EthicsIntermediateMMI station
During rotations, you see one of your closest friends cover up a medical error they made with a patient. What do you do?
Ethical dilemma: Competing duties with no perfect answer: consent, confidentiality, fairness.
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Sample answer outline
- First check on the patient: are they at risk right now? If so, alert the team immediately.
- Speak to your friend promptly and privately. Encourage them to disclose and offer to go with them.
- If they won't, take it to your supervisor yourself. Patient safety outranks loyalty.
- Acknowledge the pull of friendship and their fear, and point out that errors are reported to fix systems, not only to punish people.
What makes it work
- It gives your friend the chance to do the right thing first.
- Clear priorities: patient, honesty, then the friendship.
Avoid
- Staying quiet to protect the friendship.
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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