EthicsIntermediateMMI station
A family begs you not to tell their grandmother she has cancer because "it'll kill her faster." What do you do?
Ethical dilemma: Competing duties with no perfect answer: consent, confidentiality, fairness.
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Sample answer outline
- Listen to the family first: their fear and any cultural norms around sharing bad news.
- Explain that the information belongs to the patient, and that you won't lie to her.
- Ask the grandmother how much she wants to know and who she wants involved. Some people choose to let family decide.
- Share news at her pace, with the family present if she wishes, and plan support together.
What makes it work
- Asking the patient what she wants resolves the dilemma respectfully.
- It honors culture without giving up honesty.
Avoid
- Telling her bluntly against the family's wishes without asking her first.
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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