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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?
Medical Ethics
Self-reflection
Intermediate
Advanced
A Vancouver bio-tech company was hired by the US Military to develop a cure for Ebola. They successfully developed a vaccine to treat the symptoms of the virus and lowered the mortality rate for infected patients. Discuss the implications of this on a global scale.
Healthcare Issues & Policies
Critical Thinking
Advanced
Beginner
Recently, a drug company has been aggressively marketing their HPV vaccine for young girls to protect young women from cervical cancer. The vaccine has gained support because it will be protecting girls from this potentially deadly and costly disease. However, some people think there haven‟t been enough clinical trials. Pick a stance on this issue and prepare to support your argument.
Healthcare Issues & Policies
Critical Thinking
Beginner
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?
Medical Ethics
Self-reflection
Advanced
Intermediate
A 17-year old boy lives independently. He is married and has one child. He wants to participate in a medical research study. Does he need his parents‟ permission?
Healthcare Responsibilities
Medical Ethics
Intermediate
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?
Healthcare Issues & Policies
Medical Ethics
Advanced
Beginner
Without using your hands, explain how to tie shoe laces.
Problem Solving
Critical Thinking
Beginner
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.
Self-reflection
Healthcare Responsibilities
Intermediate
Advanced
You are working on a group project with 5 other students. One of the students doesn‟t show up for meetings or if they do show up - they are late and leave early. They have put no effort into the group project but show up on the day of the presentation and try to take credit for the project. What do you do in this situation?
Problem Solving
Self-reflection
Advanced
Intermediate
Discuss health care issues that have been in the news in the last month.
Healthcare Issues & Policies
Self-reflection
Intermediate
Advanced
The Canadian Pediatric Association has recommended that circumcisions "not be routinely performed". They base this recommendation on their determination that "the benefits have not been shown to clearly outweigh the risks and costs". Doctors have no obligation to refer for, or provide, a circumcision, but many do, even when they are not clearly not medically necessary. Ontario Health Insurance Plan (OHIP) no longer pays for unnecessary circumcisions. Consider the ethical problems that exist in this case. Discuss these issues with the Interviewer.
Medical Ethics
Healthcare Issues & Policies
Advanced
Advanced
A general principal in the pharmaceutical industry is that a drug is not real unless it has been tested in English speaking countries. A real drug is one that actually works and can be an economically viable product. Do you think this general principal is valid and/or acceptable? Discuss this question with the interviewer.
Healthcare Issues & Policies
Medical Ethics
Advanced
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?
Problem Solving
Medical Ethics
Intermediate
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.
Healthcare Issues & Policies
Critical Thinking
Intermediate
Intermediate
A 14 year old patient requests birth control pills from you and asks that you not tell her parents. What would you do?
Healthcare Responsibilities
Medical Ethics
Intermediate
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?
Healthcare Issues & Policies
Problem Solving
Advanced
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?
Problem Solving
Medical Ethics
Intermediate
Intermediate
How would you advise patients who are interested in visiting an acupuncturist or a chiropractor?
Healthcare Responsibilities
Medical Ethics
Intermediate
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?
Medical Ethics
Healthcare Responsibilities
Intermediate
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?
Medical Ethics
Healthcare Issues & Policies
Intermediate
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.
Critical Thinking
Healthcare Issues & Policies
Intermediate
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?
Healthcare Responsibilities
Critical Thinking
Intermediate
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.
Medical Ethics
Critical Thinking
Intermediate
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, how would you answer?
Healthcare Issues & Policies
Problem Solving
Advanced
Advanced
You are an emergency room physician at a local hospital. A patient comes in requesting painkillers for his back. Upon reviewing his file, you realize that he frequently comes to the hospital requesting painkillers and he has already capped his prescription for the month. Upon examination, you notice no new injuries to indicate an increase in painkillers. You politely tell patient that you will not increase his dosage or re-fill out another prescription for him. He tells you that he will go and inject himself with heroin right now if he does not get the painkillers. What do you say next? What do you do?
Healthcare Responsibilities
Medical Ethics
Advanced
Advanced
You are a 3rd year medical student doing hospital rotations. A fellow medical student who is doing rounds with you often show up to these sessions tired, messy, hung over, or even drunk. One day you found him in the lunch room unaccompanied, so you decided to talk to him. Please enter the lunch room.
Self-reflection
Medical Ethics
Advanced
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?
Medical Ethics
Critical Thinking
Advanced
Beginner
What is the difference between Medicare and Medicaid?
Healthcare Responsibilities
Critical Thinking
Beginner
Advanced
When is it appropriate to participate in assisted suicide of a patient? Why or why not?
Medical Ethics
Critical Thinking
Advanced
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.
Medical Ethics
Self-reflection
Advanced
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.)
Healthcare Responsibilities
Medical Ethics
Advanced
Beginner
You are spending your evening as a volunteer in the hospital. It is late and you see a number of staff duck into the supply closet with an empty bag and reappear in a few minutes with it appearing full. You have heard other staff members discussing that supplies are missing on a regular basis that cannot be accounted for. After observing the actions of the other staff members, what do you do?
Healthcare Responsibilities
Medical Ethics
Beginner
Advanced
Your best friend is an identical twin. The other twin has been sick with a variety of illnesses most of their lives. Several times, the other twin has been so ill that your best friend has supplied tissue (e.g., blood, bone marrow) sometimes to help their sibling stay alive. The other twin now needs a kidney transplant to stay alive. Their parents have assumed that your best friend will automatically donate the kidney as usual when tissue has been needed. However, your friend is now balking at this automatic assumption of donation and is considering saying „no‟. What would you say to your friend to convince him to donate the kidney?
Medical Ethics
Self-reflection
Advanced
Intermediate
You are shift supervisor at McDonalds fast food restaurant. The owner of the franchise has called you over. He is very upset as he has received 3 complaints in the last 30 minutes about the meat in the hamburgers being poorly cooked. There are two people (one male, one female both 15 years old) who have been cooking the meat for the past two hours. The female is the owner‟s daughter. How would you handle the situation?
Problem Solving
Healthcare Responsibilities
Intermediate
Intermediate
You are a general practitioner and a mother comes into your office with her child who is complaining of flu-like symptoms. Upon entering the room, you ask the boy to remove his shirt and you notice a pattern of bruises on the boy's torso. You ask the mother where the bruises came from, and she tells you that they are from a procedure she performed on him known as "cao gio," which is also known as "coining." The procedure involves rubbing warm oils or gels on a person's skin with a coin or other flat metal object. The mother explains that cao gio is used to raise out bad blood, and improve circulation and healing. When you touch the boy's back with your stethoscope, he winces in pain from the bruises. You debate whether or not you should call Child Protective Services and report the mother. When should a physician step in to stop a cultural practice? Should the physician be concerned about alienating the mother and other people of her ethnicity from modern medicine?
Cultural Competence
Medical Ethics
Intermediate
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?
Communication Skills
Medical Ethics
Advanced
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?
Healthcare Issues & Policies
Healthcare Responsibilities
Advanced
Intermediate
In recent years, there has been an increase in popularity of full contact sports, such as Ultimate Fighting Championship (UFC) and boxing. Should doctors have a role in regulating such sports?
Medical Ethics
Healthcare Responsibilities
Intermediate
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?
Healthcare Responsibilities
Critical Thinking
Intermediate
Advanced
Mrs. Jones has signed a donor card indicating that she is willing to donate her body to science without notifying her husband and son. She gets into an accident and it is determined that she is brain dead. The family doctor, who is on call that afternoon, reviews the chart and determines that she would be perfect for medical students to practice the removal of organs for transplantation purposes. The doctor then talks to the family to discuss the procedure and to confirm their consent. They both oppose the procedure and refuse to allow their doctor to move forward. The doctor points out that Mrs. Jones could be helping hundreds of people by educating the medical students and that technically consent has already been provided. The husband understands how beneficial the educational experience is but is too emotional to allow them to continue. The son, a medical student, refuses because he knows the bodies are not treated with dignity. If you were the doctor, how would you proceed? Why?
Medical Ethics
Critical Thinking
Advanced
Advanced
Discuss any topical health care issue that is unique to the Pacific Northwest region (or region for Med School you are applying to)?
Healthcare Issues & Policies
Self-reflection
Advanced
Intermediate
When you enter the room there will be a blank sheet of paper in front of you. On the other side of the room there is another candidate who will provide you with instructions regarding how to turn this page into an origami (paper folding) project. Do not look at the other candidate until told that you can do so. You have 5 minutes to complete the project after which you will be given 3 minutes to discuss with your colleague any difficulties that arise during your communication.
Problem Solving
Critical Thinking
Intermediate
Advanced
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.
Problem Solving
Critical Thinking
Advanced
Intermediate
Your friend tells you that a piece of expensive electronic equipment he had bought for $3000 just two weeks ago had stopped working. The store where he bought it had a 7-day return policy. Your friend goes to the store, buys a new piece of equipment and then returns the old damaged equipment in its place for a full refund. The store is owned by your uncle who is struggling to keep the business going. How would you deal with the situation?
Self-reflection
Medical Ethics
Intermediate
Intermediate
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?
Self-reflection
Healthcare Responsibilities
Intermediate
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?
Healthcare Issues & Policies
Critical Thinking
Advanced
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.
Healthcare Issues & Policies
Critical Thinking
Advanced
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?
Medical Ethics
Healthcare Responsibilities
Advanced
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.
Problem Solving
Self-reflection
Advanced
Advanced
A woman enters the emergency room with stomach pain. She undergoes a CT scan and is diagnosed with an abdominal aortic aneurysm. The physicians inform her that the only way to fix the problem is surgically, and that the chances of survival are about 50/50. They also inform her that time is of the essence, and that should the aneurysm burst, she would be dead in a few short minutes. The woman is an exotic dancer; she worries that the surgery will leave a scar that will negatively affect her work; therefore, she refuses any surgical treatment. Even after much pressuring from the physicians, she adamantly refuses surgery. Feeling that the woman is not in her correct state of mind and knowing that time is of the essence, the surgeons decide to perform the procedure without consent. They anaesthetize her and surgically repair the aneurysm. She survives, and sues the hospital for millions of dollars. Do you believe that the physician's actions can be justified in any way? Is it ever right to take away someone's autonomy?
Medical Ethics
Healthcare Responsibilities
Advanced
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?
Critical Thinking
Problem Solving
Intermediate
Intermediate
What is your opinion about stem cell research using fetal tissue?
Healthcare Issues & Policies
Critical Thinking
Intermediate
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.
Medical Ethics
Healthcare Responsibilities
Advanced
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?
Healthcare Issues & Policies
Critical Thinking
Advanced
Advanced
Preferential Admission (Knowledge of the Heath Care System): Due to the shortage of physicians in rural communities such as those in Northern Ontario, it has been suggested that medical programmes preferentially admit students who are willing to commit to a 2 or 3 year tenure in an under-serviced area upon graduation. Consider the broad implications of this policy for health and health care costs. For example, do you think the approach will be effective?
Healthcare Issues & Policies
Problem Solving
Advanced
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.
Self-reflection
Healthcare Responsibilities
Beginner
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.
Healthcare Issues & Policies
Critical Thinking
Advanced
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.
Medical Ethics
Healthcare Responsibilities
Advanced
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?
Medical Ethics
Healthcare Responsibilities
Intermediate
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?
Self-reflection
Problem Solving
Intermediate
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.
Critical Thinking
Problem Solving
Beginner
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.
Self-reflection
Medical Ethics
Advanced
Beginner
At the beginning of your last year of undergraduate studies, the Dean of your Faculty has offered to all of you the opportunity to swallow a „red‟ pill. If swallowed, this pill would increase enormously your ability to „absorb‟ all the educational material being presented to you in all your courses. In fact, this pill would basically guarantee that you would receive an A+ in all your future courses with a significantly reduced workload. Would you take the red pill?
Self-reflection
Critical Thinking
Beginner
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?
Healthcare Responsibilities
Medical Ethics
Advanced
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?
Self-reflection
Healthcare Responsibilities
Advanced
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?
Problem Solving
Critical Thinking
Advanced
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?
Healthcare Responsibilities
Medical Ethics
Intermediate
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?
Medical Ethics
Healthcare Responsibilities
Intermediate
Advanced
You are on duty in the ER when an unconscious three–year-old girl is brought in. It‟s clear that she needs an immediate blood transfusion to survive, but her Jehovah‟s Witness parents are adamantly against it. What would you do and why?
Medical Ethics
Problem Solving
Advanced
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?
Healthcare Responsibilities
Medical Ethics
Advanced
Advanced
You are a cardiologist at a local hospital, who just finished a shift and has a tight run to your daughter's high school graduation ceremony. As you headed off to the door, Jennifer, a patient who knew you well, saw you from the waiting room and grabbed your attention. "Doctor! I have a bad chest pain. Please stay for a bit. I'll feel much better if you were here." Enter the waiting room and talk to Jennifer.
Advanced
Beginner
Your 5 year old nephew asks you, "Why is the sky blue?” How would you answer him using a series of simple scientific experiments?
Critical Thinking
Problem Solving
Beginner
Advanced
How does Canadian health care system compare to that of Britain‟s system?
Healthcare Issues & Policies
Critical Thinking
Advanced
Beginner
You are given a list of items that you would want to take in your suitcase for a two-week holiday. You are told that you can only pack half of the items available.
Critical Thinking
Problem Solving
Beginner
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?
Healthcare Issues & Policies
Critical Thinking
Intermediate
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.
Self-reflection
Medical Ethics
Advanced
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.
Self-reflection
Healthcare Responsibilities
Beginner
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?
Problem Solving
Critical Thinking
Beginner
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?
Medical Ethics
Healthcare Responsibilities
Intermediate
Intermediate
The parking garage at your place of work has assigned parking spots. On leaving your spot, you are observed by the parking attendant as you back into a neighbouring car, a BMW, knocking out its left front headlight and denting the left front fender. The garage attendant gives you the name and office number of the owner of the neighbouring car, telling you that he is calling ahead to the car owner, Tim. The garage owner tells you that Tim is expecting your visit. You enter Tim‟s office.
Medical Ethics
Self-reflection
Intermediate
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.
Self-reflection
Healthcare Responsibilities
Advanced
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.
Healthcare Issues & Policies
Critical Thinking
Intermediate
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?
Medical Ethics
Critical Thinking
Advanced
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?
Medical Ethics
Problem Solving
Advanced
Intermediate
Do you think medicine should be more about changing behaviour to prevent disease or treating existing disease?
Healthcare Issues & Policies
Self-reflection
Intermediate
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?
Healthcare Responsibilities
Problem Solving
Intermediate
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?
Medical Ethics
Healthcare Issues & Policies
Advanced
Beginner
What is the difference between HMOs and PPOs?
Healthcare Responsibilities
Critical Thinking
Beginner
Advanced
You are a genetic counsellor. One of your clients, Linda, had a boy with a genetic defect that may have a high recurrence risk, meaning her subsequent pregnancies has a high chance of being affected by the same defect. You offered genetic testing of Linda, her husband, and their son to find out more about their disease, to which everyone agreed. The result showed that neither Linda nor her husband carry the mutation, while the boy inherited the mutation on a paternal chromosome that did not come from Linda's husband. In other words, the boy's biological father is someone else, who is unaware that he carries the mutation. You suspect that Linda nor her husband are aware of this non-paternity. How would you disclose the results of this genetic analysis to Linda and her family? What principles and who do you have to take into consideration in this case?
Medical Ethics
Communication Skills
Advanced
Intermediate
A friend has accessed your laptop and discovered your draft for an essay that is due by you both who are taking the same course. How do you handle this?
Problem Solving
Medical Ethics
Intermediate
Intermediate
You are a first year medical student who is doing above average in some subjects, and below average on others. What would you do in this situation? What resources would you access?
Self-reflection
Problem Solving
Intermediate
Advanced
The government wants to track citizens across the country in order to maintain public safety in the face of growing terrorism. How would you advise the government to do this?
Healthcare Issues & Policies
Critical Thinking
Advanced
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?
Healthcare Responsibilities
Medical Ethics
Advanced
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?
Healthcare Responsibilities
Healthcare Issues & Policies
Intermediate
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.
Problem Solving
Healthcare Responsibilities
Advanced
Intermediate
You learn from your best friend that she was involved in a hit and run accident one night when she had too much to drink and had hit a person crossing the street. She feels badly about this incident. What do you do if anything?
Self-reflection
Medical Ethics
Intermediate
Intermediate
Should there be legislation stating that a physician must report a gunshot wound of their patients to police? Discuss.
Healthcare Issues & Policies
Medical Ethics
Intermediate
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.
Medical Ethics
Healthcare Issues & Policies
Advanced
Intermediate
Is it ethical for doctors to strike? If so, under what conditions?
Medical Ethics
Healthcare Issues & Policies
Intermediate
Advanced
In your opinion, what is a primary flaw in the health care system? How would you address it?
Healthcare Issues & Policies
Problem Solving
Advanced
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