SituationalBeginnerMMI station
A patient demands antibiotics for a cold and threatens to leave you a 1-star review if you say no. What do you do?
Situational: A practical problem in school, clinic or work. What do you do next?
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Sample answer outline
- Acknowledge that they feel awful and want relief. Ask what worries them most.
- Explain in plain words that antibiotics don't work on viruses and can cause harm: side effects and resistance.
- Offer a real plan: symptom relief, what to watch for, and when to come back.
- Stay calm about the review. It doesn't change your clinical judgment.
What makes it work
- Empathy first lowers the temperature before you say no.
- A plan gives them something instead of only a refusal.
Avoid
- Giving in to keep them happy.
- Arguing or getting defensive.
How to approach situational questions
- Start with safety: is anyone at risk right now?
- Gather information before judging anyone involved.
- Act in proportion: a private conversation first, escalation when needed.
- Close the loop: follow up, document and reflect.
What it tests
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