Extra challenge
These cases remove the easy villain. The difficult distinction is often between a sensible response and the best response for this moment, role and level of risk.
Start 12 hard judgementsDeliberately harder than the ordinary drill bank. Use it after you are comfortable with the main principles.
Worked examples
Choose a rating before opening the model judgement.
A student recognises a close friend in the waiting area.
Action: Continue observing but avoid opening the friend’s record unless the friend mentions the relationship.
Appropriate, but not ideal. Avoiding the record reduces risk, but the supervisor should know about the relationship before deciding where the student can be involved.
A student is asked to paste an AI summary into a patient record.
Factor: The output has been checked line by line against the source notes.
Important. Verification matters greatly, but approval, secure data handling and clear accountability are also required.
A possible allergy discrepancy may affect a decision being made now.
Response: “Could I speak to you privately at the end of clinic?”
Appropriate, but not ideal. The tone is respectful; the delay is weak when an immediate check may prevent harm.
What makes a case difficult
A good action may be too late for the risk described.
The outcome may be sensible while the student is using the wrong route or exceeding their role.
Escalation can be justified and still be heavier than the evidence requires.
An action may address one part of the problem while leaving safety, honesty or consent unresolved.
Hard cases
Clues remain available in Training mode. Exam mode removes them.
