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Ethical Scenarios in Physiotherapy: A Practical Guide, Exams of Business Informatics

A series of scenarios designed to test the ethical reasoning and professional judgment of aspiring and practicing physiotherapists. Each scenario poses a unique challenge, ranging from patient confidentiality and healthcare fraud to dealing with difficult colleagues and managing patient expectations. These questions are designed to assess the candidate's understanding of ethical principles, professional boundaries, and the scope of practice within physical therapy. The scenarios cover a wide range of ethical considerations relevant to physiotherapy practice, including patient confidentiality, professional boundaries, informed consent, and conflicts of interest. They are designed to promote critical thinking and ethical decision-making skills among physiotherapy professionals.

Typology: Exams

2024/2025

Available from 05/23/2025

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UofT CAP
In your own words, what is a physiotherapist and how does it differ from other health professions?
correct answer Traditional Question
Explain why you have chosen Physical Therapy as a career demonstrating your knowledge of the
profession and its scope of practice correct answer Traditional Question
Explain why you have chosen the Physical Therapy Program at the University of Toronto correct answer
Traditional Question
Describe particular strengths, experiences, attributes, leadership skills and/or abilities that you will bring
to the PT profession correct answer Traditional Question
SCENARIO: A newly hired physiotherapist starts working at your clinic and is quite nervous on in her first
couple weeks. In her third week, you notice she has clearly attached a piece of equipment incorrectly on
a new patient and is about to start treatment which could potentially injury the new patient. What is
your course of action? correct answer CATEGORY: Challenging situation with other health professional
SCENARIO: A new patient is referred by a family doctor to your clinic with a specific diagnosis on a
particular muscle group. Upon your assessment, you suspect that another group of muscles is causing
the patient's pain rather than muscle group initially suggest by the family doctor. Upon having a private
conversation with the doctor, he states that "PTs have no place in diagnosing his patient and should
stick with carrying out treatment". What do you do? correct answer CATEGORY: Challenging situation
with other health professional
SCENARIO: You are treating your 30 year old cousin for a sports related injury at your independent clinic.
At a family dinner (without your cousin), your cousin's mother asks how her son is doing, the nature of
the injury and if she should invest in a knee brace for him. How do you respond to her questions?
correct answer CATEGORY: Patient-PT confidentiality
SCENARIO: A friend is under going physiotherapy sessions with you which is covered by his employer's
insurance. Originally, you have planned for a total of 10 sessions but by the 6th session, you have
clinically determined that your friend has improved to the point where he no longer needs to come in.
Upon telling your friend, he tells you that you should still bill him for the next 4 sessions to "keep the
extra money". What do you do? correct answer CATEGORY: Health Care Fraud
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UofT CAP

In your own words, what is a physiotherapist and how does it differ from other health professions? correct answer Traditional Question Explain why you have chosen Physical Therapy as a career demonstrating your knowledge of the profession and its scope of practice correct answer Traditional Question Explain why you have chosen the Physical Therapy Program at the University of Toronto correct answer Traditional Question Describe particular strengths, experiences, attributes, leadership skills and/or abilities that you will bring to the PT profession correct answer Traditional Question SCENARIO: A newly hired physiotherapist starts working at your clinic and is quite nervous on in her first couple weeks. In her third week, you notice she has clearly attached a piece of equipment incorrectly on a new patient and is about to start treatment which could potentially injury the new patient. What is your course of action? correct answer CATEGORY: Challenging situation with other health professional SCENARIO: A new patient is referred by a family doctor to your clinic with a specific diagnosis on a particular muscle group. Upon your assessment, you suspect that another group of muscles is causing the patient's pain rather than muscle group initially suggest by the family doctor. Upon having a private conversation with the doctor, he states that "PTs have no place in diagnosing his patient and should stick with carrying out treatment". What do you do? correct answer CATEGORY: Challenging situation with other health professional SCENARIO: You are treating your 30 year old cousin for a sports related injury at your independent clinic. At a family dinner (without your cousin), your cousin's mother asks how her son is doing, the nature of the injury and if she should invest in a knee brace for him. How do you respond to her questions? correct answer CATEGORY: Patient-PT confidentiality SCENARIO: A friend is under going physiotherapy sessions with you which is covered by his employer's insurance. Originally, you have planned for a total of 10 sessions but by the 6th session, you have clinically determined that your friend has improved to the point where he no longer needs to come in. Upon telling your friend, he tells you that you should still bill him for the next 4 sessions to "keep the extra money". What do you do? correct answer CATEGORY: Health Care Fraud

SCENARIO: Linda is a property manager that has just finished a 12 week rehabilitation program with you on her broken arm. Ecstatic about her speedy recovery, she has offered a week stay at one of her cottages in Wasaga Beach this summer. How do you respond correct answer CATEGORY: Gift giving SCENARIO: Peggy, a close colleague at your independent clinic, has recently taken on a new patient Arnold. During the course of Arnold's treatment, you notice both Peggy and Arnold have a great deal in common and heavily enjoy each other's company. During Arnold 2nd last session, he reveals to Peggy he has bought a ticket for both of them to attend a concert they both are ecstatic about. Peggy comes to you advice asking if she should attend this event with Arnold. What do you tell her? correct answer CATEGORY: Patient-PT relationship boundaries SCENARIO: In a monthly staff meeting, the clinic owner announces she will using a new advertising campaign to increase patient numbers to help pay for much need new equipment. This new equipment will undoubtedly increase the quality of care of new patients however you are worried about the use of individually targeted emails and flyers solicited towards the near by seniors home. What action do you take? correct answer CATEGORY: Advertising limits of Physio -Providing unnecessary treatment violates WHICH GUIDELINE? -CPO only permits advertising in public medium (no targeted) In your own words, what is the major difference between Physiotherapist and a PTA. Where would you draw the line? correct answer SCENARIO: Alice is a PTA assigned to you by the clinic owner. As months progress, you become more and more comfortable with Alice's abilities requiring less supervision. Last week, you were informed that the clinic owner correct answer CATEGORY: Dealing with support staff SCENARIO: Ali has sought treatment at your clinic after being referred to your clinic by a former patient. Upon initial assessment, Ali believes that he has the identical injury are your former patient as they experienced the same symptoms. During assessment, you realize Ali has a slightly different injury. You explain this to Ali, and start him on ultrasound and trigger point therapy. At the end of the first couple sessions, Ali comment that he would like to use the Stim machine as your former patient had go to use that machine and seemed to garner most of his results because of that machine. Ali is even willing to pay you more money to use that machine as part of his treatment. Clinically, the machine will not benefit him in anyway and may even cause harm. What do you tell him. correct answer CATEGORY: Patient expectation mismatch