Interview/Ethics Question

[bigbody]

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I'm preparing for an interview and was getting stuck on the following qeustions. What are some your opinions to the following questions?

The 14-year-old daughter of a good friend comes into your office asking for birth control. What are your ethical obligations in this situation and how would you respond?


Your friends 14 yr. old daughter asks you for birthcontrol pills OUTSIDE of your clinic? Do you tell her parents?


What is the one thing that you want us to remember you by after you leave?

A child shows up to the ER with no insurance. What would you do?

 

[cure4cancer]

A child shows up to the ER with no insurance. What would you do?

I would operate regardless and cover all the equiptment usage fee's myself if i had to.

 

[MoosePilot]

I'm preparing for an interview and was getting stuck on the following qeustions. What are some your opinions to the following questions?

The 14-year-old daughter of a good friend comes into your office asking for birth control. What are your ethical obligations in this situation and how would you respond?


Your friends 14 yr. old daughter asks you for birthcontrol pills OUTSIDE of your clinic? Do you tell her parents?


What is the one thing that you want us to remember you by after you leave?

A child shows up to the ER with no insurance. What would you do?

The key is that you give informed answers and don't just give your answer. You'll get ethics training eventually that you don't have now. Research now, but if you don't find a good answer, then answer with something like,

"The fact that it's my friend's daughter isn't relevant. I would apply the best standards of medical ethics as concern privacy standards regardless of the fact that it's the daughter of my best friend. I would abide by the policies of the hospital or training program. If I wasn't sure of the correct course of action, I would ask the hospital medical ethics liasion and get their take on the topic."

As far as the ER question, look up EMTALA (I believe that's the name). I just did a google search and found www.emtala.com This page in particular might be useful to you http://www.emtala.com/faq.htm

 

[MoosePilot]

Here's a website with some good medical ethics information:

http://eduserv.hscer.washington.edu/bioethics/topics/index.html

Regarding the question about whether to extend confidentiality towards the minor patient, you might consider the topics "confidentiality" and "parental decision making".

 

[docbill]

Is it ethical to tell students/ people applying for medical school what to answer to ethical question they may ask be asked at the Interview.
Or answers related to differences between DO/MD. Phil of DO etc..

Similar to telling applicants what they should write on their PS... or explinations for poor performance etc...

THIS IS NOT DIRECTED TO ORIGINAL POST

But would that be helping people who you do not know. A person can be completely unethical, but here we are providing him/her with a dictated answer and hence not helping the adcom. THIS IS DIFFERENT, when it is a friend of your, which you know well and are just providing him/her help, which is okay. But anyone on a board can post these question!

This is my ethical question...

 

[MoosePilot]

Is it ethical to tell students/ people applying for medical school what to answer to ethical question they may ask be asked at the Interview.
Or answers related to differences between DO/MD. Phil of DO etc..

Similar to telling applicants what they should write on their PS... or explinations for poor performance etc...

THIS IS NOT DIRECTED TO ORIGINAL POST

But would that be helping people who you do not know. A person can be completely unethical, but here we are providing him/her with a dictated answer and hence not helping the adcom. THIS IS DIFFERENT, when it is a friend of your, which you know well and are just providing him/her help, which is okay. But anyone on a board can post these question!

This is my ethical question...

Helping someone to think about the ethical answers to a situation might be unethical? Nope, sorry...

 

[no-see-um]

Is it ethical to tell students/ people applying for medical school what to answer to ethical question they may ask be asked at the Interview.
Or answers related to differences between DO/MD. Phil of DO etc..

Similar to telling applicants what they should write on their PS... or explinations for poor performance etc...

THIS IS NOT DIRECTED TO ORIGINAL POST

But would that be helping people who you do not know. A person can be completely unethical, but here we are providing him/her with a dictated answer and hence not helping the adcom. THIS IS DIFFERENT, when it is a friend of your, which you know well and are just providing him/her help, which is okay. But anyone on a board can post these question!

This is my ethical question...

Ought there be a monopoly over ethics? If someone is keen to discussing ethics, it would be perhaps even more unethcal to turn that person away.

Your objection to this begs the question, 'could virtue be taught or is virtue something that is only but inherent to particular people'. The Aristotalian virtue theory was borne out of Socrates' dialogues. And I am from the school of thought that agrees with Socrates that there are particulars to what is virtuous and those particulars could be assimilated. Would you rather see it in the other way and shield young students in contemporary education from being faced with ethical decisions and seeing what they are like and learning how to confront them?

Rousseau, for example, would agree with your antithesis, that virtue is something that is inherent, and therefore we ought not expose students to the humanitarian efforts that besiege the news. Should we not tell our kids about 9/11 or something that affects us all? Should we shield them all the way through school from facing the realities of this world because we believe that virtue is much more innate than something that could be sparked by proper discussion and brooding thought? Would your argument not go so far as to eliminate courses in medical ethics from the philosophy departments of major colleges, for fear that the inherantly unvirtuous student (in your opinion, of course), may happen upon and make use of your good ethics? Is this not silly?

 

[RedRiddinghood]

The question about the ER is stupid...
Every ER in this country treats anyone who walks in the door..
Of course they'll recieve a hefty bill, and if they are poor probably go bankrupt paying for it..

Half the problem with not having insurance, is that people wait until they are really sick..then have no choice but to use the ER for services, ends up costing X5 as much...

If the child was so sick that it needed surgery, then the weather or not to treat might come into play... But you said it was a child, and most every state, even good ol alabama who has the worst medicaid coverage in the country has some sort of program for children..Most every state does, even if they don't for the adult.. it's a supplemental Medicaid program, all cover emergencies..

And if for some reason if the child was NOT enrolled and needed surgery, etc, something expensive..not doubt the social workers at the hospital would be doing all they could to get them enrolled while at the hospital..This happens al lthe time with pregnant women who are poor.

 

[N-toxicologist]

I'm preparing for an interview and was getting stuck on the following qeustions. What are some your opinions to the following questions?

The 14-year-old daughter of a good friend comes into your office asking for birth control. What are your ethical obligations in this situation and how would you respond?


Your friends 14 yr. old daughter asks you for birthcontrol pills OUTSIDE of your clinic? Do you tell her parents?


What is the one thing that you want us to remember you by after you leave?

A child shows up to the ER with no insurance. What would you do?

These questions look like they are intentionally worded to divert your attention to some emotional argument, rather than approach the issue at hand. I would consider the test not in the way you answer, but what you answer, i.e., are you going to address the real question, or are you gong to focus on the fact that this is your friend's daughter, etc.? When you consider these questions, can you, or do you, separate your personal beliefs and your professional obligations? (I'm not saying that you have to) Or in what ways do they mesh?

When my research mentor prepped me for ethics questions for my interview, he said that there is no wrong answer; that the interviewer wants to see how you think. I got through my ethical "hypotheticals" by simply brainstorming out loud. I never actually said "I would do this or that," just listed all the things that I would consider in making my decision, if given that instance. I'll let you know on Feb.1 if that was a good strategy or not. 🙂