EthicsIntermediateMMI station
A convicted child molester comes to your ER needing emergency surgery. Do you treat him the same as everyone else?
Ethical dilemma: Competing duties with no perfect answer: consent, confidentiality, fairness.
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Sample answer outline
- Answer clearly: yes. Care is based on medical need, not moral worth. Justice and the duty to treat apply to everyone.
- Acknowledge that discomfort is human; professionalism means not letting it change the care.
- Handle the practical side: security and staff safety, and letting a colleague step in if someone truly can't give good care, as long as treatment isn't delayed.
- Note that punishment belongs to the justice system, not the hospital.
What makes it work
- A clear position up front, then nuance.
- Honesty about feelings makes the commitment believable.
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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