Ethical-dilemma scenarios are one of the most common types of MMI questions that you will encounter during your Queensland University medicine interview. These questions can be difficult because they appear to lack a single correct answer. However, it is important to recognize that the interviewer is not testing you on your ability to provide a correct answer. Rather, they are trying to assess how you arrived at your final answer.
The most important tip for answering these types of questions is to prepare yourself ahead of time. Read online articles or relevant books that provide an overview of the different ethical principles that all physicians adhere to and consult before making difficult decisions. Once you are familiar with these principles, you can make use of them to justify the decisions that you make as you work through a scenario. These ethical principles include:
- Autonomy – an individual’s right to self-determination
- Beneficence – taking actions that serve the best interests of patients and their families
- Non-maleficence – ‘do no harm’ to patients and their families
- Justice – unbiased distribution of health sources
To answer these questions, start by collecting as much information as you possibly can. Oftentimes, the scenario promptswill lead you to towards making snap judgements about the situation and/or a person. You should resist these temptations and vocalize that you do not want to make unfair assumptions until you have validated the information provided in the prompt yourself.This can be accomplished by talking directly to the individualsinvolved in the scenario and asking relevant questions in a private (confidential) and safe setting. You can also make use of online resources to help you become more informed. Note that the interviewer will not provide further information regarding the prompt or answer your questions. The goal is to demonstrate your willingness to become informed and learn the facts before taking any action. Once you have taken the time to collect as much information as possible, you can go ahead and begin to consider the different possibilities that may be true and what steps you will take accordingly. These statements can be framed as if and then statements, where ‘if … is true, then I will respond accordingly with …’.
For some scenarios, you will be able to take direct action yourself in order to resolve the scenario. In other cases, you may need to guide individuals in the scenario to seek help from someone that may be more qualified, such as senior colleagues, human resources, or any other relevant expert. After going through all the possibilities of the scenario, you should also provide information on how similar situations may be prevented in the future.
These prompts may have some follow up questions. For instance, they may directly ask for your opinion on the importance of ethical principles, such as patient confidentiality and informed consent. Other types of follow-up questions may be regarding conflict resolution – what factors should be considered when resolving a conflict? It is okay to have some overlap between your answers to the initial prompt and the subsequent follow-up questions.