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Practice Interview Question Thread

I agree with what both of you have said, and I think you managed to comprehensively outline all the considerations required to make an informed decision. I gave this a go myself before looking at your answers and had many similar points. Just one thing I'd potentially add is the mechanical/biological factors of a kidney transplant. A kidney from a larger male donor may be better suited to the older man as compared to the younger man (with a slimmer build for example). Also, one patient may potentially be a 'better' match than the other, not enough info is given in the stem. So further investigation of this (with various assays as suggested above) could highlight the recipient who I would be more inclined to give the organ to.

Just a question here, after summarising all of this points, could I potentially say I would also look at the rest of the organ recipient waiting list and look for a better candidate if both are deemed not suitable? This kind of puts the scenario into a real-life perspective as obviously they won't be debating between just two people in hospitals.
I completely missed the point of seeing who would be a better match, I just assumed they were equally suitable since the stem states: "There’s only one kidney available that matches both patients."
But I agree that is a good point that I didn't even think of making!

For your question, I personally don't think it would be necessary to discuss other patients as the stem states that both are suitable for the transplant, however if the stem didn't mention this then I think it would be worthwhile to discuss. But that's just my personal view, if anyone disagrees please let me know!
 
A doctor recommends homeopathic medicines with no evidence to his patients for minor symptoms like fatigue and headache. The doctor does this even though they do not believe in the effectiveness of the treatments, as they believe it will do no harm.



  • First of all, it is important to keep an open mind and not dismiss all alternative medicines as fake and ineffective, but instead judge each one on its own merits.
  • In saying that, the medications provided by the doctor have no evidence to support their effectiveness, and even the doctor thenmselves believe they are ineffective.
  • This is a case of deception, which is very unethical as patients are being misled.
  • The placebo effect, referring to improvement in health due to patients’ beliefs, is well-researched to be effective at alleviating symptoms.
  • However, not all patients may experience this effect, meaning that prescription of these medicines over conventional, proven medicines may impact the level of patient care provided.
  • Moreover, for patients whose condition does improve, perhaps proven medications would be even more effective at treating their symptoms, meaning patient care is also affected as they may not seek other treatments if they are prescribed these ones instead.
  • These homeopathic medicines are also less well-researched, meaning side effects and allergies relating to it may not be well known, illustrating another side of how the doctor’s actions may be harmful to patients.
  • Furthermore, if this deception becomes public, trust in the medical profession would decrease as the doctor is abusing the patients’ trust in them by lying.
  • Overall, the doctor's actions are deceptive, and may negatively impact level of patient care, as well as threaten public trust in the medical profession.

Any feedback is appreciated :)
 
A doctor recommends homeopathic medicines with no evidence to his patients for minor symptoms like fatigue and headache. The doctor does this even though they do not believe in the effectiveness of the treatments, as they believe it will do no harm.



  • First of all, it is important to keep an open mind and not dismiss all alternative medicines as fake and ineffective, but instead judge each one on its own merits.
  • In saying that, the medications provided by the doctor have no evidence to support their effectiveness, and even the doctor thenmselves believe they are ineffective.
  • This is a case of deception, which is very unethical as patients are being misled.
  • The placebo effect, referring to improvement in health due to patients’ beliefs, is well-researched to be effective at alleviating symptoms.
  • However, not all patients may experience this effect, meaning that prescription of these medicines over conventional, proven medicines may impact the level of patient care provided.
  • Moreover, for patients whose condition does improve, perhaps proven medications would be even more effective at treating their symptoms, meaning patient care is also affected as they may not seek other treatments if they are prescribed these ones instead.
  • These homeopathic medicines are also less well-researched, meaning side effects and allergies relating to it may not be well known, illustrating another side of how the doctor’s actions may be harmful to patients.
  • Furthermore, if this deception becomes public, trust in the medical profession would decrease as the doctor is abusing the patients’ trust in them by lying.
  • Overall, the doctor's actions are deceptive, and may negatively impact level of patient care, as well as threaten public trust in the medical profession.


Any feedback is appreciated :)
Disclaimer: year 12 student
I think you've made some great points in your response and it's awesome that you established that it is essential to keep an open mind surrounding alternative medicines! The prompt itself is a bit strange to me, as the doctor is prescribing these medicines with literally no basis at all - is he just doing it for the sake of it? - he 'believes it will do no harm'. It doesn't say whether he's telling his patients that the medicine is effective when it isn't; in that case, it would definitely be lying and deception, but here I'm honestly just confused haha. Is he additionally prescribing other medicine which can actually treat these symptoms or are patients coming to him with minor symptoms and he's just going oh here have some homeopathic medicines which will do nothing? Just a little brain dump oops but your discussion about the implications of any deception I think is great! I think you could expand a little more surrounding the loss of trust in both the doctor and the medical profession; if you found out that your doctor was prescribing you medicine that he knew did nothing, you'd feel angry, mistrustful, hurt - society basically trusts the profession to treat injuries/diseases and alleviate pain so that patients can have a greater standard of living; his actions are just like not it sorry my brain capacity is running out
 
So that prompt was paraphrased as I didn't want to post a whole essay of a question:p

But yeah the prompt states the doctor "recommends homepathic medicine to people with mild symptoms as he believes it will do no harm, but give reassurance" even though "he doesn't believe them [the medication] to work".

I like your feedback about why the doctor is actually doing this though! Maybe its because they are being sponsored in some way by the homeopathic company, which is even worse and calls into question the doctor's integrity.
 
This post (as always) comes with the disclaimer that I am not an interviewer or doctor and have no clinical experience of my own, so perhaps once I've gained that experience my viewpoint would change.

I think the above answers cover the key points, but as pointed out, you can't assume certain things from this prompt alone (e.g. it doesn't say the doctor is prescribing homeopathic medicines in place of other prescription medicines with an evidence base - they may just be an adjunct; and it also doesn't provide the context behind his recommendations).

In this sense, I think the answer is one-sided and potentially too harsh against the doctor. In reality, people not uncommonly do take homeopathic medicines and participate in various rituals that have no evidence base, and yet many swear by them. If your patient comes to you and says they're feeling much better about x condition since they started taking y homeopathic medicine, and you know that y homeopathic medicine will not interact with any other medications they're taking or have any harmful side effects, would you really advise them against it?

Even if it's only a placebo effect, you may as well encourage behaviours that are having a positive impact in your patients about their health condition (even if it's simply their perception). Obviously this is only the case if you know that the medicine won't have any side effects or interactions with their prescription meds, and you are only encouraging it as an adjunct (as opposed to a replacement) to whatever evidence-based treatment/management that you would prescribe for another patient with the same condition.

The prompt also doesn't necessarily imply the doctor is actively lying/deceiving his patients, and I feel as long as he is honest in the fact that said medicines do not have any evidence base behind them, then he's not necessarily a deceitful member of the profession or someone who is creating distrust in the health system. Just a thought to ponder.

If I were answering this question I'd certainly point out the dangers of recommending medicines without an evidence base (which is one side of this question and certainly the more obvious one) and the implications of doing so, however, I feel also looking at this question from the perspective of the doctor or patient who believes they are benefiting from these homeopathic medicines goes an extra step.

Naturally if further information was provided and it turned out that the doctor was just straight up lying about the benefits of homeopathic medicines and/or recommending them in place of evidence-based medicine, then this wouldn't apply and the angle taken by the former answers would prevail.

(Disclaimer #2: I am a firm supporter of evidence-based practice and do not personally encourage the use of homeopathic medicines that lack an evidence base).
 
Hi guys, had a shot at this question, any feedback would be appreciated! I did this verbally for the first part but had to do something else so just wrote down everything that came into my head for the rest.

A little boy has come to your house, knocking on the door furiously. You open the door, and see the boy’s face extremely pale with tears flowing. You ask him what has happened and he replies that he has accidentally lit a fire in the national park, and that it has now gone out of control. You also hear a report on the radio that there is a fire at the national park and anyone that has information on the perpetrator will get a reward of $50,000 from the police. Upon hearing the radio announcement, the boy pleads to you that you keep him in your home temporarily and to not tell anyone that he was responsible for the fire to avoid any harsh consequences.

What would you do next?


As the police are already looking for information surrounding the perpetrator, I can assume that the responsible authorities - firefighters etc - are already at the scene and the fire itself is not something I should be worrying about. First, I would invite the boy in and try to calm him down as he looks extremely agitated, which is understandable, and get him to drink some water and sit down. I would ask him about his parents, or where he lives, so that I can contact his immediate family or guardians, as they may be extremely worried about him - in the process of informing them where he is, I might refrain from saying anything about the fire so that the boy can tell them himself in the future. I would then discuss with him his reasons for lighting the fire to understand him better - was he just playing around? Was he on a dare by his friends and accidentally did it?

Following this, I would gently tell him that lighting this fire, whether accidental or not, is quite a serious action - as it is a national park, I assume that there may have been endangered or specific flora and fauna which consequently would have been damaged by the fire. I would try and explain to the boy that actions have consequences and that rather than hiding away from the truth and building up extreme regret and guilt which may damage his emotional wellbeing in the future, it would be good for both him and the society if he is able to own up to his actions and take responsibility for what he did. I believe that from a young age, good examples should be set for children and that they have the foundation to follow the right path and as such, the boy should be gently made aware that confessing would be the best course of action. As he would be feeling extremely scared about the consequences he may face, I would reassure him of the above and that he is only young and has a lot to learn!

The reward of $50 000 would be of low significance in my mind, as my main priority would be to help this boy take the right course of action - I could call the police and inform them that the boy is here with his consent if he agrees to own up for his actions, and accompany him if he wishes. If he is adamant about me hiding him to avoid facing the consequences, I would gently explain to him that I cannot do that and probably distract him with some toys or games while I wait for his parents to arrive so that I can discuss with them what to do. If the parents agree with the boy owning up, great! If they don't, I will tell them that I feel obliged to tell the police what has happened, and it would be best for the boy to acknowledge his wrongdoings.

Should children who commit the same crimes as adult also be charged or sentenced the same amount? Why or why not?

I do not believe that children who commit the same crimes as adults should be charged or sentenced the same amount - in fact, this is rarely the case in Australia. Under the age of 10, doli incapax applies, where it is assumed that these children do not have the mental capability to commit a crime as they essentially do not know between right and wrong. This doctrine protects vulnerable children from the consequences of mis-informed actions, as they simply might not know better due to their young age. To punish them the same way as adults would be extremely harsh and unnecessary, and would essentially inhibit the child's development and education - keeping children in prison is just not right. Between the ages of 10 and 14, doli incapax can be rebutted if the prosecution can prove that the child knew that they were doing, which still aims to protect these children who may not have the mental capacity to commit crimes. Between the ages of 14 and 18, children who commit the same crimes as adults are given lightened punishment aimed at rehabilitation rather than incapacitation or retribution to ensure that they understand their wrongdoings and refrain from doing so again in the future.

Should young children be disciplined strictly? If so what way?

Strict discipline in a sense could be actions such as using physical force or shouting, and often will not deter children but will instead strike fear into them without comprehension of their actions. I believe that while it is up to each parent to decide how to discipline children, the best way would be to try to help them understand their wrongdoings and acknowledge what they have done in order to ensure they understand not do so again in the future. Things such as listening to them, reinforcing good behaviour and discouraging others, showing that what they have done wrong and imposing consequences, such as no ice cream for dessert or toys, would be more effective in encouraging them to comprehend their actions, and establish a foundation for them to grow into emotionally and socially mature adults.
 
Wow thats a damn good answer! Only a few little things I could nitpick from that.
  • Check and ask child if he has any injuries (obviously would be minor in this case as they are not immediately noticeable) from the fire.
  • It's good that you inquired about the motivation for the child's action (accident etc) but I would wonder how he ever had the opportunity in the first place (had a lighter as a kid and was alone in a national park where he might get lost) and investigate gently if this might be due to neglect when talking to the child.
  • For the last question, I think you alluded to it but I would add after the fact that every parent has the right to discipline their child with their methods, but make it explicit that not to the point of abuse (anything that leads to long-lasting damage).
 
You work for a company, which requires you and your colleague (John) to attend a business meeting that requires a flight to get to. You arrange a time to pick up John before going to the airport, but he is not there when the time comes. John’s partner informs you that she does not know where he is, and that he has not even packed for the trip. The flight leaves in a few minutes. What do you do?

  • Firstly, my main concern is the safety of John as this trumps the importance of the flight and business meeting.
  • I would begin by eliciting as much information from John’s partner as possible (keeping in mind to be gentle and not elicit panic as she would be distressed too in this situation).
  • This includes finding out if John has a phobia of flying (my main suspect for his disappearance), whether this erratic behaviour has occurred before (especially when he has to fly) and if the partner has any idea at all where he might be (was he nervous the night before, where could he be hiding, such as at his parents’ place).
  • I would then aim to make contact with John - call him, ask partner to call him, visit parents’ place or anywhere he may be going to.
  • If I cannot find him, I would contact the authorities (police) as this may be more severe than initially expected.
  • If/when I find him, I would firstly calm him down and ensure I will not force him to fly.
  • I would then discern the motivation for his behaviour - fear, emergency occurred that demanded his presence.
  • If it is due to fear, I would encourage him to seek professional help (counselling) as a phobia is a destructive mental disorder - especially since it impairs his ability to work.
  • I can accompany him to these sessions if required.
  • Finally, I would inform John’s partner that he is safe and found, and talk to the company about what has occurred to see what the solutions are for the missed meeting.

Any feedback appreciated as always :)
 
I would like some ideas about how to answer this question.

You are a 3rd year medical student at your grandma's house. Your grandma has high blood pressure and high blood cholesterol levels and is taking medication to manage these ailments. She tells you about a video she saw where a lady says to stop taking the medications. Your grandma is wholeheartedly agreeing with the lady in the video as her attitude is that, "Doctors prescribe medications to get money from the pharmaceutical companies" and she strongly holds this view. You do some digging and the lady in the video is a homeopathic practitioner.

- What do you say to your grandma?

- What are the potential consequences of your grandma sending this video to her friends?
 
I would like some ideas about how to answer this question.

You are a 3rd year medical student at your grandma's house. Your grandma has high blood pressure and high blood cholesterol levels and is taking medication to manage these ailments. She tells you about a video she saw where a lady says to stop taking the medications. Your grandma is wholeheartedly agreeing with the lady in the video as her attitude is that, "Doctors prescribe medications to get money from the pharmaceutical companies" and she strongly holds this view. You do some digging and the lady in the video is a homeopathic practitioner.

- What do you say to your grandma?

- What are the potential consequences of your grandma sending this video to her friends?
Disclaimer: Med applicant
1.
-Main idea is to be empathetic to the Grandma
-First have a conversation about her health and how she is feeling
-Then ask her open ended questions like How is her BP, what she thinks of the medication, and what she thinks of her doctor, just to find out her viewpoint
-When she says she has stopped taking medicine ask her why (is it painful, has she not seen any improvement, the biggest reason ofc being the video she watched)
-Ask her why she believes this video over her doctor and whether she has done the adequate research (Never take a side i.e. don't say she shouldn't listen to the video or it is nonsense but just ask her open ended questions)
-Suggest to do research with her, and since your a med student explain to her the scientific method andhow these medications have been certified and have gone through a long process of testing and experimentation before a doctor ever prescribes them and that they have probably worked for numerous other patients
-If the grandma still doesn't believe you, you could discuss with her that anyone can post information on the internet without qualifications or merit and not everything on the interent is the truth

2.
-Can decrease trust in the healthcare system
-Results in patients not being open with their doctors and also resorting in patients not coming to see doctors but do practices they see online instead
-Can lead to worse health outcomes
Can't really think of anything else, hopefully someone else can add on.
 
Disclaimer: Med applicant
1.
-Main idea is to be empathetic to the Grandma
-First have a conversation about her health and how she is feeling
-Then ask her open ended questions like How is her BP, what she thinks of the medication, and what she thinks of her doctor, just to find out her viewpoint
-When she says she has stopped taking medicine ask her why (is it painful, has she not seen any improvement, the biggest reason ofc being the video she watched)
-Ask her why she believes this video over her doctor and whether she has done the adequate research (Never take a side i.e. don't say she shouldn't listen to the video or it is nonsense but just ask her open ended questions)
-Suggest to do research with her, and since your a med student explain to her the scientific method andhow these medications have been certified and have gone through a long process of testing and experimentation before a doctor ever prescribes them and that they have probably worked for numerous other patients
-If the grandma still doesn't believe you, you could discuss with her that anyone can post information on the internet without qualifications or merit and not everything on the interent is the truth

2.
-Can decrease trust in the healthcare system
-Results in patients not being open with their doctors and also resorting in patients not coming to see doctors but do practices they see online instead
-Can lead to worse health outcomes
Can't really think of anything else, hopefully someone else can add on.

1. I probably should have been open minded, but my first sentence as to what I would have said was to tell the grandmother I respectfully disagreed :/. In terms of the empathetic aspect, I thought that reminding her that her family really cares about her and even if the drugs may be "excessively" overpriced, they have a very important role in her health and we would really value continuing to see her in a healthy state would maybe convince her to still take the drugs in the short term.

2. In addition to your points I also thought of:
* If her friends didn't believe her or the video, they may resent her which may cause her to lose friends. This is a concern as in my opinion, community interaction is very important to elderly people like my grandmother.
* If her friends disagreed with the video, they may be able to convince my grandmother to take a stance that as a medical student I would agree with as she may see them as more like equals and thereby are more likely to follow their advice.
 
jdog’s post is still awaiting feedback!

ETA: Thank you alexturnip!
 
Last edited:
You work for a company, which requires you and your colleague (John) to attend a business meeting that requires a flight to get to. You arrange a time to pick up John before going to the airport, but he is not there when the time comes. John’s partner informs you that she does not know where he is, and that he has not even packed for the trip. The flight leaves in a few minutes. What do you do?

  • Firstly, my main concern is the safety of John as this trumps the importance of the flight and business meeting.
  • I would begin by eliciting as much information from John’s partner as possible (keeping in mind to be gentle and not elicit panic as she would be distressed too in this situation).
  • This includes finding out if John has a phobia of flying (my main suspect for his disappearance), whether this erratic behaviour has occurred before (especially when he has to fly) and if the partner has any idea at all where he might be (was he nervous the night before, where could he be hiding, such as at his parents’ place).
  • I would then aim to make contact with John - call him, ask partner to call him, visit parents’ place or anywhere he may be going to.
  • If I cannot find him, I would contact the authorities (police) as this may be more severe than initially expected.
  • If/when I find him, I would firstly calm him down and ensure I will not force him to fly.
  • I would then discern the motivation for his behaviour - fear, emergency occurred that demanded his presence.
  • If it is due to fear, I would encourage him to seek professional help (counselling) as a phobia is a destructive mental disorder - especially since it impairs his ability to work.
  • I can accompany him to these sessions if required.
  • Finally, I would inform John’s partner that he is safe and found, and talk to the company about what has occurred to see what the solutions are for the missed meeting.

Any feedback appreciated as always :)
* Med applicant *
I personally thought this was a good answer! However i have some questions; not saying that you are wrong, but something for me and maybe others to think about.

Why is it that you assumed he has a phobia of flying? There was nothing in the stem to suggest that. We aren't given much info so I feel like it really could be anything from this man going missing to forgetting the flight and doing somewhere else that day (unlikely, but possible.)

I guess its a question of priorities. Do you prioritise the flight or your concern for John (which you clearly demonstrated in the first sentence, so that was great.)

I am also confused as to how you could talk your actions in a scenario like this without making a whole lot of assumptions - ie, IF he is missing, then I call the police.. Who knows if hes even missing in the first place? 😱
 
Following a tragic accident, a 16-year-old boy is admitted to the Emergency Department. He has lost a lot of blood and is hemodynamically unstable. The boy is informed that a blood transfusion will have to be performed to save his life. Upon further questioning you find out that the patient is a Jehovah’s Witness follower. The boy resists any sort of help until the doctors promise to not give him a transfusion. The doctors eventually give in and make a promise to the patient. Some time later, the boy collapses due to the blood loss and is unconscious. The doctor then makes the decision to give a blood transfusion to the boy.
1. What are the conflict of issues in the passage above?
2. Did the doctor lie? Is it acceptable for the doctor to do so if the patient benefits?
3. Where may personal beliefs create an obstacle in the treatment of a patient, as a medical professional? Discuss.
4. Do you think that there is an inter-relation between a persons beliefs and health/wellbeing?
5. How would you have managed the situation?
 
Following a tragic accident, a 16-year-old boy is admitted to the Emergency Department. He has lost a lot of blood and is hemodynamically unstable. The boy is informed that a blood transfusion will have to be performed to save his life. Upon further questioning you find out that the patient is a Jehovah’s Witness follower. The boy resists any sort of help until the doctors promise to not give him a transfusion. The doctors eventually give in and make a promise to the patient. Some time later, the boy collapses due to the blood loss and is unconscious. The doctor then makes the decision to give a blood transfusion to the boy.
1. What are the conflict of issues in the passage above?
2. Did the doctor lie? Is it acceptable for the doctor to do so if the patient benefits?
3. Where may personal beliefs create an obstacle in the treatment of a patient, as a medical professional? Discuss.
4. Do you think that there is an inter-relation between a persons beliefs and health/wellbeing?
5. How would you have managed the situation?
Disclaimer Med applicant
1. The main conflict of interest here is the autonomy of the patient and his right to refuse care against the role of the physican as an individual whose duty is to save lives and do what is best for the patient. Another conflict of interest is the trust between the physican and the patient.
Firstly as the patient is a Jehovah's witness blood tranfusions are against his religion. It is important as a doctor to respect and value every individuals beliefs and cultures. However as a doctor it is also important to inform patients of all the details of their treatment or potential treatments and ensure they make an informed decision.
2. Yes I believe the doctor did lie. The doctor made a promise to the patient stating that he would not give a blood tranfusion to the boy, but ended up giving the blood tranfusion anyways after the boy collapsed. The motivation of the doctor making this decision must be considered. The doctor may have promised the boy not to give the blood tranfusion in an attempt to give him assurance, or descalate the situation. The doctor may have also intended to uphold his promise to the boy but later changed his mind. The question of whether a doctor may lie for the patients benefit is a complex one. The main benefit this has is, if the patient is refusing to have a treatment or is detrimental to their own health the lie may very well save their life or improve their quality of life. Lying could also reassure patients of their treatments and help them cope with uncertainty in treatments. However lying compromises the trust between the patient and the physican. As a physican it is ones duty to provide care to patients such that they are informed of all the possible benefits and side-effects. In the western health care system, we value the role of the patient in determining their own health and see the physican as someone who guides the patient to better health outcomes. Therefore by lying this compromises this very idea and hence in my opinion it is never ok for a physican to lie to a patient even in extreme circumstances.
3. The main obstacle personal beliefs create is the abstaining or withholding of certain treatments or procedures. A great example is shown in this question where a patient is willingly abstaining from a procedure which can potentially save their life. Some cultures and religions are opposed to some modern procedures. Some examples include Jehovah's witness and Amish who believe any procedure which involves the transferal of blood is not allowed. Many Indian religions such as Hinduism and sikhism are against the killing of animals and hence won't partake in any procedures or treatments derived from animals. Furthermore a physcian can't recommend any diets relating to animals and hence their is an obstacle in the lifestyles of these individuals. Also many individuals may personally not believe in the western health care system and believe in alternate medicines such as homeopathy and this can cause a divide between physican and patient.
4. I believe it is dependant on what the belief entails but in most circumstances yes. When determining a persons health/well-being it is important to consider: Their lifestyle, and any cultural practices they do. Regarding their lifestyle a persons health can be determined by the habits and choices they make in their day to day life. For example If a person is strongly opposed to smoking and values exercise and a healthy lifestyle their personal beliefs can have a great benefit to their health and wellbeing. Whereas an individual who doesn't value these aspects can cause severe health problems. Secondly many individuals may have cultural practices or alternative medicines which they strongly believe in which can also affect their health. For example an individual may fast due to their beliefs, which may have potential health benefits (particuarily that of emotional and mental well-being) but may also have some potential health consequences. However if the belief is on a more conceptual level which doesn't directly affect their life it may be independant of their health.
5. The question implies that the physican may have had a longer time to talk to the patient. In this case I would assess whether the patient was of a stable mind as this traumatic experience may have affected is decision-making abilities. I would also explain the patient the severity of the issue and how the blood tranfusion will potentially save his life. If the boy is still abstaining from treatment and still does not give consent, I will make the promise with the boy and get him treated. I would respect his wishes however and not give him the blood transfusion if I deem that he was competent when he refused blood tranfusion. I may also investigate other ways to save the boy depending on the severity of the issue, but at the end of the day I would not give him the blood tranfusion as this goes directly against his wishes and compromises the trust between the doctor and the patient.

No clue what to do for 5. Feedback would be appreciated.
 
Respectfully, I disagree with your answer for question 5. While it is important to respect the wishes of the patient, as a doctor your main concern above all else is the health and welfare of the patient. By all means endeavor to administer alternative techniques so as to not impede on the patients beliefs and ideals, but if the blood transfusion is required, then as a medical professional you have a duty to conduct the procedure because ultimately your job is to save lives. On the subject of lying, I believe that no one should ever be lied to, nor should you make promises you can't keep, rather as a doctor you should inform the patient that you will do whatever it takes to ensure their health and wellbeing.
 
Respectfully, I disagree with your answer for question 5. While it is important to respect the wishes of the patient, as a doctor your main concern above all else is the health and welfare of the patient. By all means endeavor to administer alternative techniques so as to not impede on the patients beliefs and ideals, but if the blood transfusion is required, then as a medical professional you have a duty to conduct the procedure because ultimately your job is to save lives. On the subject of lying, I believe that no one should ever be lied to, nor should you make promises you can't keep, rather as a doctor you should inform the patient that you will do whatever it takes to ensure their health and wellbeing.
I can see your viewpoint and maybe someone more experienced could comment on this, but I'm pretty sure it's illegal to give treatment to a patient without their consent. Ofc this is a tricky situation as the consent part is blurred.
 
Respectfully, I disagree with your answer for question 5. While it is important to respect the wishes of the patient, as a doctor your main concern above all else is the health and welfare of the patient. By all means endeavor to administer alternative techniques so as to not impede on the patients beliefs and ideals, but if the blood transfusion is required, then as a medical professional you have a duty to conduct the procedure because ultimately your job is to save lives. On the subject of lying, I believe that no one should ever be lied to, nor should you make promises you can't keep, rather as a doctor you should inform the patient that you will do whatever it takes to ensure their health and wellbeing.
I think you misunderstand the roles and responsibilities of a doctor, at least one in Australia. I'm no medico-legal expert myself, but a patient has every right to refuse treatment and forcing it on them constitutes battery, which could land you in very, very hot water. I'm sure every doctor wants the best outcomes for their patients, but ultimately it comes down to the patient to determine what is right for them.
 
What's being overlooked is that this boy is only 16 and is therefore legally a child. The laws surrounding consent to / refusal of medical procedures in children vary between states/territories in Australia, but the law is actually on the side of the doctors here.

The child is a minor and the transfusion would be considered in his best interests given he would likely die without receiving it. Because of this, his expressed refusal can be overruled.

As mentioned a few times on here, you aren't expected to have medico-legal knowledge and so this wouldn't come into play if this question was being marked in an interview.
 
* Med applicant *
I personally thought this was a good answer! However i have some questions; not saying that you are wrong, but something for me and maybe others to think about.

Why is it that you assumed he has a phobia of flying? There was nothing in the stem to suggest that. We aren't given much info so I feel like it really could be anything from this man going missing to forgetting the flight and doing somewhere else that day (unlikely, but possible.)

I guess its a question of priorities. Do you prioritise the flight or your concern for John (which you clearly demonstrated in the first sentence, so that was great.)

I am also confused as to how you could talk your actions in a scenario like this without making a whole lot of assumptions - ie, IF he is missing, then I call the police.. Who knows if hes even missing in the first place? 😱

I would assume a phobia of flying because of a couple of reasons:
1. It states I've discussed the pickup time with John so I think personally it is unlikely he would forget - also I paraphrased the prompt but it describes the meeting as a "critical business meeting".
2. The fact that he has not packed at all suggests he never planned to fly anyway - potentially an emergency occured but even so, surely you would have packed before the day of the flight - therefore, it suggests a phobia and deliberate decision to avoid the flight.
3. John did not talk about this flight with her partner - red flag since surely you would talk about leaving home with your partner before you do so.
4. If it is an emergency - even then, I believe you would inform your partner before leaving, or atleast send a text message when you are travelling to the emergency.

This leads me to conclude that John likely has a severe phobia and just wanted to avoid the flight

Edit: For the Jehovah's Witness Q2, I was wondering what people thought of my take:
  • Firstly, by definition, yes the doctor lied - deliberately did something they promised they would not do.
  • In terms of whether this is acceptable - normally yes.
  • If the patient was of legal age - 18 - they would have sufficient mental capacity and competence to make a decision on their health and treatment.
  • Therefore, even though the doctor's actions are beneficial - it is unacceptable to breach patient autonomy - a key ethical principle of medicine.
  • However, patient is 16 - questionable mental capacity and competence to make such a severe decision - life and death situation here.
  • Therefore, I believe the doctor should speak again with the child and explain the severity of the situation clearly - ensure they are making the choice they want to - not pressured by family (who I assume are also Jehovah's Witnesses) in any way.
  • Overall, I am undecided due to the younger age of the patient on whether this is acceptable - need more opinions and thought.
 
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