EthicsAdvancedMMI station
A 9-year-old with measles begs you for the vaccine. The parents still refuse. Do you vaccinate?
Ethical dilemma: Competing duties with no perfect answer: consent, confidentiality, fairness.
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Sample answer outline
- Spot the clinical detail: a child who already has measles won't be helped by the measles vaccine now. The priority is treating them, isolating them and protecting contacts.
- Explain the frame: a 9-year-old can't consent alone; parents decide unless their choice puts the child at serious risk.
- Explore the parents' reasons with respect and correct misinformation. The illness is a natural moment to revisit vaccines for the child's siblings and the child's other vaccines.
- Keep the child's voice in the room: acknowledge their fear and explain what will happen.
- Notify public health as required.
What makes it work
- Catching the clinical premise shows careful reading, which interviewers love.
- It respects parents while still protecting children and the public.
Avoid
- Vaccinating against the parents' wishes without legal grounds.
- Lecturing the parents.
How to approach ethical dilemma questions
- Clarify the facts and what you would want to know before acting.
- Name who is affected and the principles in tension: autonomy, doing good, avoiding harm, fairness, confidentiality.
- Walk through realistic options, starting with the least drastic.
- Choose a course of action, explain why, and say who you would involve.
What it tests
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Say it out loud
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