Situational Judgement Question Bank 1 Instructions

Use this question bank to practice Situational Judgement questions.

You will be presented by a set of hypothetical scenarios based in a clinical or educational setting and may involve a student or clinician at their center. You will be asked to make judgments as to the appropriateness or the importance of a series of statements in response to the scenario.

It is in your best interest to answer all questions as there is no penalty for guessing. All unanswered questions will be scored as incorrect.

Click the Next (N) button to proceed.

Robert is a 4th year medical student on his paediatric rotation. Today, he is shadowing Dr Patel, a consultant immunologist. One of Dr Patel’s patients is a six-month-old baby who has recently been diagnosed with a very rare condition called FOXN1 Deficiency. It is a condition which weakens the immune system and there have only been nine reported cases ever. Robert wants to share the case with other medical students but does not want to breach confidentiality.

How appropriate are each of the following responses by Robert in this situation?

1. Send a whatsapp message explaining the case to a group chat of medical students removing the patient’s name, age and address.
  • 20
    9

    Explanation

    The correct answer is D.

    As this is a very rare condition, just removing the patient’s name, age and address is unlikely to sufficiently anonymise the patient’s information. This is outlined in the GMC’s guidelines which states: “The Information Commissioner’s Office anonymisation code of practice (ICO code) considers data to be anonymised if it does not itself identify any individual, and if it is unlikely to allow any individual to be identified through its combination with other data. Simply removing the patient’s name, age, address or other personal identifiers is unlikely to be enough to anonymise information to this standard.” (GMC Confidentiality Guidelines, p39). Therefore, this action would breach patient confidentiality and so would be very inappropriate.

    Top Tip: When reading dense stems, you can safely ignore most of the information e.g. the specific condition. You should try scanning for the key points in the scenario. 

    Post Comment

    Robert is a 4th year medical student on his paediatric rotation. Today, he is shadowing Dr Patel, a consultant immunologist. One of Dr Patel’s patients is a six-month-old baby who has recently been diagnosed with a very rare condition called FOXN1 Deficiency. It is a condition which weakens the immune system and there have only been nine reported cases ever. Robert wants to share the case with other medical students but does not want to breach confidentiality.

    How appropriate are each of the following responses by Robert in this situation?

    2. Do not discuss the case with any other medical students
  • 11
    43

    Explanation

    The correct answer is C.

    This action would protect the patient’s right to confidentiality which is outlined in Good Medical Practice which states “You must treat information about patients as confidential. This includes after a patient has died.” (Good Medical Practice, p17). However, this action would also jeopardise a valuable learning opportunity for other students which is a very important part of medical education as individual cases allow others to learn important lessons. Therefore, as this action maintains confidentiality but denies fellow medical students an important learning opportunity, so this action is inappropriate but not awful.

    Top Tip: When reading dense stems, you can safely ignore most of the information e.g. the specific condition. You should try scanning for the key points in the scenario. 

    Post Comment
    anon Medicmind Tutor

    Mon, 19 Jul 2021 12:48:47

    the question states "do not discuss" which the explanation says is appropriate therefore your correct answer is wrong

    anon Medicmind Tutor

    Mon, 19 Jul 2021 12:49:31

    nvm my bad i read it wrong

    maira Medicmind Tutor

    Fri, 30 Jul 2021 17:49:08

    isn't maintaining confidentiality more important than denying medical students a learning opportunity

    K Medicmind Tutor

    Wed, 11 Aug 2021 16:18:21

    Isnt maintaining confidentiality more important

    steve Medicmind Tutor

    Mon, 16 Aug 2021 15:26:33

    confidentiality is more important

    :) Medicmind Tutor

    Wed, 01 Sep 2021 17:06:14

    Yeah that's what I thought? Surely it should be appropriate but not ideal?

    non Medicmind Tutor

    Thu, 16 Sep 2021 17:38:06

    Appropriate but not ideal

    Alireza G. Medicmind Tutor

    Wed, 22 Sep 2021 07:21:47

    This question could have been worded better, and also is too ambiguous. I would not expect this question to be the rule in the UCAT. It would be the exception.

    dumb question Medicmind Tutor

    Wed, 22 Sep 2021 10:12:10

    This is fucking contradictory to the previous explanation smh

    Robert is a 4th year medical student on his paediatric rotation. Today, he is shadowing Dr Patel, a consultant immunologist. One of Dr Patel’s patients is a six-month-old baby who has recently been diagnosed with a very rare condition called FOXN1 Deficiency. It is a condition which weakens the immune system and there have only been nine reported cases ever. Robert wants to share the case with other medical students but does not want to breach confidentiality.

    How appropriate are each of the following responses by Robert in this situation?

    3. Tweet about the case removing the patient’s name, age and address.
  • 12
    2

    Explanation

    The correct answer is D.

    This question is very similar to part A, the platform the case is posted on is irrelevant. As this is a very rare condition, just removing the patient’s name, age and address is unlikely to sufficiently anonymise the patient’s information. This is outlined in the GMC’s guidelines which states: “The Information Commissioner’s Office anonymisation code of practice (ICO code) considers data to be anonymised if it does not itself identify any individual, and if it is unlikely to allow any individual to be identified through its combination with other data. Simply removing the patient’s name, age, address or other personal identifiers is unlikely to be enough to anonymise information to this standard.” (GMC Confidentiality Guidelines, p39). Therefore, this action would breach patient confidentiality and so would be very inappropriate.

    Top Tip: When reading dense stems, you can safely ignore most of the information e.g. the specific condition. You should try scanning for the key points in the scenario. 

    Post Comment

    Robert is a 4th year medical student on his paediatric rotation. Today, he is shadowing Dr Patel, a consultant immunologist. One of Dr Patel’s patients is a six-month-old baby who has recently been diagnosed with a very rare condition called FOXN1 Deficiency. It is a condition which weakens the immune system and there have only been nine reported cases ever. Robert wants to share the case with other medical students but does not want to breach confidentiality.

    How appropriate are each of the following responses by Robert in this situation?

    4. Seek advice from Dr Patel
  • 8
    7

    Explanation

    The correct answer is A.

    As a medical student, you are not a qualified doctor and therefore it is right to seek advice from a qualified doctor if you are unsure about the course of action. This principle is contained in the GMC guidance which states “As a medical student, this applies to you in relation to the time you’ll spend with patients on a clinical placement. It also means you should only treat patients or give medical advice when you are under the supervision of a registered healthcare practitioner” (Achieving Good Medical Practice: Guidance for Medical Students, p11). Therefore, by seeking advice, you are ensuring you are acting within your competence. Therefore, this action would be very appropriate.

    Top Tip: When reading dense stems, you can safely ignore most of the information e.g. the specific condition. You should try scanning for the key points in the scenario. 

    Post Comment

    Robert is a 4th year medical student on his paediatric rotation. Today, he is shadowing Dr Patel, a consultant immunologist. One of Dr Patel’s patients is a six-month-old baby who has recently been diagnosed with a very rare condition called FOXN1 Deficiency. It is a condition which weakens the immune system and there have only been nine reported cases ever. Robert wants to share the case with other medical students but does not want to breach confidentiality.

    How appropriate are each of the following responses by Robert in this situation?

    5. Approach the parents, without talking to Dr Patel and ask for consent to discuss the case
  • 3
    17

    Explanation

    The correct answer is C.

    This action would protect the patient’s right to confidentiality which is outlined in Good Medical Practice which states “You must treat information about patients as confidential. This includes after a patient has died.” (Good Medical Practice, p17). However, you are acting out with your competence as you are not a qualified doctor and have not asked a qualified doctor for permission. This principle is contained in the GMC guidance which states “As a medical student, this applies to you in relation to the time you’ll spend with patients on a clinical placement. It also means you should only treat patients or give medical advice when you are under the supervision of a registered healthcare practitioner” (Achieving Good Medical Practice: Guidance for Medical Students, p11). Therefore, this action is inappropriate as you are acting out with your competence. The reason this action is not very inappropriate is because, you are not actively providing advice or treatment. Therefore, this action would be inappropriate but not awful.

    Top Tip: When reading dense stems, you can safely ignore most of the information e.g. the specific condition. You should try scanning for the key points in the scenario. 

    Post Comment
    anon Medicmind Tutor

    Thu, 16 Sep 2021 17:39:30

    Should be very inappropriate no? Leaving out the doctor who's also his supervisor given hes just a med student yet??

    Alireza G. Medicmind Tutor

    Wed, 22 Sep 2021 07:23:33

    This should have been very innapropriate.

    Sarah is a 3rd year medical student on her GP placement. The first patient in the clinic is a 21-year-old student called Mike who has been diagnosed with epilepsy. The GP informs Mike that he will have to stop driving for now. A few days later, Sarah sees Mike driving a car around campus.

    How important is it to take into account are the following considerations for Sarah when deciding how to respond to the situation?

    6. Mike’s right to confidentiality
  • 8
    2

    Explanation

    The correct answer is A.

    Confidentiality is a key principle of medical ethics, this is contained within Good Medical Practice which states “You must treat information about patients as confidential. This includes after a patient has died.” (Good Medical Practice, p17). The reason confidentiality is so important is that it forms the basis of trust for the doctor patient relationship, this is outlined in GMC guidelines which state “Trust is an essential part of the doctor-patient relationship and confidentiality is central to this. Patients may avoid seeking medical help, or may under-report symptoms, if they think their personal information will be disclosed by doctors without consent, or without the chance to have some control over the timing or amount of information shared.” (GMC Confidentiality Guidelines, p10). Therefore, this consideration is Very Important.

    Top Tip: Remember you are not trying to rank option therefore both Public Safety and Confidentiality can be very important considerations. So, when tackling these questions, answer each one in isolation.

    Post Comment
    Alireza G. Medicmind Tutor

    Wed, 22 Sep 2021 07:24:34

    I always select the correct one, but then it says that i selected the other one.

    Sarah is a 3rd year medical student on her GP placement. The first patient in the clinic is a 21-year-old student called Mike who has been diagnosed with epilepsy. The GP informs Mike that he will have to stop driving for now. A few days later, Sarah sees Mike driving a car around campus.

    How important is it to take into account are the following considerations for Sarah when deciding how to respond to the situation?

    7. That mike could pose a danger to the public
  • 7
    0

    Explanation

    The correct answer is A.

    If someone’s safety is at risk, you have an obligation to ensure you act in a way that protects them. This exception to confidentiality is outlined in the GMC guidelines which states “There are also important uses of patient information for purposes other than direct care… Other uses are not directly related to the provision of healthcare but serve wider public interests, such as disclosures for public protection reasons” (GMC Confidentiality Guidelines, p10). Therefore, this consideration is Very Important.

    Top Tip: Remember you are not trying to rank option therefore both Public Safety and Confidentiality can be very important considerations. So, when tackling these questions, answer each one in isolation.

    Post Comment

    Sarah is a 3rd year medical student on her GP placement. The first patient in the clinic is a 21-year-old student called Mike who has been diagnosed with epilepsy. The GP informs Mike that he will have to stop driving for now. A few days later, Sarah sees Mike driving a car around campus.

    How important is it to take into account are the following considerations for Sarah when deciding how to respond to the situation?

    8. Sarah is only a medical student
  • 6
    1

    Explanation

    The correct answer is D.

    Medical Students must follow the same ethical guidelines as doctors. Therefore, it is irrelevant that Sarah is a medical student, so this consideration is Not Important at All.

    Top Tip: Remember you are not trying to rank option therefore both Public Safety and Confidentiality can be very important considerations. So, when tackling these questions, answer each one in isolation.

    Post Comment

    Sarah is a 3rd year medical student on her GP placement. The first patient in the clinic is a 21-year-old student called Mike who has been diagnosed with epilepsy. The GP informs Mike that he will have to stop driving for now. A few days later, Sarah sees Mike driving a car around campus.

    How important is it to take into account are the following considerations for Sarah when deciding how to respond to the situation?

    9. Sarah and Mike are both students at the same university
  • 8
    16

    Explanation

    The correct answer is C.

    The fact that Mike goes to the same university as Sarah is largely irrelevant and should not affect your decision making. This is outlined in Good Medical Practice which states “You must not unfairly discriminate against patients or colleagues by allowing your personal views [This includes your views about a patient’s or colleague’s lifestyle, culture or their social or economic status, as well as the characteristics protected by legislation: age, disability, gender reassignment, race, marriage and civil partnership, pregnancy and maternity, religion or belief, sex and sexual orientation] to affect your professional relationships or the treatment you provide or arrange.” However, since they attend the same university, they may have a personal relationship as well as a professional one, so this factor might be considered but it would not be detrimental if it was not. Therefore, this consideration is Of Minor Importance.

    Top Tip: Remember you are not trying to rank option therefore both Public Safety and Confidentiality can be very important considerations. So, when tackling these questions, answer each one in isolation.

    Post Comment
    brigit Medicmind Tutor

    Tue, 24 Aug 2021 09:36:31

    why are we assuming that they might have a personal relationship and how does that affect how she would handle the situation as shouldnt friendship not cloud her judgement

    anon Medicmind Tutor

    Thu, 26 Aug 2021 18:16:44

    just because they attend same university doesnt mean theyhave a personal relationship right? also if they do, Sarah isnt allowed to know about his conditions to prevent embarassment, etc. im not sure but plz respond

    Aseel Rajhi Medicmind Tutor

    Wed, 08 Sep 2021 22:04:09

    Being friends is not important at all when it comes to public safety first and his safety afterwards. Surely, it has to be without a shadow of doubt Not important at all as public safety is always first.

    Alireza G. Medicmind Tutor

    Wed, 22 Sep 2021 07:26:33

    Your explanation just contradicted itself.

    Dr Jones is a consultant in sexual health, currently working in a sexual health clinic. One of her patient’s Mr Smith has recently be diagnosed with HIV. HIV can be transmitted in a number of ways including sexual transmission. Mr Smith has told Dr Jones that he is still sexually active with his wife Mrs Smith but has not told her about his diagnosis. 

    How appropriate are each of the following responses by Dr Jones in this situation?

    10. Do nothing
  • 8
    0

    Explanation

    The correct answer is D.

    If someone’s safety is at risk, you have an obligation to ensure you act in a way that protects them. This exception to confidentiality is outlined in the GMC guidelines which states “There are also important uses of patient information for purposes other than direct care… Other uses are not directly related to the provision of healthcare but serve wider public interests, such as disclosures for public protection reasons” (GMC Confidentiality Guidelines, p10). Therefore, to take no action would be very inappropriate.

    Top Tip: When tackling question about sensitive disclosures e.g. HIV status, remember that you should always try and solve the situation without breaking confidentiality. 

    Post Comment

    Dr Jones is a consultant in sexual health, currently working in a sexual health clinic. One of her patient’s Mr Smith has recently be diagnosed with HIV. HIV can be transmitted in a number of ways including sexual transmission. Mr Smith has told Dr Jones that he is still sexually active with his wife Mrs Smith but has not told her about his diagnosis. 

    How appropriate are each of the following responses by Dr Jones in this situation?

    11. Inform Mr Smith that she will have to inform his wife about his HIV status
  • 6
    32

    Explanation

    The correct answer is B.

    This action would protect Mrs Smith’s safety which is in line with GMC guidelines which states “There are also important uses of patient information for purposes other than direct care… Other uses are not directly related to the provision of healthcare but serve wider public interests, such as disclosures for public protection reasons” (GMC Confidentiality Guidelines, p10). This action is also appropriate because before disclosure the GP informs Mr Smith about the disclosure which is in line with GMC guidance which states “Tell patients about disclosures of personal information you make that they would not reasonably expect, or check they have received information about such disclosures, unless that is not practicable or would undermine the purpose of the disclosure” (GMC Confidentiality Guidelines, p12) However, ideally the GP should try and encourage the patient to tell his wife before taking action. Therefore this action would be appropriate but not awful.

    Top Tip: When tackling question about sensitive disclosures e.g. HIV status, remember that you should always try and solve the situation without breaking confidentiality. 

    Post Comment
    Anon Medicmind Tutor

    Mon, 19 Jul 2021 15:40:32

    So would this be B - appropriate but not ideal? Since in the explanation the action is largely appropriate.

    Kyra Medicmind Tutor

    Sat, 24 Jul 2021 10:30:22

    So isn't the answer supposed to be B? I think there was a mistake in the answer key :)

    MR Medicmind Tutor

    Tue, 10 Aug 2021 06:29:14

    Is the most appropriate answer not B then?, as it states APPROPRIATE BUT NOT AWFUL, in the answer guidelines.

    anon Medicmind Tutor

    Fri, 27 Aug 2021 00:10:17

    so if something else is better than the option but the option is still good, go with b generally however, a could also work so think 1. should not would 2. yes or no then see if its b or c do all this in the SPECIFIC SCENEARIO

    Dr Jones is a consultant in sexual health, currently working in a sexual health clinic. One of her patient’s Mr Smith has recently be diagnosed with HIV. HIV can be transmitted in a number of ways including sexual transmission. Mr Smith has told Dr Jones that he is still sexually active with his wife Mrs Smith but has not told her about his diagnosis. 

    How appropriate are each of the following responses by Dr Jones in this situation?

    12. Explain to Mr Smith that he must tell his wife or she will tell him
  • 6
    5

    Explanation

    The correct answer is A.

    This action would protect Mrs Smith’s safety which is in line with GMC guidelines which states “There are also important uses of patient information for purposes other than direct care… Other uses are not directly related to the provision of healthcare but serve wider public interests, such as disclosures for public protection reasons” (GMC Confidentiality Guidelines, p10). Furthermore, this action gives Mr Smith a chance to tell his wife before making the disclosure. Therefore this action would be very appropriate.

    Top Tip: When tackling question about sensitive disclosures e.g. HIV status, remember that you should always try and solve the situation without breaking confidentiality. 

    Post Comment

    Dr Jones is a consultant in sexual health, currently working in a sexual health clinic. One of her patient’s Mr Smith has recently be diagnosed with HIV. HIV can be transmitted in a number of ways including sexual transmission. Mr Smith has told Dr Jones that he is still sexually active with his wife Mrs Smith but has not told her about his diagnosis. 

    How appropriate are each of the following responses by Dr Jones in this situation?

    13. Tell Mrs Smith about Mr Smith’s HIV status without telling Mr Smith beforehand
  • 4
    1

    Explanation

    The correct answer is D.

    By disclosing the information regarding Mr Smith’s HIV status without informing Mr Smith first, Dr Jones is breaching GMC guidelines which state “Tell patients about disclosures of personal information you make that they would not reasonably expect, or check they have received information about such disclosures, unless that is not practicable or would undermine the purpose of the disclosure” (GMC Confidentiality Guidelines, p12). Therefore this action would be very inappropriate.

    Top Tip: When tackling question about sensitive disclosures e.g. HIV status, remember that you should always try and solve the situation without breaking confidentiality. 

    Post Comment

    Dr Jones is a consultant in sexual health, currently working in a sexual health clinic. One of her patient’s Mr Smith has recently be diagnosed with HIV. HIV can be transmitted in a number of ways including sexual transmission. Mr Smith has told Dr Jones that he is still sexually active with his wife Mrs Smith but has not told her about his diagnosis. 

    How appropriate are each of the following responses by Dr Jones in this situation?

    14. Inform Mr Smith that she will have to inform his wife about his HIV status and tell one of the nurses to tell Mrs Smith
  • 6
    3

    Explanation

    The correct answer is C.

    This action would protect Mrs Smith’s safety which is in line with GMC guidelines which states “There are also important uses of patient information for purposes other than direct care… Other uses are not directly related to the provision of healthcare but serve wider public interests, such as disclosures for public protection reasons” (GMC Confidentiality Guidelines, p10). However, it is inappropriate to ask another member of staff to tell Mrs Jones as that would be unnecessarily inform another staff member about Mr Jones’ HIV status. Therefore this action would be inappropriate but not awful.

    Top Tip: When tackling question about sensitive disclosures e.g. HIV status, remember that you should always try and solve the situation without breaking confidentiality. 

    Post Comment
    sissi Medicmind Tutor

    Sat, 14 Aug 2021 11:04:34

    but I thought it would be even less appropriate if dr jones informed a nurse to tell mrs smith because that is another person who has been told the confidential information

    Alireza G. Medicmind Tutor

    Wed, 22 Sep 2021 07:30:22

    Are we meant to average out the scenario?

    Michelle is a third-year medical student who is starting her first ever placement. She is very excited to finally be on the wards. Her first placement is on a cardiology ward in a local district general hospital. Whilst standing in the ward, she takes a selfie and post it to her Instagram account. Unfortunately, the selfie has a whiteboard in the background, on this whiteboard is a list of beds, the patient’s name, CHI number and medical condition. Later that day, her friend messages her informing her about the whiteboard in the photo’s background. Michelle is concerned she may have broken confidentiality. 

    How important is it to take into account are the following considerations for Michelle when deciding how to respond to the situation?

    15. Her Instagram was private
  • 5
    0

    Explanation

    The correct answer is D.

    Regardless of the platform used, confidentiality has been breached which violates Good Medical Practice which states “You must treat information about patients as confidential. This includes after a patient has died.” (Good Medical Practice, p17). Therefore, this consideration is not at all important. 

    Top Tip: In cases where confidentiality has been breached, the context of the breach nor the intention should influence the resolution of the scenario. 

    Post Comment

    Michelle is a third-year medical student who is starting her first ever placement. She is very excited to finally be on the wards. Her first placement is on a cardiology ward in a local district general hospital. Whilst standing in the ward, she takes a selfie and post it to her Instagram account. Unfortunately, the selfie has a whiteboard in the background, on this whiteboard is a list of beds, the patient’s name, CHI number and medical condition. Later that day, her friend messages her informing her about the whiteboard in the photo’s background. Michelle is concerned she may have broken confidentiality. 

    How important is it to take into account are the following considerations for Michelle when deciding how to respond to the situation?

    16. She did not intend to break patient confidentiality
  • 4
    3

    Explanation

    The correct answer is D.

    Her intentions are irrelevant, the key point is that patient confidentiality was broken which violates Good Medical Practice which states “You must treat information about patients as confidential. This includes after a patient has died.” (Good Medical Practice, p17). Therefore, this consideration is not at all important.  

    Top Tip: In cases where confidentiality has been breached, the context of the breach nor the intention should influence the resolution of the scenario. 

    Post Comment

    Michelle is a third-year medical student who is starting her first ever placement. She is very excited to finally be on the wards. Her first placement is on a cardiology ward in a local district general hospital. Whilst standing in the ward, she takes a selfie and post it to her Instagram account. Unfortunately, the selfie has a whiteboard in the background, on this whiteboard is a list of beds, the patient’s name, CHI number and medical condition. Later that day, her friend messages her informing her about the whiteboard in the photo’s background. Michelle is concerned she may have broken confidentiality. 

    How important is it to take into account are the following considerations for Michelle when deciding how to respond to the situation?

    17. Patient identifiable information was visible
  • 4
    0

    Explanation

    The correct answer is A.

    Patient confidentiality has been breach which violates Good Medical Practice which states “You must treat information about patients as confidential. This includes after a patient has died” (Good Medical Practice, p17). Therefore, this consideration is very important.

    Top Tip: In cases where confidentiality has been breached, the context of the breach nor the intention should influence the resolution of the scenario. 

    Post Comment

    Michelle is a third-year medical student who is starting her first ever placement. She is very excited to finally be on the wards. Her first placement is on a cardiology ward in a local district general hospital. Whilst standing in the ward, she takes a selfie and post it to her Instagram account. Unfortunately, the selfie has a whiteboard in the background, on this whiteboard is a list of beds, the patient’s name, CHI number and medical condition. Later that day, her friend messages her informing her about the whiteboard in the photo’s background. Michelle is concerned she may have broken confidentiality. 

    How important is it to take into account are the following considerations for Michelle when deciding how to respond to the situation?

    18. That patients’ have a right to know if confidentiality was breached
  • 3
    1

    Explanation

    The correct answer is A.

    Telling patient’s if a mistake has been made is a key principle of medical ethics, this is called the duty of candour. This principle is contained in Good Medical Practice which states “You must be open and honest with patients if things go wrong. If a patient under your care has suffered harm or distress, you should” (Good Medical Practice, p18). Therefore, this consideration is very important.

    Top Tip: In cases where confidentiality has been breached, the context of the breach nor the intention should influence the resolution of the scenario. 

    Post Comment

    Michelle is a third-year medical student who is starting her first ever placement. She is very excited to finally be on the wards. Her first placement is on a cardiology ward in a local district general hospital. Whilst standing in the ward, she takes a selfie and post it to her Instagram account. Unfortunately, the selfie has a whiteboard in the background, on this whiteboard is a list of beds, the patient’s name, CHI number and medical condition. Later that day, her friend messages her informing her about the whiteboard in the photo’s background. Michelle is concerned she may have broken confidentiality. 

    How important is it to take into account are the following considerations for Michelle when deciding how to respond to the situation?

    19. That the photo is blurry
  • 4
    4

    Explanation

    The correct answer is C.

    This factor is largely irrelevant as patient confidentiality has still been breached which violates Good Medical Practice which states “You must treat information about patients as confidential. This includes after a patient has died.” (Good Medical Practice, p17). However, as this might affect what information is visible, this factor could be considered but it does not have to be. Therefore, this consideration is of minor importance.

    Top Tip: In cases where confidentiality has been breached, the context of the breach nor the intention should influence the resolution of the scenario. 

    Post Comment

    Dr Graham is a GP trainee working in a large GP practice. One of his patient’s is a 28-year-old man who comes to the GP because he is feeling nausea and lethargic. He discloses to Dr Graham that he regularly smokes marijuana and occasionally takes stronger drugs. Dr Graham knows these drugs are illegal and is unsure whether he should report the patient. 

    Choose both the one most appropriate action and the one least appropriate action that Dr Graham should take in response to this situation. 

    20. You will not receive any marks for this question unless you select both the most and least appropriate actions.
    Most Appropriate
    Least Appropiate
    Do not report the patient to the police and support the patient with their addiction
    Report the patient to the police
    Tell the patient that he must stop taking drugs because it is illegal
    26
    63

    Explanation

    Most Appropriate – Do not report the patient to the police and support the patient with their addiction

    Least Appropriate – Report the patient to the police

    Sometimes disclosure of confidential information to the police is acceptable, this is governed by GMC guidance which states “Such a situation might arise, for example, if a disclosure would be likely to be necessary for the prevention, detection or prosecution of serious crime, especially crimes against the person. When victims of violence refuse police assistance, disclosure may still be justified if others remain at risk, for example from someone who is prepared to use weapons, or from domestic violence when children or others may be at risk.” (GMC Confidentiality Guidelines, p34). The key word is serious, taking drugs is not a serious criminal offence. Furthermore, you have to consider that by reporting patients for drug use (a very common occurrence), you are endangering the patient’s trust in you and therefore restricting their access to healthcare. Therefore on balance, disclosure would not be justified. 

    Therefore, reporting the patient to the police would be the least appropriate option and not reporting the patient would be the most appropriate option. The third option would neither be the most appropriate or least appropriate because whilst it does not involve reporting the patient to the police, it might endanger their patient doctor relationship as it involves the doctor threatening to call the police. 

    Top Tip: Remember, whilst disclosure to the police can be justified, it MUST be for a serious crime, not just any crime, as this can jeopardise the patient doctor relationship. 

    Post Comment
    Andrew Medicmind Tutor

    Tue, 20 Jul 2021 19:56:01

    Why is "support the patient with their addiction" a part of the most appropriate approach?

    Kyra Medicmind Tutor

    Sat, 24 Jul 2021 11:04:10

    To Andrew, apparently "supporting the patient with their addiction" means that you are helping them, NOT encouraging them. I bet that helping with addiction is highly appropriate to get the patient out of the situation. The wording is sort of misleading so I get why people might get confused :)

    Anonymous Aspiring Medic Medicmind Tutor

    Sun, 25 Jul 2021 17:55:37

    I do not understand. Why would you support the patient with their addiction to illegal drugs. Shouldn't the first approach be to advise the patient to quit and inform the consequences.

    sedra Medicmind Tutor

    Wed, 28 Jul 2021 09:55:26

    i think I got confused by the wording as well, like by supporting instead of monitoring them that kind of got me out the way, I think the wording where it really missed me up

    Safa K Medicmind Tutor

    Thu, 29 Jul 2021 12:07:15

    At first I was confused by how "supporting the patient" with their addiction is most appropriate... however, after reading the comments and thinking about it more it makes a lot of sense. You, the doctor, are supporting them by helping them combat their addiction and reduce their drug intake. You are showing your support as you are being loyal and not breaching patient confidentiality. Therefore, I now understand that it is completely inappropriate to contact the police as you, the doctor, are putting their confidentiality and trust in the surgery at risk. The patient isn't directly endangering any of the patients so there is no need to contact the police right now.

    Dora Medicmind Tutor

    Wed, 18 Aug 2021 17:51:52

    Majority of these answers to the questions are wrong.

    Aseel Rajhi Medicmind Tutor

    Wed, 08 Sep 2021 22:10:43

    Not reporting a cocaine addict to the police for using illegal drugs is just broad daylight felony. How is telling the patient that taking drugs is illegal an option? are we assuming he's oblivious too?

    t Medicmind Tutor

    Thu, 23 Sep 2021 02:39:52

    dumbdum

    jeff bro Medicmind Tutor

    Mon, 27 Sep 2021 22:01:11

    who tf asked

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