Medical Paper Essay

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As all of us have, I have encountered a number of ethical dilemmas that I have had to resolve. There is one situation that stands out, for a number of reasons.

At my undergraduate school, I spent a semester as an honors program seminar leader for a class of new students. My responsibilities were to help approximately nine new students become acclimated to Iowa State University, the Honors Program, and to make sure they all took and passed a simple test in library proficiency. Other than passing the library test, the only requirement for the class was attendance. However, a failure in this class could not be erased from the record, as students were not permitted to retake the class due to severe size constraints. Thus my position was part role as teacher, part as counselor, and part as fellow student.

The ethical situation I have chosen, although not directly medical, involves a student in that honors program class. It is representative of a problem that can face a medical practitioner. This example illustrates ethical problems which can arise from the power differential or authority given to a teacher, the need to maintain proper boundaries, and the responsibility of a teacher to grade impartially while still trying to maintain a relationship to the student which will best help that student.

MJ was a student in my class who was very enthusiastic and bright. At the start of the semester she was very organized and prepared for the new realities of university life. As the semester wore on, however, a number of troubling signs began to appear that warned of difficulties. MJ was quickly reaching the total number of absences that she was allowed in the honors program class without being given a failing grade. The number of absences allowed had been explained to all students at the start of class and repeated numerous times. Additionally, the Honors Program director had indicated to me that MJ was frequently missing other classes and doing poorly in those classes.

I decided to have a talk with MJ to find out the reason or reasons behind these problems, as well as re-emphasize the need to continue class attendance. When I took her aside following class she was very willing to talk about her recent academic performance and told me about a large number of stressors in her life, in addition to starting college. The main problems were family trouble between her parents and a vaguely worded illness. After talking with her for awhile about each of these situations I recommended ways for her to improve her study habits, and gave her the names of some academic and personal counselors to help her further. Overall, the session seemed to go very well, and she was very grateful for the help.

The next few weeks were fairly uneventful, but then MJ was absent for a class, bringing her up to the maximum total she could miss without failing. Talking with the Honors Program director, I discovered MJ’s attendance in her other classes had plummeted even further. The director also indicated that MJ had come to her with numerous reasons for her difficulties. One reason was that MJ had a disease in which “large areas of her brain that were dead or dying”, a bizarre explanation for which the director had, after some research, determined to be a lie. Nowhere in those reasons had MJ given family problems as she had to me in our discussion.

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