AI attempts MMI prompts

ChatGPT answers MMI questions

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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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7
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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
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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Advanced
A man has been responsible for taking care of his wife who is in a vegetative state for 6 years after a car accident. She can breathe on her own but that is the extent of her abilities. He requests that her feeding tube be removed. What should you, as her physician do?
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ChatGPT's answer ...

First off, as her physician, I would want to make sure that I was providing the best possible care to the patient in this situation. I understand that this situation is very difficult on the family, and I would want to support them while also making sure they are doing what is best for the patient.

I would speak with the family in full detail about the patient’s condition, prognosis, and what kind of care can still be provided even if the feeding tube is removed. I would point out the risks associated with removing her feeding tube, including the risk that further medical interventions may be necessary. I would also explain what would happen to the patient if the feeding tube were removed, both medically and emotionally.

At the end of the day, the decision of what to do about the patient's feeding tube is ultimately up to the family, so I would make sure that I was listening to their wishes and concerns. I would also make sure that I was following all regulations and standards of care set out by the medical community, and that they were being applied correctly and ethically to this particular scenario.

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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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41
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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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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
A physician became sexually involved with a current patient who initiated or consented to the contact. Is it ethical for a physician to become sexually involved?
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21
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ChatGPT's answer ...

As a doctor, it is never ethical for a physician to become sexually involved with a current patient. This is due to the power differential that is present in a doctor-patient relationship, which inherently means that it is impossible to guarantee consensual and equal contact between the two parties. Physicians must always maintain professional relationships with their patients, which is why engaging in any form of sexual contact is strictly prohibited.

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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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47
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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
Recently, the Prime Minister of Canada suggested the idea 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 implications of this policy for health and health care costs.
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24
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ChatGPT's answer ...

I believe the idea of deterrent fees may be well-intentioned to help control health care costs, however, I do not think it is the solution to this issue. The proposed fee would create a financial barrier for some individuals to access care when they need it. This could further marginalize those from lower socio-economic backgrounds and those in rural regions who may already have limited or no access to health services. This could lead to greater health disparities in Canada, as those who can’t afford the fee may forgo treatment that could have prevented unnecessary medical costs in the long run. Secondly, this policy could lead to people delaying necessary care for fear of the added cost and lead to more serious health problems that would cause greater strain on overall health care costs. In conclusion, though this policy may have the potential to help reduce health care costs, it may have far more serious implications with regards to health disparities in our country.

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Advanced
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.
+
50
Answer now
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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Intermediate
As medicine advances with technology, what are the pros and cons? Discuss your experience with use of technology.
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42
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ChatGPT's answer ...

Technology has certainly come a long way in the field of medicine and it has had a significant positive impact on the practice of medicine. There are several pros to technology’s integration into modern medical practice. One of the main advantages is the speed at which patient data can be obtained and information shared between health care providers. Technology has allowed for quicker diagnoses and treatment options for patients, often leading to better outcomes. Additionally, technology has provided innovative tools for medical professionals to use for patient care and monitoring. For instance, incorporating medical robots, imaging tools, and telehealth technologies all allow for a higher quality of care and more personalized treatment plans.

While there are many benefits and advantages to incorporating technology into medical practices, there are unfortunately some associated disadvantages. In some instances, using technology can lead to decreased face-to-face interaction between patients and health care professionals, making it more difficult for clinicians to build lasting relationships with their patients. Additionally, technology can be expensive and complex to implement, which can present major barriers to access for some health care systems.

From a personal standpoint, I’ve had the opportunity to experience the positive outcomes of technology in medicine during my fourth year rotations. During my family medicine rotation, I was able to review electronic medical records and X-ray images to get a more accurate picture of a patient’s condition. In addition, I was able to use telemedicine to view and discuss pathology slides with specialists remotely - this provided me with a better understanding of the patient’s condition, as well other educational aspects that I could take with me in my clinical practice. Overall, technology has had a dramatic impact on medical care, and I am looking forward to the continued integration of technology in my medical career moving forward.

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Advanced
Discuss one of these health care issues: human genome project, AIDS, abortion, the right to die, the cost of health care, and genetic engineering.
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12
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ChatGPT's answer ...

I would choose to discuss the human genome project. The human genome project was a groundbreaking international research effort to sequence, map, and understand all the genes of human beings. This effort resulted in the generation of invaluable genomic data and technologies that has enabled us to better understand, diagnose, and treat many genetic disorders and diseases. Additionally, this database provides us with greater understanding of how the human body functions and how genetic variations might contribute to health and disease. As a medical professional, I understand the potential of this type of research to help us improve medical care and disease prevention, and I believe it is crucial to continue to support this kind of scientific innovation.

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Advanced
Your older sister tells you that she values her career and is reluctant to take time away to have a baby. Her husband agrees with her. They have arranged to conceive an embryo through in vitro fertilization. A company in India will implant the embryo in a surrogate mother from a nearby village who will be paid $5,000. Two weeks after the baby is born, the company will deliver the baby to your sister and her husband. Your mother is opposed to this arrangement whereas your father supports her decision. Your sister asks for your support. How would you respond to your sister?
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ChatGPT's answer ...

The ethical concerns here are complex and wide-reaching. The Canadian Pediatric Association's recommendation not to perform routine circumcisions highlights the concerns of unnecessary risk and cost associated with the procedure. Despite this, however, it is crucial that the autonomy of the patient is respected, and the medical professional must ensure that parents are adequately informed of the risks, benefits, and alternatives before deciding to perform or not perform a circumcision.

As a medical professional, it can be difficult to balance the need to offer interventions that have been proven to have a benefit with respecting the patient's autonomy and decision of whether to pursue that intervention. In the case of circumcision, it is my responsibility to educate parents on both the risks and benefits, and to ensure that a balanced analysis of the facts is used when deciding the best course of action. It is also important to continually evaluate and update evidence-based information on the benefits and risks of circumcision to ensure that the best possible decisions are made.

It would be important to discuss this issue with my colleagues, as well as with the patient, to ensure that any decision is made in the best interest of the patient. Moral and ethical considerations should guide medical decisions based on the available evidence and patient safety. Ultimately, it is critical that a doctor always puts the interests of the patient first and exercises their best medical judgement without bias.

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Beginner
A member of your family decides to depend solely on alternative medicine for treatment of his or her significant illness. What would you do?
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41
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ChatGPT's answer ...

First of all, I’d try to understand the motivations behind my family member’s decision and ask for more information about the therapeutic approach they are considering and the available evidence for it. Depending on the context, I may be open to further exploring and discussing the alternative approach. However, I would ultimately advise my family member on the best route of treatment based on the most recent and reliable evidence-based research I’ve learned so far in medical school. I would encourage them to consult experts with knowledge and experience in traditional medical treatments. Ultimately, I would encourage my family member to pursue a combination of traditional and alternative treatments, if appropriate, in order to help ensure the best chance of relieving their symptoms and achieving the best health outcome.

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Intermediate
A student is working in a clinic, where the office double book aboriginal patients. The student asks their reasoning and the receptionist replies that “These people never show up for their appointments.” How would you deal with this situation?
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12
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ChatGPT's answer ...

In this situation, I would approach it with empathy and respect for both the receptionist and the Aboriginal patients. First and foremost, I would express to the receptionist that double booking Aboriginal patients is not the most efficient way to book appointments and not the best possible way to serve our patients. I would explore the reason why the receptionist feels double booking is necessary, and determine if there are any systemic barriers that may be preventing the Aboriginal patients from attending their appointments. I would discuss options with the receptionist that could be more effective in addressing the issue, such as reminder calls the night before, enabling Aboriginal patients to book their appointments quickly and efficiently, or providing additional resources to those patients who may have difficulty getting to the office for their appointments. In the end, my goal would be to ensure that all of our patients, regardless of their background, are provided with the same quality of service and access to care.

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Advanced
A physician went to vacation for 2 weeks. He did not find another physician to cover him. One of his patients with hypertension developed severe headache. The patient has an appointment with the doctor as soon as he comes back from vacation. The patient did not look for another physician and decided to wait. The patient suddenly collapses and was diagnosed to have intracranial hemorrhage. Is the physician responsible for this patient?
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ChatGPT's answer ...

No, I do not believe the physician in this case is responsible for the patient's intracranial hemorrhage. The patient could have sought medical care from another physician while the doctor was on vacation, but chose not to do so. It would be unfair to blame the doctor who was away on vacation. The patient was ultimately responsible for his own health, and should have taken the necessary precautions if he wanted to ensure his safety when the doctor was not available.

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Intermediate
What is your opinion about stem cell research using fetal tissue?
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19
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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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Advanced
You are on a day out in London with a group of friends. One member of your group, who has never been to London before, becomes separated from the rest of the group in the Underground. What actions would you take?
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ChatGPT's answer ...

If a member of my group became separated from the rest of us while we were on a day out in London, my first step would be to contact the London Metropolitan Police. I would explain to them the location where the group last saw the person, the time of the incident, and any distinguishing features or characteristics of the person we are trying to locate. I would then ask for their assistance and advice for how to carry out a search. I would also reach out to Underground staff if feasible and ask for their assistance in monitoring CCTV footage of the area. It would also be useful to scour nearby areas in hopes of finding the person, or posting creative fliers around town. Finally, I would stay in London as long as it is necessary to support the search.

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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
You are working in a clinic for street youth. A 16 year old girl comes in seeking sleeping pills that you do not think is appropriate for her. She says she will see another doctor if you do not prescribe them. What would you do?
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ChatGPT's answer ...

If the 16 year old is exhibiting signs of depression, suicidal ideation, or other mental health issues then I would first suggest engaging her in a dialogue to better assess her mental state. I would explain to her the importance of discussing with a mental health professional whatever may be causing her insomnia instead of using sleeping pills to cope. I would also emphasize that I am not able to better help her if she withholds important information and advise her to see a mental health professional that can better understand her condition and be able to provide more focused and personalized care. If the patient remains insistent on seeking sleeping pills, then I would refer her to another doctor who might be more willing to prescribe them. Under no circumstances would I prescribe sleeping pills to this patient and risk her safety for my own convenience.

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Advanced
An actor plays the role of your elderly neighbor. You have just accidentally run over your neighbor's cat whilst reversing your car. You have 5 minutes to break the bad news to her.
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ChatGPT's answer ...

I would first take a deep breath and take the time to prepare myself to deliver the news. Before breaking the news, I would pay attention to my neighbor's body language and prepare myself to handle an emotional reaction. When ready, I would explain calmly that there had been an accident and that her cat was unfortunately involved. I would offer my condolences and let her know that I am sorry and ask if she wants to talk about it. Depending on the response, I would provide emotional support and if possible, offer to pay for any veterinary bills. Furthermore, I would let her know that if she needs any help with the arrangements for the cat, I would be there for her.

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Advanced
A patient has just been diagnosed with cancer. The patient takes the news very badly and is concerned with pain and the immediate treatment. You know that is it extremely likely that the patient will die within 9 months regardless of course of treatment. What do you tell the patient, what are your ethical obligations, your legal obligations?
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ChatGPT's answer ...

My ethical and legal obligations are to provide truthful, clear, and compassionate information to the patient about their diagnosis and the potential course of action. I would emphasize the need to stay positive and to focus on the time they have remaining, while being prepared for the worst-case scenario.

I would explain that their cancer diagnosis is very serious and their life expectancy is limited. I would also explain the potential treatments and their prognosis, and also the potential therapies available to help manage pain associated with the illness.

On a personal and compassionate level, I would listen closely to the patient and help them talk through their options and fears. I would give them time to come to terms with the diagnosis, provide them with credible and accurate information, offer emotional support, and help them to consider their needs and wishes in the course of treatment.

Ultimately, I feel I have an ethical obligation to ensure that the patient is well informed and provided with the best possible care and support. My primary aim is to ensure the patient is well-informed of the risks and consequences of their treatments so that they can make the best decisions for themselves.

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Intermediate
Is it ethical for doctors to strike? If so, under what conditions?
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ChatGPT's answer ...

The ethicality of striking for physicians is a complex issue. I believe it is ethical for doctors to exercise their right to organize and exert pressure on governments or administrators in certain situations. I believe it should only be done as a last resort within a safe framework: the strike should not impact patient safety. However, the safety of those involved with the strike should also be taken into consideration. A proper assessment of the current situation and potential consequences of the doctor's action before any decision to strike is essential. The strike should also have a clear goal, provide sufficient time for negotiation, end with a reasonable agreement, and work to benefit both parties. All of these conditions must be met before doctors should consider striking as an ethical and legitimate way to address workplace issues and concerns.

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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
Some people think that the new or younger generation of physicians are not as hard-working (i.e., wanting to leave right at 5:00 p.m., not wanting to put in as long of a work week) as previous generations. How do you feel about this perception?
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ChatGPT's answer ...

I strongly disagree with this perception. As a fourth-year medical student, I have seen firsthand the dedication and hard work of my peers. We are motivated to provide the best care to our patients by staying up-to-date on the latest discoveries in medicine and spending many extra hours studying and researching. On the other hand, I understand that it is important to achieve a balance between work and personal life. Perhaps this is where the perception stems from - that we want to work smarter, not harder. In any case, I believe the commitment to patient care among my peers is unwavering.

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Intermediate
As a physician at a local hospital you notice that there is a man with an alcohol dependency who keeps on consuming the hand sanitizer offered at the hand sanitizer stands throughout the hospital. He is not a patient at the hospital at present but has been many times in the past. Consequently, there is often no hand sanitizer for public use. What do you do? Do you remove/change location of hand sanitizer stands? Do you approach him?
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ChatGPT's answer ...

As a physician, my priority is to provide the best possible care to the patients and visitors of our hospital. In the context of the situation described, my first priority would be to assess the health and safety risks that this person and other members of the public may experience due to their alcohol dependence and the availability of hand sanitizer. I believe that a multi-faceted approach is needed to address this issue.

Firstly, I would discuss the matter with the hospital management and security personnel to determine the best approach to managing the hand sanitizer stands in the hospital and to devise a plan for intervening with the individual. This may involve providing the individual with support services and outreach programs, as well as relocating the hand sanitizer stands to areas where the individual's access to the sanitizer is more difficult or restricted.

Secondly, I would approach the individual to discuss his alcohol abuse, offer him the support he needs, and inform him of the risks associated with his issue. I believe that, as someone with a medical background, I am best placed to provide him with accurate information on his alcohol dependence and how to best seek help to manage it.

Finally, I would collaborate with hospital staff and management to ensure that appropriate policies, protocols, and procedures are in place to ensure the safety and wellbeing of patients and staff. This may involve additional training and providing guidance to the staff on how to manage these situations.

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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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Answer now
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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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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Intermediate
You are part of a committee to decide where the money for health care in our province is spent. It is your turn to inform the committee of your opinion on what you think is the single most important area requiring funding.
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ChatGPT's answer ...

I believe the single most important area for healthcare funding in our province is mental health. We need to invest in mental health services, from supporting community-based mental health programs to expanding access to specialist care. We should put a priority on developing the infrastructure needed to support care for mental health in our region, including providing access to both emergency services and mental health professionals for follow-up care. Investing in mental health services can have wide-reaching impacts on our society, from reducing the impact of mental health issues on individuals and families to reducing healthcare costs. In addition, such investment would demonstrate a commitment to providing our citizens with the care they need to lead healthy and productive lives.

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Advanced
You tell a mother her two year old child has leukemia, but she refuses chemo but insists upon seeing her family physician who is a naturopath. What do you tell her, how do you handle this so that you may continue to have some influence as regards the treatment of her child? (The child‟s life is in the balance as the naturopath will be unable to save the child‟s life and you have an obligation to your patient, the child, who cannot make an informed decision. In paediatrics, its beneficence and “the rule of rescue” that takes precedence.)
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ChatGPT's answer ...

I understand your concern as a mother and respect your decision to allow your family physician to care for your child. However, I must let you know that the naturopath will be unable to successfully treat your child's leukemia and the condition may become terminal without medical intervention.

I would highly recommend that you seek treatment at a medical facility where the child can receive the proper care to manage the disease. As a doctor, I have an obligation to my patient, your child, and I must provide the best care and options available to him/her.

As I understand it, you wish to proceed with treatment under the care of your family physician. I am willing to work with you in achieving the best possible outcome for your child. Ultimately, I would encourage you to find a physician, whether the naturopath or a medically trained doctor, who is open to discuss both conventional and alternative treatments for your child. By collaborating with your family physician, we may be able to create a tailored treatment plan that is satisfactory for you and will give your child the best chances of survival.

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Intermediate
You are a GP working in a community where the majority of patients have very little education and many are refugees from other nations. What challenges do you foresee?
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ChatGPT's answer ...

As a GP working in a community where the majority of patients have very little education and many are refugees from other nations, I anticipate several challenges. One of the main issues is a lack of trust between patients and their healthcare providers. Refugees may distrust healthcare professionals due to cultural differences and lack of familiarity with the medical system in their new home. Additionally, individuals with little education may be confused by complex medical terminology and struggle to comprehend explanations and instructions. To adequately address these challenges, I believe it is important to approach every patient with compassion resulting in a trusting relationship and to use clear and concise explanations.

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Intermediate
A 40-year old schizophrenic patient needs hernia repair. Surgeon discussed the procedure with the patient who understood the procedure. Can the patient give consent?
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ChatGPT's answer ...

As a doctor, it is important to consider the patient's mental competence when deciding if they can give consent for a procedure. In this case, the patient has schizophrenia and is 40-years-old. In order to determine their mental competency, a thorough evaluation would need to be completed. This evaluation process should assess the patient's understanding of the procedure and risks in addition to their decision-making ability. If the patient is deemed to be mentally competent, they can provide informed consent and proceed with the operation. It is important to ensure that the patient gives consent voluntarily, as coercion and undue influence could affect the validity of the consent.

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Intermediate
Do you think general practitioners have an obligation to report their patients' health status to a public health agency, if their patients have active infectious diseases?
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ChatGPT's answer ...

Yes, I believe that general practitioners definitely have an obligation to report their patients' health status to a public health agency when their patients have active infectious diseases. This is important because it can help protect and reduce the spread of infectious diseases, thereby protecting the overall public health of a community. Furthermore, reporting these health statuses can help to ensure that the most efficient public health interventions are implemented and can result in better outcomes for patients with active infectious diseases.

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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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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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Advanced
What do you see as being the biggest issues/problems in health care now and in the future. What do you think are possible solutions to these issues?
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ChatGPT's answer ...

One of the biggest issues in healthcare now and in the future is resource availability and allocation. With an aging population and the increasing prevalence of chronic diseases, the demand for healthcare increases every year. This puts a great strain on the healthcare system, leading to issues such as long wait times, overcrowded facilities, and overburdened healthcare providers.

Substantial investments must be made in the healthcare system in order to address the resource issue. This can include investing in more efficient ways to deliver healthcare, such as telemedicine and expanded access to health information technologies. We must also consider expanding health care coverage, such as by increasing access to insurance, so that more people are able to receive the care they need.

Finally, we must prioritize preventative care. By investing in public health initiatives, such as campaigns encouraging healthy lifestyle habits and disease prevention programs, we can help curb the growth of preventable conditions, thus helping to alleviate the burden on the healthcare system. Taking a proactive approach to healthcare may be our most effective way of providing quality care to all Canadians.

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Intermediate
Discuss health care issues that have been in the news in the last month.
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ChatGPT's answer ...

Health care is always in the news, but in the last month, one of the most important issues relates to the ongoing pandemic and the working conditions of front-line health care workers. It's clear that too many of these workers are being stretched thin because there simply aren't enough of them in too many places. This has created extremely stressful situations for them and for the communities they serve. On the other hand, there has also been a shift towards using technology more to provide virtual health care services, from Telehealth consultations to virtual support groups. This is providing much needed access to people who may not have been able to get the help they need due to geographic or financial barriers. While this technology is likely to continue, it's important that these services are supplemented with in-person, personal care.

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Intermediate
You are a young, single doctor working in a small town of 1500. You meet an attractive male/female at the bar that you are interested in. What problems do you foresee?
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ChatGPT's answer ...

I can see a few potential problems that could arise if I pursued a relationship with someone I met at a bar in my small town of 1500.

The biggest issue would be the potential for our relationship to be the subject of gossip, or even worse, malicious rumors, due to the small and close-knit nature of the town. Many people would associate me with my professional role as a doctor and any relationship I had would inevitably be linked to that. I think this would be difficult to deal with, both professionally and personally.

Another issue that I would have to consider is the potential ethical implications if I ended up getting involved with a patient in some capacity. Given the size of the town, it is likely that my romantic partner and I could cross paths in our professional lives. I would need to be very thoughtful about how I manage this situation and consider the potential implications of an inappropriate or unethical relationship.

Finally, my role as a doctor can be very demanding, leaving little time for a relationship. I would need to make sure that I was able to find a balance between my career and my relationships so as not to neglect either of them.

Overall, I think that there are many things to consider when thinking about entering a relationship in a small town, but with the right safeguards in place, I believe it could work.

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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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Beginner
Without using your hands, explain how to tie shoe laces.
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Answer now
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
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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50
Answer now
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
There is an outbreak of an incredibly contagious life-threatening disease. The disease is spreading across the country at a rapid rate and the survival rate is less than 50%. You are a senior health care administrator, and when the vaccine is developed, you have priority to receive the drug. Do you take the vaccine yourself or give it to another person? Why or why not?
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ChatGPT's answer ...

If I were the senior health care administrator with priority access to the vaccine, I would take the vaccine myself. As a medical doctor, my first priority is to protect my own well-being and be in a position to continue offering medical services and helping to care for others. Given the devastating nature of the disease and the fact that the survival rate is less than 50%, if I were to contract this disease, I would not be able to continue providing medical services for other people. Therefore, I would take the vaccine for my own protection and be better able to continue helping others.

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Intermediate
Your best friend tells you he is a compulsive gambler. He has lost all his money and he asks you for a loan in order to buy food, to pay back his loan sharks and then use the rest to try to win it all back. Discuss the broad implications of gambling on society.
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ChatGPT's answer ...

Gambling can have significant implications for society as a whole because it can lead to a range of economic issues. It is possible for excessive gambling to lead to large losses of money, bankruptcy and even homelessness. Depending on the scale of the problem, gambling can have an impact on entire communities when people are unable to make rent payments or purchase food and other necessary items, or when money for large development projects is lost. On a personal level, gambling can cause a range of emotional and psychological issues. People who gamble excessively often damage relationships and lose their ability to resist cravings, leading to a cycle of addictive behavior.

Unfortunately, I cannot provide you with a loan. Lending you money would not be a responsible action because it enables your behavior and keeps you in the cycle of gambling. If I could go back in time, I would have encouraged you to explore ways to take more control of your life. What I can do is provide you with emotional support and guidance. This can include helping you find resources in your community that better address your needs and overall psychological well-being, such as counseling and addiction centers. There are also financial services and advice centers that can provide you with helpful information and support.

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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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Intermediate
What is the role of Electronic Record Management in the management and care of patients in the public and private sector now and in the future?
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ChatGPT's answer ...

The role of Electronic Record Management in the management and care of patients in the public and private sectors is increasingly important now and in the future. In the present, Electronic Record Management systems undoubtedly provide more efficient and secure access to a patient's information. It also allows for remote access to a patient's medical history, which can be especially useful in emergencies as well as in helping to track a patient's progress with condition management. Moving into the future, Electronic Record Management systems are expected to become even more integrated with medical devices, allowing for more accurate and instantaneous monitoring of a patient's health. Ultimately, Electronic Record Management systems offer a great improvement to our ability to manage and care for patients of the public and private sector.

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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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Answer now
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
A couple has decided to have a child through artificial insemination. They asked the physician for sex selection of the child. What should a physician advise in this situation?
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ChatGPT's answer ...

As a physician, I would advise the couple that sex selection of a child through artificial insemination is not ethical. There are potential risks associated with this type of artificial insemination, including an increased risk of chromosomal disorders and birth defects. Furthermore, artificial insemination does not guarantee success, so it also potentially raises the costs associated with giving birth. Lastly, sex selection could lead to gender inequality, as selection may be based on outdated gender stereotypes or cultural biases. For these reasons, I would advise against this type of artificial insemination.

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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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Advanced
Data has shown that doctors who smoke are less likely to make good role models for patients. Should doctors be allowed to smoke? Do doctors need to be role models?
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ChatGPT's answer ...

I don't believe that doctors should be allowed to smoke. As healthcare professionals, we have a responsibility to provide the best example of healthy lifestyle choices to our patients by leading healthy lifestyles ourselves. We should also encourage our patients to make healthy choices, which smoking contradicts. I think that doctors should take on the role of patient advocate and need to be role models to set good examples for our patients. If a doctor were to smoke, they would be sending an irresponsible message and would be setting the wrong example.

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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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Answer now
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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Advanced
If the Prime Minister of Canada were to ask your advice on one change that could be applied to the healthcare system in Canada that would improve it enormously and have the greatest positive effect, what would it be?
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ChatGPT's answer ...

If the Prime Minister of Canada were to ask my advice on one change that could be applied to the healthcare system in Canada that would improve it enormously and have the greatest positive effect, I would suggest incorporating more primary care physicians into the system as soon as possible. Having more primary care physicians available for Canadians would increase access to preventative care, which is critical for improving overall health outcomes in Canada. Furthermore, it would help reduce healthcare costs for Canadians by allowing for early identification and treatment of illnesses, which would lead to more patients receiving effective care earlier. Additionally, primary care physicians would be able to provide comprehensive and comprehensive advice to their patients, ensuring that they are better informed to make the best decisions for their health.

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Intermediate
The City of Vancouver has taken great measures to increase accessibility to alternative forms of transportation (Canada Line, Hornby and Dunsmuir Bike Lanes, Proposed Evergreen Line, and Burrard Street Bridge closures). Discuss the impacts (both positive and negative) of these decisions?
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ChatGPT's answer ...

I believe the efforts the City of Vancouver has taken to increase accessibility to alternative forms of transportation have both positive and negative impacts.

On the positive side, the increased use of public transportation, particularly the Canada Line, has helped reduce pollution in the city and has made it easier for residents to get around. This translates into a decrease in traffic congestion as well as improved air quality. This can also result in improved public health, as well as greater access to employment opportunities that may not have been accessible to individuals due to time constraints related to transportation. Additionally, the improvements to the city’s infrastructure have given a boost to its economy and have helped create jobs.

On the negative side, increased use of public transportation can cause overcrowding on buses, subways, and other services, resulting in longer wait times. This can be particularly challenging for individuals with physical or age-related limitations which can impede their ability to access alternative forms of transportation. Additionally, investments made in this area can be significant and can possibly strain city coffers. Finally, increased use of public transportation can also lead to misunderstandings and cultural clashes between different segments of citizens who may be traveling on the same transportation service.

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You are sitting at a desk in front of the interviewer with a screen between you. You have a set of blocks in front of you and you have to set them up in a certain way. The interviewer knows the solution and you can't see them and can only ask them yes or no questions. Correctly assemble the blocks.
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others
Open GPT Response
Your friend is of Chinese descent and fluent in Mandarin. You both want to get into medicine. She registers for Mandarin 101, a course in Chinese language for beginners. The course coordinator asks that students who can already speak just a little bit of Mandarin should leave because this is a course for beginners. Your friend remains but makes a sufficient number of deliberate mistakes in the classroom discussions, in the required homework and in the examinations that she will not be detected and yet still receive an excellent grade. What would you do in this situation?
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23
others
Open GPT Response
You are part of a committee to decide where the money for health care in our province is spent. It is your turn to inform the committee of your opinion on what you think is the single most important area requiring funding.
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25
others
Open GPT Response
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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29
others
Open GPT Response
Should the government directly fund the education of medical students as opposed to funding other professions such as law and engineering? Discuss this question with the interviewer.
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13
others
Open GPT Response
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