How do you approach situations where a patient refuses life-saving treatment in the Emergency Department?

Specialty-SpecificEthical

Purpose

This question digs into your ethical reasoning and communication skills in a high-pressure environment. Interviewers want to see if you can balance patient autonomy with your duty to act in their best interest.

Tips

  • Start by assessing the patient's decision-making capacity. Make sure they understand their situation and the consequences of their choices.
  • Communicate clearly and empathetically. Explain the risks of refusal and listen to their reasons without judgment.
  • Involve senior staff and other resources when needed. Don't hesitate to consult social workers or ethics committees for support.

Common mistakes

  • Don't just focus on convincing the patient without understanding their perspective.
  • Avoid using medical jargon that might confuse the patient; keep it simple and relatable.
  • Don't forget to document everything thoroughly. Skipping this can lead to legal issues down the line.