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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?
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?
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?
Do you think medicine should be more about changing behaviour to prevent disease or treating existing disease?
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.
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.
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.
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?
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.
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.
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
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?
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?
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?
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.
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?
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.
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?
In the City of Plymouth in England, the City Council has introduced a maximum speed limit for all vehicles of 30km/h (previous limit was 50km/h) within city limits because this will reduce the number and severity of traffic accidents. The city councillors in Edmonton wish to introduce the same restriction. Would you support such a policy here in Edmonton?
You are presented with a list of 15 individuals, including details of their age, sex and occupation. You are being told that a nuclear attack is imminent and you are only allowed to save 5 of them from destruction. Which ones and why?
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?
John X is a convicted pedophile and repeat offender. He is about to be released from prison after serving 7 years of his 10-year sentence. He will be in close contact with his parole officer and he will be monitored on a daily basis. Should the community be aware of John X's history? You are in charge of deciding whether or not to warn the community about John X. What issues/factors would you consider in making your decision?
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?
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?
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.
Discuss health care issues that have been in the news in the last month.
A member of your family decides to depend solely on alternative medicine for treatment of his or her significant illness. What would you do?
A physician picked up a car accident victim from the street and brought him to the ER in his car. He did not want to wait for an ambulance because the patient‟s condition was critical. Physical examination in the ER reveals quadriplegia. Is the physician liable for this consequence?
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?
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?
Due to a shortage of physicians in rural and Northern communities in BC, some policy-makers have suggested that medical programs preferentially admit students who are willing to commit to a 2 or 3 year tenure in rural areas after graduation. Consider the broad implications of this policy for health care and the costs associated. Will this policy be effective?
Imagine your friend‟s father is 70 years old and has lived in Edmonton his whole life. He is taken to the emergency department at the University of Alberta Hospital. He has had good health until now and this is the first time he has been to hospital of any kind since he was 20 years old. What changes in the healthcare system and environment in the hospital do you think he would notice?
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.
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.
You discover that your boyfriend has a substance abuse problem. His conduct has never been influenced by this since you have been together. How do you handle this?
What is your opinion about stem cell research using fetal tissue?
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?
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?
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?
It has been suggested that in order to promote healthy lifestyles, medical schools preferentially admit students who do not smoke. Do you think this approach will be effective? Discuss the implications with respect to health and health care costs.
Discuss any topical health care issue that is unique to the Pacific Northwest region (or region for Med School you are applying to)?
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?
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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