Anatomy of an MMI Response: Moral & Ethical Situations

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In an MMI interview, the Moral & Ethical Situation prompts are the ones that terrify applicants. They feel so high stakes. For example: Decide which of these two patients gets an organ transplant. Geez Louise.

Many MMI questions—especially the ones about morals and ethics—may omit details you might've considered when contemplating your answer. Fill in those blanks and consider them still because your answer could be conditional from an ethical or legal standpoint. "Conditional" does not mean wishy-washy but rather "If X factor is present, then my answer is Y."

Think about how you would answer this ethical question: A minor teenage patient asks you for a prescription for birth control pills—and doesn't want their parents to know about it. How would you handle this request?

You might reflexively have an answer to this—but pause and consider potential conditional factors, even if you ultimately dismiss them. Beyond answering your patient's request, what else might you discuss with your patient? You might ponder these questions:
  • Are there legal matters to consider?
  • Are there health risks to consider?
  • Is your patient sexually active already or considering becoming sexually active?
  • Is your patient 13 or 17?
  • Will your patient be using a second form of protection to prevent STIs?
  • Are they being pressured into a sexual relationship?
  • Is there anything you should know about their partner/partners—like how old they are?
  • If those things were not factors in your decision-making, why not?
Head to our blog for an example of a strong response to this question (and details on why it's so strong).

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