SituationalIntermediateMMI station, Traditional one-on-one

A patient specifically requests to see 'the doctor' and not 'just a PA.' How do you respond?

Situational: A practical problem in school, clinic or work. What do you do next?

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Sample answer outline

  1. Stay calm and don't take it personally. Ask what's behind the request: a past experience, a specific worry.
  2. Explain your role briefly and confidently: your training, how you work with the physician, what you'll do today.
  3. Offer a path: you'll start the visit and involve the physician if needed, or arrange for them to see the doctor.
  4. Respect their choice if they still prefer the physician.

What makes it work

  • Confidence without defensiveness builds trust.
  • Putting the patient's comfort first is the professional move.

How to approach situational questions

  1. Start with safety: is anyone at risk right now?
  2. Gather information before judging anyone involved.
  3. Act in proportion: a private conversation first, escalation when needed.
  4. Close the loop: follow up, document and reflect.

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