Jason990090
Royal College of Surgeons MBBch (grad med pathway)
Anyone want to have a go at this really uncomfortable question?
Also can any past/current bond students let me know if anything as difficult as this is likely to come up?
A young male doctor runs a solo practice in a remote area. The next closest practice is 5 hours away. One day, he sees a patient, an elderly woman's daughter outside of town. Later that same day, he runs into the daughter outside of town. They go on a date and end up having unprotected sex. The next day the woman presents to the practice requesting the morning after pill. What are they issues? What if she asked for antibiotics? What if she asked for free medicine?
- I would say the main issues are rurality. Ie from her perspective where else is she going to get the pill? Its important for her health and she is within her rights to avoid an unplanned pregnancy (has major consequences for her life). However, I as per the rules/regulations, I dont think it is appropriate for her to see this doctor because even though their relationship might be new--> it is quite personal + He is actually involved as he engaged in a sexual relationship with her.
In terms of antibiotics, the same things would apply (ie where else is she going to get a prescription if they are in a rural area) but you have to wonder whether or not the doctor would be objectively looking at things (without being biased because he obviously knows her on a personal level). Because you do not want the doctor being influenced by her. He has to make an objective call (taking into account her symptoms and current state) on whether or not to give her antibiotics.
Again free medicines are probably not appropriate as well. Because if he starts treating her preferentially and giving her free medication because of their relationship BUT others have to pay --> would not be fair. Even if she is financially not well off at all --> there could be other ways (centrelink?) to help get her medicine cheaper. Yes I could understand giving medication when it is a sample, or if it is an emergency (maybe the pharmacy has completely run out and the drug is needed urgently). But as a whole I would say no.
This answer isnt what i would say verbatim but it would be kinda similar. Ive tried to type it up very quickly so its got a shit ton of spelling and grammar errors.
Also can any past/current bond students let me know if anything as difficult as this is likely to come up?
A young male doctor runs a solo practice in a remote area. The next closest practice is 5 hours away. One day, he sees a patient, an elderly woman's daughter outside of town. Later that same day, he runs into the daughter outside of town. They go on a date and end up having unprotected sex. The next day the woman presents to the practice requesting the morning after pill. What are they issues? What if she asked for antibiotics? What if she asked for free medicine?
- I would say the main issues are rurality. Ie from her perspective where else is she going to get the pill? Its important for her health and she is within her rights to avoid an unplanned pregnancy (has major consequences for her life). However, I as per the rules/regulations, I dont think it is appropriate for her to see this doctor because even though their relationship might be new--> it is quite personal + He is actually involved as he engaged in a sexual relationship with her.
In terms of antibiotics, the same things would apply (ie where else is she going to get a prescription if they are in a rural area) but you have to wonder whether or not the doctor would be objectively looking at things (without being biased because he obviously knows her on a personal level). Because you do not want the doctor being influenced by her. He has to make an objective call (taking into account her symptoms and current state) on whether or not to give her antibiotics.
Again free medicines are probably not appropriate as well. Because if he starts treating her preferentially and giving her free medication because of their relationship BUT others have to pay --> would not be fair. Even if she is financially not well off at all --> there could be other ways (centrelink?) to help get her medicine cheaper. Yes I could understand giving medication when it is a sample, or if it is an emergency (maybe the pharmacy has completely run out and the drug is needed urgently). But as a whole I would say no.
This answer isnt what i would say verbatim but it would be kinda similar. Ive tried to type it up very quickly so its got a shit ton of spelling and grammar errors.