Casper

Question 2: Assume you advise the newer employee not to give the refund, but she does anyway. Do you report this to your supervisor? Why or why not?

- I am in a place of employment and likely signed a contract to abide by certain company policies. - I would first give her a chance to reach out to the boss on their own, explain the situation and their mistake. - In case that the employee may not report or do so deceivingly, I would still inform her of my plans to inform our boss about the break in policy. This would avoid the employee feeling surprised or deceived. If I do NOT report the broken rule, I can become an accomplice, and if this situation is revealed, I may be viewed as equally culpable.

A time you failed

1000 jumprope test in karate failing first physics exam (relate to how you approached geometry) - extremely discouraged and frustrated - options: continue to feel down OR fuel my desire to work hard to improve - strategies: met regularly in office hours, rigorous study schedule, found peer tutoring and study groups - result: improved up to the point I began to tutor/help other students - lesson: always be times when we fail. It is what we choose to do after that will affect the future. Best to move forward and try to do better next time.

You're a pilot waiting at the airport for your next assignment. You are sitting at the bar with a colleague who is also awaiting an assignment. Your colleague gets a call informing him of his next assignment. You over hear him accept the assignment, you have observed that he has been drinking beers at the bar while waiting. #1 What is going through your mind at this point?

At this point, I need to remain objective, non-judgemental and not jump to any premature conclusions based on the primary observations made. I do not want to make the assumption that my colleague is being irresposible and unprofessional by drinking alcohol while accepting an assignment. It could very well turn out that my collegue looks like he is drinking an alcoholic drink, but it could be non- alcoholic beer. Or since I did not hear the complete conversation on the phone, it could turn out that the colleague said yes to an assignment that could be tomorrow or a few days from now. However, it could also turn out that my colleague was drinking and did accept a near assignment. Thus for these reasons, I will discuss the matter privately with my colleague in a non-accusatory manner to gain more information as I am concerned about the well being and safety of all those involved, most importantly, the potential passengers.

Time I failed

situation: trusting my teacher, and not my father who has been at all of my trainings/competitions, to enter the 1000 jumprope competition result: I failed, and was only able to jump to 200 - felt disappointed, embarrassed, and ashamed to be the only one to not succeed at this test strategy: for a few hours everyday for 1 month I trained and conditioned to complete 1000 easily - took days of exhaustion and physical soreness - days where I wanted to give up, but I kept going outcome: I re-took the test 1 month later, passed! - situations in life where not everything works out as planned. if i put in the work/discipline/dedication, I could get anything done, no matter how impossible at first.

LIMITED VACCINE: Take vaccine self, or give it to another person

- how many vaccines are made and available? - who shows signs of disease or is at greater risk of disease? understand how this can impact the patient and those close to patient goal: how can we save the most people!!!

surgery scenarios

- informed consent - discuss risks/benefits/alternatives/doing nothing - gather all the facts to better understand what the patient's goal and understanding of their situation - is patient competent enough to make their own decisions that are right for them? (may need POA, power of attorney, if incapable) - patient's right to refuse treatment (respect this choice)

Question 3: If you were asked to establish a policy for a new store around refunds, what aspects would you take into consideration?

1) establish a better tracking system - product could be confirmed as bought in a specific store's location at certain date/time without needing a copy of receipt (could corroborate a customer's story about when/where the item was purchased) 2) seek supervisor's counsel - any stipulations or exceptions to the policy - take careful notes, share with other employees (staff can become better prepared to make similar judgment calls in the future) 3) limit cash purchases to items under $20, since that's the largest refund the employees are allowed to give - larger purchases, could limit customers to traceable payment methods (credit cards) (allows for consistent and fair policy)

What quality or personality trait is the most important in the MD profession?

Compassion - ability to be empathetic in walk in another person's shoes, recognizing that their experience has value too - as doctors, we have all been or will become patients at some point important to understand the other side (often times, patients are at their most vulnerable) - ability to connect with patients and build trust - cultivate a therapeutic alliance - be able to better understand a patient's needs in the context of their life, condition, and/or other psychosocial or environmental factors

Question 1: You are a member of the study group and have not participated in the interaction so far, but now the group is looking to you. How would you defuse this situation?

Give her the benefit of the doubt and ask tactful, non-accusatory questions that might reveal whether she's withholding important information from the group. "Is there anything going on outside of class that's causing a distraction? Is there any way we could help?" "If the group discovered a serious personal issue in Sue's life, I would offer to help Sue find support on campus and suggest talking to the professor as a group to explain the situation." "If Sue hesitated to give us a valid excuse, but seemed troubled, I would try to talk to her in private after the group meeting in case she was too embarrassed or afraid to speak in front of the group." "If it appears that Sue is simply neglecting her duties, I would try to re-establish a set of expectations for the group and have everyone sign off on them." "If Sue didn't correct her actions over the next few meetings, I would inform the professor about the situation and ask for his or her guidance."

"What is your biggest weakness"?

I sometimes struggle with failure. - disappointment, affects confidence - e.g. MCAT - revised strategies and worked to improve my coping mechanisms (meditation, barre, surround myself with positive people)

#2 What will you do in this situation?

I would talk to my colleague privately and first apologize for overhearing his conversation. I observed him drinking what appeared to be beer and that I was concerned if his next assignment was immediate. At this point, a few things could happen. - He could say that his next assignment was not immediate or that he was consuming non-alcoholic beer, at which point there would be nothing to be concerned about. - Alternatively, they could say that it was an honest mistake and an oversight when they accepted the assignment, and now that I brought it to their attention they will rectify the situation by cancelling their assignment. - Lastly, it could turn out that my colleague is being irresponsible and dismisses my attempts to intervene. At this point, I would strongly remind him that I am concerned about everyone's safety, and if they are unwilling to talk to the supervisor then I would be obligated to do so regardless of our relationship.

"You notice a partner in your group has failed to do their assigned part and the presentation is tomorrow. Your group members are angry and ask you to confront them. How do you confront your partner?"

In this situation it is important not to make assumptions about your group partner. They may have a valid excuse for missing their part of the project and it is important to calmly ask them why they missed their part. I would do this in private and not in front of the group so as not to embarrass them. If something was seriously wrong I would lend comfort and support and ask them to speak to the team for help to finish their part. If they had just decided not to do the work, I would explain to them how the team members felt and how all our grades depend on their work. I would offer them help and ensure that there was not information we had not communicated that was preventing them from doing the work. IF problems continued, I would ask my peers for help and possibly reach out to the professor to mediate the discussion and explore possible options. No matter what, I would let my partner know before approaching anyone else.

drunk driver scenario: a person is completely drunk and is heading to their car with the ignition keys in hand

MAKE SURE YOU MENTION THAT X APPEARS DRUNK DUE TO MEDICATION (as an option) too many unknowns (can you be 100% sure they're drunk? what if they have a medical condition that causes them to seem drunk or have alcohol breath like diabetic keto acidosis? what if they are going into their car to grab a cell to call a cab?) may want to have a private convo (not embarrass them) if after having a private convo I realize the driver is drunk and planning to drive away, then .... If I realize the driver is simply going to grab their cell from the car, then ...

Is it ever okay for a professional to have a personal relationship with one of their students?

Regardless of if you knew a student beforehand, it is essential to keep the relationship professional during the course of the class. - This type of relationship can result in abuses of power creating harm to both the student and the professor. - It could potentially harm and defame the university as well as hurt families involved.

your coworker is afraid of flying on a plane?

Talk to your boss to see if she can Skype in.

How does having a conflict with an authority figure differ from having a conflict with one of your peers.

Though the people involved are different, the approach to resolving conflict remains the same - act professional and approach with humility - calm communication - emphasizing and hearing the other person out in order to understand and see their perspectives - if i respectfully disagree, elaborate upon my perspective and why I may think this approach could be better - compromise, if possible, and come towards a solution that could ideally work for all parties involved final thoughts - conflict can be difficult, but it is necessary for growth, to learn from others who are not like us, and work more efficiently with other people - if conflict is not addressed at the right time, it could lead to further conflict and destructive situations and a potentially harmful dishonest climate for those involved

Describe a time when you had to make a difficult decision.

When I was in high school I had to make a decision of whether I should quit the dance team to focus more on my academics. Dance took a lot of my time, and it was hard to do well in school because I did not have the time to focus on my studies. Though I loved dance, I realized that school is more important as it would help me get into a good college and eventually a good career. When making a difficult decision, it is important to look at both sides and evaluate which would be best in the long run.

Have you ever been at odds with a coworker? How did you handle this?

When I was working as a library aide on-campus as part of my work-study job, I worked with X who wasn't participating or contributing much to our team - decided to talk to him about it, suggest we switch off tasks - X took it really well, was nice about it, I was glad I addressed the problem and came up with a solution that worked well for both of us

Recall a situation where someone else's work or excellence benefited you, either undeservedly or disproportionately. Did you attempt to clarify or rectify the situation? Leaders commonly generate the feeling among followers of undeserved praise and reward. Discuss why this is so and if it is a fair sentiment.

When I was working at a laboratory with my research partner, we both worked towards developing a novel assay to explore mitochondrial biology. At the end, we had to create a presentation to present in front of our team. She was absent the day of the presentation due to boards, so I presented on behalf of both of us. - the company praised the graphics for the procedure, which she created beforehand important to give credit to those who worked for it - I explained that she executed and created the graphics, and did an excellent job of implementing the strategy creatively. Thus, she received the deserved praise on the project.

A 75-year-old woman shows signs of abuse that appears to be inflicted by her husband. As he is her primary caregiver, she feels dependent on him and pleads with you not to say anything to him about it.

Whenever the safety of an individual is at stake, confidentiality may be breeched - support pt health and safety situation is very conflicting (reporting to protective services: make the patient fear that she will be exposed to further abuse) - discuss services that might be available to assist her - encourage the woman to seek help - provide medical care and counseling - explain the physician's duty to report.

What is the greatest challenge you have ever faced and what did you do to overcome it? A time you navigated a personal crisis (yours or someone else's)

aunt diagnosed with breast cancer a few years ago - extremely close with her - saw her fight cancer, go through chemo, struggle with losing her hair and feeling sick - being far away, not knowing what was going on, feeling like there was no way to help I decided to learn as much as I could, help research providers for second opinions, find support resources (group therapy, support groups), find new hobbies that were easier to engage in while resting (e.g. painting) I couldn't change the diagnosis, but I could find other ways to help her with things others weren't

Think of a time when you had to make a sacrifice in order to accomplish a goal.

delay personal life - turn down invitations and postpone meetings - miss out on family gatherings and holiday parties - encourage rigor and discipline - learned the importance of sacrificing short-term pleasures for long-term happiness.

Describe a time when you used teamwork to solve a problem.

designing framework for a website as part of school project - difficulties: working with several members with many ideas/learning styles, pressured by deadline - assign tasks to each member (division of labor) - discuss various ideas, make decisions as a group, and ability to compromise or combine ideas Result: everyone satisfied and achieved goal of completing project on time

disagree with authority

different knowledge, experience, values, perspectives can be settled in a number of ways - listen and consider the input of others - voice without accusatory, threatening language like "I acknowledge and respect your perspective, but for XYZ reasons, I disagree and believe we should do ___" respectful exchange of views (provide both with new info and serves to further education)

Regardless of what we do in life, there will be times when we will come into disagreement with an authority figure or a superior. Describe a time when you came into conflict with an authority figure and how you dealt with it?

disagreement with my supervisor over way to display our findings on a poster presentation - supervisor did not agree with my approach being a student I realized that it could very well be my own lack of experience and knowledge that is making me feel that way. - set up a time to discuss the matter in private - asked her to explain her approach and perspective so that I could gain a better understanding of why she had suggested an alternative approach - provide further rationale for my approach Through our dialogue and collaboration, we were able to come to a new consensus. I learned how to effectively resolve disagreements with superiors.

breaking bad news to someone

example: told my mother that her best friend (our neighbor) died of cancer while she was at her brother's wedding on vacation in Poland 1) wait until after the wedding when she is alone in a private setting 2) delicately inform my mom of what happened, how it happened, when it happened, and any other details that are relevant 3) calmly communicate and assure her that I will take care of things for her at home (understand what she things I should do blah blah)

Question 1: What do you tell the other employee - go ahead and give the refund or abide by store policy? Justify your answer.

gather all of the facts; try to understand when the customer purchased the item and if she is sure she purchased it at this store - if the store is empty, I could talk to the customer there - if the store has other customers, I would talk in a private setting to avoid embarrassing her Kindly apologize that I cannot offer cash refund without a receipt as it is store policy - offer resources (i.e. meds that are generic or cheaper at diff pharmacy, speak with physician) - call manager at a different store of the same chain for insight into the situation and how to best handle it - explore store policy for a clause that may state conditional exceptions to refunds without receipt If I bended the rules in front of the younger employee, it could set a bad example or precedent, which could encourage an unhealthy work environment. - There could also always be the chance that the employee would report me to my boss.

Recall a group situation when the group did not do what you wanted.

history presentation - equal layout for all 3/4 members agreed but one persistently and adamantly didn't During college I was a part of a group project where we were required to teach information on the cell cycle to the rest of the class in a creative way. While I thought it would be a good idea to play a game of jeapordy with the class, the rest of my group members wanted to act it out. Though I expressed my hesitancies about the difficulty of acting it out, the rest of my group thought that was the best way to convey the information. I went along with the group and did my best to act out the topic and teach it to the class.

Scenario: Lunchroom at work. Men are arguing. One man uses obscene langauge to refer to a female employee. How would you handle such a situation?

issue: wellbeing of female colleague is priority - this is the middle of convo (don't jump to conclusions, we need to gather info) Have private convo with the person who caught saying these things (do not act upon instinct) - what led up to this? if he was just repeating something he heard and I would've taken unnecessary action without all the facts, he could get reprimanded or lose his job If this is a one time offense - may need extra guidance (i.e. sensitivity training) If this a pattern of behavior - have clause in policy where HR has the right to have a different course of action if more severe (mandatory policy to make training first offense move, and more severe consequences for repeat offenders) - if he said something insane that made the workplace an unsafe env, sensitivity training may not be enough

law student scenario

maybe evidence was not destroyed, but misplaced? - do everything to help the student find evidence (retrace steps, look through different places) if nothing left to do and still not found - will have no choice but to report the situation higher up to authorities (make them understand this this was a mistake, to show leniency, and to continue helping support the student) provide ways to improve organization for the student - resources (planners, folders, file cabinet, etc)

vaccination situation

not be judgmental, private convo to gather all the facts as to why the mother does not want to vaccinate their child discuss potential risks and benefits and alternatives of vaccination with the mother in small chunks, making sure that the mother understands all options and makes the decision that is best for her child - concern for wellbeing and safety of all involved patient has a right to choose their method of treatment, especially their legal guardian if they are not old enough to understand if risks out weigh the benefits (in a way that could potentially be very harmful to the child and even result in death) - could be justified in seeking power of the state (through a court order or CPS) to assure child receives treatment necessary

Worked with others unlike myself

scenario: training session at CLCHC - picked up a name card that said "Hi my name is Nicole, and my pronouns are she/her" - I had NEVER introduced myself with appropriate pronouns before, nor noticed people identifying themselves with different pronouns irrespective of their gender Worked with many members of the LGBTQ community at every part of hierarchy (from the physician/provider to the staff, front desk, and janitor) What I learned - even though we all come from different walks of life, we were all united in one working environment and advocating for equal, sensitive, quality health care - you can always learn new things (strategies, information, life stories), which you can carry with you through life personally and through other work since then: take careful consideration and always asks someone's name and pronouns - become more culturally competent and sensitive, traits that will be essential to build trust and connection with patients

Describe a past situation in which your ethics were challenged.

situation: training to be a Patient Escort at a hospital - a patient dropped $100 for his pocket during transport - my trainer picked it up and held it in his hand, without actually giving it to the patient Although I could have ignored this and let my trainer pocket this extra $100 that day, I decided to wait until the end of transport. - if trainer would give patient the money that he dropped, I could ask him if it was protocol to wait until the end of transport - if trainer wouldn't give patient money at end of transport: a) ask the trainer why he was keeping $100. inquire about his life situation. Maybe X is running out of money for his almost due rent and could use the extra $100. In this case, I could speak to him about his living situation and potential resources or alternatives that I know of, including loan forgiveness. b) ask the trainer if he has done this before - if he hasn't, advise him delicately to return the money to the patient, who didn't realize they dropped it. as it belongs to the patient - if he has, advise the patient's nurse of the incident and report the trainer to my manager about the incident and conversation so that this would not be repeated by this trainer with future patients

Describe one time when your boss had to confront you about an issue with your work. Tell me about a time that you made a mistake at work.

working as a medical scribe, I forgot key detail for pre-op clearance for a trans patient before bottom surgery - pregnancy test results (essential to be cleared for surgery) what happened: Peter reminded me how my position as a scribe it to transcribe all key details, so he wouldn't have to (in case he forgot) reaction: I felt disheartened and disappointed that I could've missed something that was very important to this patient and his care result: - profusely apologized for my mistake - assured him that I would ask him about key details (that I wouldn't be sure if to include) for future patients - asked for him to explain the medical reason for why this result was necessary in this scenario and how it could be applied to other similar scenarios - asked him for alternative situations where this result would not be crucial - talked to my Chief Scribe about any tips she has on sorting through relevant and irrelevant details during a patient visit to include in a chart

Describe a time in your life when you had to tell someone a hard truth. What did you learn from the experience?

working as a tutor at my university for psych majors - help students work through challenges and support them along their academic journeys - X wanted to apply to graduate school for clinical psych (but had poor grades/GPA, extreme difficulty with courses) - I wanted to be supportive, but I needed to be honest with her that she had a low chance to get in (had a difficult sensitive private convo about my concerns and requirements needed to be a competitive applicant) - come up with ways she can do better in her classes (repeat, apply for masters first, meet with professor, go to more tutoring sessions)

Reporting employee, Worker shows up 20 minutes late

• Make all parties happy• Hear both sides of stories• Collect all info• Two parties disagreement• The way you arrive at solution• Unbiased, don't jump to conclusion• Is he always arriving 20 minutes late• Does he like working here, doesn't like to• Does he do a good job• Does he leave early or on time