter people from visiting their doctor for unnecessary reasons. Consider the broad implication of this policy for health and health care costs. For example, do you think this approach will save health care costs? At what expense? Discuss this issue with the interviewer.
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ChatGPT's answer ...

I believe that deterrent fees have the potential to save health care costs, but only if the fees are consistent across the board, and only if there is meaningful education and support for those who are most vulnerable. A deterrent fee should also be mitigating measures in place to ensure those who are in need of medical assistance receive it.

In this sense, the underlying assumption of the policy is that it will act as a preventative measure to ensure more responsible use of health care services. While this may help to reduce costs associated with visites deemed as "unnecessary", it may also create additional costs for those already struggling to access health care services in the long-term. Thus, any deterrent fees should be paired with educational and financial supports that allow full access to services for those who may not otherwise be able to pay the fee.

Overall, I think the potential savings from such a policy could be significant, but there must be additional considerations to ensure access to care is not hindered for those who need it most.

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Advanced
You are a current undergraduate student. During the week of graduation, you attend a number of parties around the Lower Mainland with your best friend, Kelly. The last party is held at a camp ground in Squamish. The morning after the party, you receive a call from Kelly. She asks that you come over and talk. Kelly reveals that she left early and drove home despite drinking that night. Enter the room and talk to Kelly.
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ChatGPT's answer ...

Hi Kelly. It's so nice to see you. What about graduation was so upsetting for you?

It's clear to me that something has been troubling you. I'm here to listen and talk if you want to share. Nothing you say will leave this room.

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Advanced
Discuss the pros and cons of legalizing marijuana on the Canadian Health Care system. How does this impact a physician‟s present ability to write out prescription for „medical marijuana'? Would legalization cost the health care system more or less after it was passed?
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ChatGPT's answer ...

As a physician, I can see both sides of this issue. Legalizing marijuana could potentially have a positive impact on the health care system, as it could be helpful for certain medical conditions, yet there may be a negative impact due to the associated risks and potential for abuse.

In terms of the pros of legalizing marijuana, research has shown that it can be beneficial to those with certain medical conditions such as chronic pain, nausea, and even glaucoma. It can also be prescribed to those with mental illness to help with anxiety and depression. This legalization would allow physicians to prescribe it as a form of alternative medicine.

On the other hand, there are potential downside to legalizing marijuana. Apart from the risks of addiction, marijuana has been linked to physical and mental health problems such as an increased risk of lung cancer, memory problems, and psychosis. Additionally, if marijuana is legalized, it could lead to increased recreational use, which could potentially strain the health care system.

In regards to a physician’s ability to write out prescriptions for medical marijuana, its legalization would open up that opportunity. For example, in Canada, medical marijuana requires a prescription from a physician, even in legalized states.

In terms of its financial impact on the health care system, it is difficult to predict whether legalizing marijuana would result in more or less expenses for the system. On one hand, it could result in increased tax revenue and the ability for physicians to bill for the service of prescription writing, yet on the other hand, treating the potential health problems related to marijuana could cost the system more money.

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Intermediate
What is your opinion about stem cell research using fetal tissue?
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ChatGPT's answer ...

Stem cell research using fetal tissue has the potential to bring tremendous benefit to society. For example, it can be used to develop treatments for medical conditions such as Alzheimer's, Parkinson's and diabetes, and it can also help advance our understanding of diseases like Down syndrome, muscular dystrophy, and birth defects. That said, it is important to ensure that the tissues used are obtained in an ethical manner, so as to avoid any harm to the donor or respect the life of the fetus. I strongly believe that the potential benefits of stem cell research outweigh any ethical concerns, if those concerns are properly addressed.

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Intermediate
A message that recently appeared on the Web warned readers of the dangers of aspartame as a cause of an epidemic of multiple sclerosis. The authors claimed that aspartame remains on the market because the food and drug industries have powerful lobbies in Congress. They quoted Dr. Russell Blaylock, who said. "The ingredients stimulate the neurons of the brain to death, causing brain damage of varying degrees." Critique this message, in terms of the strength of the arguments presented and their logical consistency. Your critique might include an indication of the issues that you would like to delve into further before assessing the validity of these claims.
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ChatGPT's answer ...

My critique of this message in terms of the strength of arguments and logical consistency is that the claims presented appear to be based on one source, the opinion of Dr. Russell Blaylock. While his opinion carries a certain degree of weight, I do believe that a more thorough assessment requires further investigation. I would like to delve into more research on aspartame, including studies and data to back up Dr Russell Blaylock's claim. It would also be important to consider the potential reasons that Congress would have for allowing aspartame to remain on the market and the potential advantages or disadvantages that their lobby might constitute. Finally, to fully evaluate the claims made by the message, it would be critical to consider potential alternative explanations for an increase in multiple sclerosis, as the claims without examining these wider considerations would be too narrow to draw any significant conclusions from.

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Advanced
You are a 1st year med student and you are in the room with a small group of students, a doctor and a young female patient. The doctor tells the patient to remove her shirt to do a breast exam. The patient is visibly uncomfortable but does what she is told. The physician then performs the exam and tells you to do it as well. Discuss your reaction to this situation.
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ChatGPT's answer ...

Thank you for the opportunity to discuss this situation. It is a difficult one in which all stakeholders must have their best interests and comfort considered. My reaction to a patient being uncomfortable while removing her shirt to do a breast exam is one of empathy and care. As a student, I would offer to talk to the patient and explain the procedure. I would offer her an opportunity to ask questions and to take comfort knowing that a doctor was present in the room. Additionally, I would explain the procedure in detail and offer her a gown or other form of covering prior to the exam starting.

As for the elderly woman in the emergency room with asthma, there are quite a few ethical issues at play. The first is the patient's autonomy in deciding whether or not to accept a student's care. Since the patient is unable to make a fully informed decision due to her health condition, the onus is on the physician and/or student to ensure that the elderly woman's wishes and beliefs are taken into consideration before making any decisions. Additionally, in this case, it is important to understand the woman's culture and religion, and to offer alternatives if treatment from a student is not acceptable. Safeguards should ensure that both the patient and the student are considered. For instance, a nurse or other healthcare provider could be present to ensure that the patient's wishes are respected and that the student is not in any danger. Additionally, it is important to consider clear communication between the physician and student, and to explicitly explain why certain decisions are being made.

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Advanced
There are two people in the next room that are in a conflict. Mediate the discussion and find a way to resolve the situation.
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ChatGPT's answer ...

If I were mediating a discussion between two people in conflict, I would begin by encouraging and creating a safe space for conversation. I would explain the importance of listening intently and without interruption to each person's perspective. Then, I would ask each person to speak in turn to create an understanding of both sides. After each person has had a chance to express their point of view, I would help them identify any common ground and ways to move forward. I would also help them explore different perspectives, looking for gaps or misunderstandings. Finally, I would collaborate with each person to develop a mutually beneficial resolution and create an action plan to ensure that the conflict is managed over time.

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Intermediate
One of the key competencies for medical practice outlined by the Royal College of Physicians and Surgeons of Canada is the need to develop and maintain self-assessment skills. Describe the strategies you employ when assessing your ability.
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ChatGPT's answer ...

When assessing my ability, I use a combination of self-reflection and feedback from others. In terms of self-reflection, I take the time to think about my individual strengths and weaknesses and how they factor into the job I’m performing. I make sure to question my decisions and actions and consider alternative options. This approach allows me to stay aware of how effectively I am performing and how I can continue to improve.

In addition to self-reflection, I also use feedback from my peers and mentors. I usually ask for constructive criticism and I welcome feedback with an open mind. I feel that again, this provides me with a valuable insight into how I am performing and ways in which I can grow as a doctor.

Overall, I’m constantly engaging in self-assessment in order to be the best doctor I can be.

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Intermediate
Statistics have shown that effects of advanced age such as changes in vision and response time may adversely affect elderly drivers' ability to drive safely. As a matter of fact, many doctors discuss the issue of stopping driving with their older patients as a precaution for the safety of theirs as well as the public's. Do you think older drivers have to give up driving when they reach a certain age?
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ChatGPT's answer ...

I believe there needs to be an individual assessment of each patient's situation. It's important to take into account their physical, cognitive and emotional capabilities. In some cases, there may be mobility issues or physical ailments such as poor eyesight or hearing loss that may put them at risk when driving. In those cases, it could be beneficial to have a conversation with the patient to discuss alternatives to driving or transportation that can help minimize risks. Generally, encouraging regular eye exams, following physical activity and healthy diet guidelines, and having regular check-ins with the doctor to discuss any issues can be beneficial. Ultimately, the safety of the elderly drivers and the public is the most important factor, and older drivers should evaluate their abilities accordingly.

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Advanced
Two patients need a liver transplant, but there is only one liver available at the time. Tell the interviewer how you would decide between a 64 year old politician who happens to be an alcoholic or, a 26 year old mother of three who is on welfare.
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ChatGPT's answer ...

That is an incredibly difficult decision to make and my immediate instinct is to find a way to save both patients. Unfortunately, that is often not feasible due to a lack of medical resources, including organs for transplant.

When considering the two patients, I believe that the best decision is to prioritize the welfare of the 26 year old mother of three. This decision is based on an ethical principle known as the principle of utility, which states that the decision should be made that would result in the greatest amount of happiness for the greatest number of people. In this scenario, the mother of three is still relatively young and has a life-long opportunity to make positive contributions to society, while the 64 year old politician is nearing the end of their life-span. That fact combined with their alcohol use, places the mother of three in a better position to make use of a donated liver than to the politician.

I would certainly consider other factors as well such as general health, existing familial and social supports, psychological stability and length of wait time. Ultimately, however, I believe that the principle of utility should remain an important factor in the decision-making process and that the 26 year old mother of three should be prioritized in this instance.

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Intermediate
Imagine you are the principal of a full fee paying school. There has been an allegation by members of the public of an incident in a park in which at least two senior students were seen verbally abusing a young person with intellectual impairment for the amusement of the group and other students. Two final year students are attending a hearing with you (their principal) to explain their actions in the incident. What are the issues that you (the principal) are likely to consider?
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ChatGPT's answer ...

As a doctor and principal, I recognize the severity of the allegations that have been made. I would consider a few key issues when handling this situation. First, I would assess the facts at hand. Was there a witness? What were the statements made? Based on the evidence at hand, I would need to determine the truth.

Second, no matter the outcome of the investigation, I would need to take disciplinary action to make sure this never happens again and to protect the safety of the students. This could range from suspension to removal from the school.

Third, I would ensure that all members of the school have a clear understanding of the school’s no-tolerance policy on bullying and abuse, and that it is understood that any such incidents will be dealt with strictly and fairly.

Finally, I would also extend my support and care to the victim of the incident to ensure that this never happens again and that the individual feels safe and supported. This goes beyond just physical safety, but also emotional and mental safety as well.

Ultimately, the goal would be to promote a sense of integrity and respect amongst the student body, and ensure that the students of the school recognize the importance of treating everyone with kindness and respect.

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Intermediate
Do you think medicine should be more about changing behaviour to prevent disease or treating existing disease?
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ChatGPT's answer ...

I think medicine should strive to be inclusive of both preventative and curative care. By imparting preventative measures and encouraging healthy lifestyle choices, we can significantly reduce the burden of chronic diseases that so greatly burden our population and healthcare system. We also must have effective treatments for existing conditions as cures for many medical conditions remain elusive in spite of our best efforts. Ultimately, I believe that a balance of both preventative and curative medicine is essential and that we should work together to ensure equitable care for all.

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Advanced
The man who lives next door to you often rides his bicycle in the company of his two young children but without a helmet. In fact, on several occasions you have seen him riding with his helmet hanging by its straps from the handlebars. His young children sometimes wear a helmet, sometimes not. If the man fell off his bicycle and hurt his head in a way that would have been prevented if he had worn a helmet, would it be reasonable to ask him to contribute towards the treatment costs for his injury?
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ChatGPT's answer ...

This is a tricky situation, but it is important to remember that patient autonomy and safety is often the highest priority for a physician. The patient should be made aware of the potential risks associated with not wearing a helmet and be educated on the importance of wearing one. If he fell from his bike and hurt his head in a way that could've been prevented if he had worn a helmet, it might be reasonable to suggest that he contributes towards the treatment cost for his injury. I think it's important to approach this situation with empathy, understanding, and openness to ensure that the patient's wellbeing is always the primary concern.

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Intermediate
How would you advise patients who are interested in visiting an acupuncturist or a chiropractor?
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ChatGPT's answer ...

I believe that both acupuncture and chiropractic care can offer patients some great benefits. However, they are not typically offered as medical treatments in the traditional sense, so I advise my patients to first consult with their physician before engaging in either practice. It's always important to make sure that any visit to an acupuncturist or chiropractor is safe and that no conditions exist that may be made worse by the treatment. Additionally, make sure that the practitioner is qualified and experienced in providing those services. Lastly, I would advise patients to discuss their condition with the practitioner and consider their advice before deciding what practice is best for them.

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Intermediate
Your mother calls you and asks you to help with a major family decision. Your maternal grandfather is 70 years old and has been diagnosed with a condition that will kill him some time in the next five years. He can have a procedure that will correct the disease and not leave him with any long-term problems, but the procedure has a 10% mortality rate. He wants to have the procedure, but your mother does not want him to. How would you help mediate this issue?
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ChatGPT's answer ...

If I was mediating this issue, I think the first step would be to assess both perspectives. I would listen to my mother's concerns and make sure that I understand why she feels the way she does and also why my grandfather is coming to the conclusion that he wants to have the procedure. It's important to take both perspectives into consideration, even if we disagree. Once I understand each party and their needs, I would then focus on trying to reach an agreement that everyone can live with. This could range from further exploring other options that the grandfather may not have thought of, to understanding what the family's collective values are, and then making a decision based on them. Ultimately, I think it has to be a decision my grandfather is comfortable with, and I would try to support the whole family in making an informed decision.

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Intermediate
You are a resident working in a team of several others for on call shifts. You and your partner just had a new baby. Would you re-adjust the call schedule? How? What problems do you foresee and how would you approach the problems?
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ChatGPT's answer ...

Given my recent life changes, I would modify the call schedule to ensure that I am attending to my own and my family's needs. I would ensure that I am well rested and follow guidelines to minimize fatigue while on call. I would encourage my team to work together to ensure that everyone has the rest they need to be well rested while covering our on call shifts.

I would foresee the potential issue of having to frequently ask my co-workers to pick up extra shifts which can be disruptive. To address this issue, I would communicate my concerns and expectations clearly with respect to my share of the workload so that everyone is aware and in agreement. I would also offer to pick up extra shifts in order to balance out the workload.

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Beginner
The story of Canadian Olympian and Paralympian Brian McKeever has touched many during the 2010 Winter Games in Vancouver. He was the first ever to qualify for both the Olympic Games and Paralympic games, but at the last minute, the Olympic skiing couch decided that Brian has a smaller chance in winning than his teammates, so he did not get to race. If you were Brian's friend, what would you do when he found out he couldn't race in the Olympic Games? You knew that his Paralympic games would take place 2 weeks after the Olympics.
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ChatGPT's answer ...

First, I would allow Brian the space and time to work through any feelings of disappointment and frustration that he may be feeling in the moment. I would also remind him that, although he does not get to race in the Olympic Games, he has achieved an incredible honor in making it to the Olympic level, and that he has achieved something very few athletes have. I would encourage him to take the time to recognize and celebrate all of his accomplishments that got him to where he is today, and to be proud of what he has accomplished.

I would then try to help Brian focus on the upcoming Paralympic Games and work to train and prepare for these events. I would provide encouragement and support to help boost Brian’s confidence, and do my best to help him stay positive and productive while he trains for the upcoming games. I would remind Brian that the great thing about sports is that you always have another opportunity to succeed, and he has the opportunity to do so in the Paralympic Games. Finally, I would try to make sure that Brian gets to enjoy some time off and relaxation during this period, as I know the days of training would be intense.

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Advanced
A 12-year old boy is diagnosed with a terminal illness (e.g., malignancy). He asked the doctor about his prognosis. His parents requested the doctor not to tell him the bad news. What should the doctor do in this situation?
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ChatGPT's answer ...

I would approach this situation as a compassionate and empathetic doctor. I would explain to the parents that it is my professional medical opinion that it is important that the patient, the 12-year old boy, be aware of his diagnosis and prognosis. Although I understand the parents’ desire to protect their son, withholding information can cause more emotional damage in the long-term. Moreover, it is important to fulfill the ethical obligation to tell the patient the truth.

If the parents are still resistant to this plan of action, I would seek out the advice of a hospital social worker or a therapist for additional guidance. It might be wise to bring in a third party to help discuss the best course of action for both the patient and the family. I would also recommend arranging for psychological and/or emotional support for the patient and his family members throughout the duration of his illness.

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Intermediate
A 14 year old patient requests birth control pills from you and asks that you not tell her parents. What would you do?
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ChatGPT's answer ...

I understand your wish to remain confidential, but I do have an ethical responsibility to ensure the best decisions are made for your health. I would be willing to discuss hormonal contraception options with you but in order for you to use them safely and without informing your parents, I will need a comprehensive medical history and a review of any possible medical risks. I also need to discuss consent, since a 14 year old may not be fully capable of making an informed decision. It would be important to make sure your health would be well managed and that you fully understand the risks associated with using hormonal contraception. In addition, I would discuss other methods of contraception (for example, condoms) that could be used in the absence of hormonal contraception if appropriate.

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Intermediate
A patient requests needles and syringes at his/her local pharmacy. They do not present with a prescription, and based on the records you can access, they are not receiving treatment for diabetes. Do you sell the syringes or not?
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ChatGPT's answer ...

I would not sell the syringes without a prescription. Needles and syringes require careful consideration when used outside of standard medical care, and without a medical diagnosis, it is too risky for me to provide them. I understand that a patient may need syringes and needles for a variety of reasons, but I cannot make a judgement call on what may be medically necessary in that instance. It puts both patient and pharmacy at risk of liability if an incorrect determination is made. I would recommend talking to your doctor first to determine the need and get a prescription if necessary.

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Intermediate
You are treasurer of a university Club controlling club money and you are one of 3 members of the Executive. There is going to be a Meeting in another city with similar clubs from other universities. The club has enough money to cover the costs of only 3 members. There are 8 club members and everybody wants to go and for the club to pay their expenses. What do you do?
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ChatGPT's answer ...

As treasurer of the university club, it is my responsibility to ensure that the funds of the club are being best managed. In this scenario, while I understand that all 8 members would like to go to the meeting, there is not enough money in the budget to cover all of their costs. As a result, I suggest that three members be selected to attend the meeting, with their expenses being covered by the club. In order to decide which three members should receive the club’s financial support, I recommend that a vote be held amongst the members or, alternatively, that a selection process is established to decide who should attend. In either case, I would ensure that the decisions are based on merit, such as the individual's level of experience and interest in the club and its activities.

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Advanced
You are a health researcher at an academic institution. You have been asked to work on a top-secret vaccine that would treat biomedical weapons or other communicable diseases. Before your break through, you are instructed by the government to stop all research and turn over all materials and copies of your work to be destroyed. You know you are very close to finding a cure. What do you do?
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ChatGPT's answer ...

As a health researcher and doctor, my moral obligation is to the well-being and safety of all. In this case, I would prioritize following the instructions of the government, as I assume that whatever direction they are giving is for the greater good and likely for the betterment of society. Of course, I would be disappointed by the halt of any work to find a cure and would hope to be able to complete the project in the future. At the same time, with any directive from the government, their instructions must be followed. I would take the necessary steps to turn over all materials and copies of my work, as well as insure that nothing is left behind that could be used for a different purpose.

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Intermediate
Universities are commonly faced with the complicated task of balancing the educational needs of their students and the cost required to provide learning resources to a large number of individuals. As a result of this tension, there has been much debate regarding the optimal size of classes. One side argues that smaller classes provide a more educationally effective setting for students, while others argue that t makes no difference, so larger classes should be used to minimize the number of instructors required. Discuss your opinion with the examiner.
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ChatGPT's answer ...

I believe that while larger classes may minimize the number of instructors required, it should not be the guiding factor when determining the optimal size of classes. Ultimately, smaller classes provide a more educationally effective setting for students, in my opinion. Not only can students learn more effectively due to more individualized instruction, but they are also more likely to stay engaged in the learning process. Larger classes can often be impersonal and resulting in a lack of student engagement. Furthermore, with smaller classes, instructors have an opportunity to assess any learning gaps and intervene quickly as needed. All these benefits become much harder to achieve in larger classes. Thus my opinion is that smaller classes are the optimal size for universities to strive for.

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Intermediate
A Kootenay town runs a health-collective that provides various alternative and traditional forms of medicine. The physicians there encourage parents of small children not to vaccinate their children. Discuss the positive and negative impacts of this opinion.
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ChatGPT's answer ...

From a medical perspective, it is important to ensure that all forms of healthcare are provided to all people in a safe and responsible manner. With regards to the health-collective in the Kootenay town that provides various alternative and traditional forms of medicine and encourages parents of small children not to vaccinate their children, there are both positive and negative impacts.

The positive impacts are that the collectives offer more health options to families who may not have access to them. Additionally, by providing alternative treatments, it allows families to explore natural medicine and concurrently use traditional medicine which may lead to more desired outcomes.

The negative impacts are that this collective does not emphasize the importance of vaccinations for children. Vaccines are necessary for a large population of children to protect them from dangerous and preventable diseases. Without this protection, these children may be at risk of developing deadly illnesses. In addition, when children are not vaccinated it can cause health risks to those children and individuals in the broader community. Therefore, it is imperative that parents make evidence-based decisions when it comes to vaccinating their children, utilizing both traditional and alternative methods.

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Advanced
How does Canadian health care system compare to that of Britain‟s system?
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ChatGPT's answer ...

I believe the Canadian health system is far more comprehensive and advanced than Britain's health system. We in Canada have a wide range of health care services and access to some of the best medical treatments available in the world. The Canadian health care system is built on a combination of public and private health care providers, which means that everyone in the country has access to basic medical coverage regardless of their income or employment status. In comparison, Britain's system is more limited and relies on a less well-structured three-tier system that can be costly for many citizens. Furthermore, Canadian citizens have access to more medical technology, resources and treatments than those in Britain, which allows for better care for our citizens.

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Advanced
You have two patients who need an organ transplant and one organ available. One is a 20 year old drug addict and the other is a 70 year old prominent member of the community. Who do you give the transplant to and why? What information will you use to make your decision?
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If I had two patients who needed the same organ and I only had one organ available to me, I would weigh the various factors of each patient's case before making any decision.

In this situation, the 20 year old patient is a drug addict and the 70 year old patient is a prominent member of the community. I would consider the overall prognoses of each patient and how quickly they would heal after the transplant and what the long-term prospects for success would be. I understand that this decision is difficult since I have a limited supply of organs and only two people to choose from.

Ultimately, I would likely opt to provide the transplant to the 70 year old patient for two reasons. Firstly, the 70 year old patient is a prominent member of the community and has had a lifetime of making a positive impact in the lives of many people. Secondly, the 70 year old patient is likely to have a higher chance of success in the long-term due to their age and overall health.

Once I have assessed the individual cases, I would use a variety of information to make my final decision. This would include the overall prognoses of each patient, the probability of success after the transplant, the patients' age, their overall health and any additional factors that may influence the decision. Through assessing each patient's individual case, I would come to an informed decision on who to provide the transplant to.

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Dr. Cheung recommends homeopathic medicines to his patients. There is no scientific evidence or widely accepted theory to suggest that homeopathic medicines work, and Dr. Cheung doesn't believe them to. He recommends homeopathic medicine to people with mild and non-specific symptoms such as fatigue, headaches and muscle aches, because he believes that it will do no harm, but will give them reassurance. Consider the ethical problems that Dr. Cheung's behaviour might pose. Discuss these issues with the interviewer.
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I believe Dr. Cheung's behavior is ethically questionable because, while he may believe that homeopathic medicines will do no harm, there is still no scientific evidence that suggests they will provide any benefit. Further, by encouraging the use of homeopathic medicines, Dr. Cheung may be providing false reassurance to his patients and leading them to forgo more effective treatments for their ailments. Additionally, this practice could be seen as deceptive and misleading, as Dr. Cheung is straying from accepted scientific norms.

Dr. Cheung should consider the ethical implications of his actions and be honest and transparent with his patients. He must openly discuss the lack of evidence for homeopathic treatments and explain their potential harm. Doing so will maintain the trust and respect of his patients, while still providing them with compassion. Furthermore, Dr. Cheung should focus on conventional medical treatments, recommending homeopathic medicines only when they are a patient's last resort option.

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