SituationalIntermediateMMI station

You overhear a resident making an inappropriate joke about a patient. What do you do in the moment?

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

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Sample answer outline

  1. Check whether the patient or family could hear. If so, protect their dignity first.
  2. In the moment, a light redirect can work without humiliating anyone: "Let's keep it professional out here."
  3. Afterward, if you feel safe, talk to the resident privately and explain the impact.
  4. If it's a pattern or severe, use the program's reporting channel. As a student, involve a trusted supervisor.
  5. Acknowledge the power gap honestly; speaking up as a junior takes judgment and courage.

What makes it work

  • Graded responses fit the situation instead of an all-or-nothing answer.
  • Recognizing the hierarchy makes the answer realistic.

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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