Team Collaboration FMProC practice questions

You are Dr. Yusuf Ahmed, a PGY2 family medicine resident on a community medicine rotation. You are conducting a home visit with Rina Kowalski, an experienced public health nurse who has worked in this community for fourteen years. As you explain your proposed insulin titration schedule, Rina states flatly across the kitchen table that your plan completely ignores what was agreed upon at the prior care conference. This conference took place two weeks before your rotation began and utilized a different clinical protocol that you were not briefed on. Mr. Doiron looks visibly anxious and glances back and forth between you and Rina, waiting for guidance on what to do next. You must address Rina's concern while maintaining Mr. Doiron's trust and psychological safety in the moment.

Dr. Danielle Ross is completing a rotation on a busy inpatient family medicine teaching ward. Over the past three days, Dr. Alan Foster, the off-site attending physician, contacts Danielle expressing frustration about receiving multiple phone calls during his outpatient clinic for routine order clarifications, PRN medication approvals, and diet upgrades. Dr. Foster stresses that managing these routine ward issues is squarely within resident scope. Danielle approaches Nurse Gary, the day charge nurse, to discuss the issue. Gary candidly explains that past residents took hours to answer pages, so nursing staff found it far more efficient to call the attending directly. Danielle needs to re-establish proper paging workflow and rebuild trust with ward staff without alienating the nursing team.

You are Dr. Julian Roy, a PGY2 Family Medicine resident in a busy academic community clinic. The attending physician, Dr. David Sterling, has been delayed at the hospital for over an hour, causing afternoon appointments to back up severely. In the minor procedure room, Gail Simmons, a senior clinic nurse, is setting up a tray for a knee joint aspiration on an elderly patient with acute effusion. She instructs Chloe Martin, a third-year medical student, to perform the procedure independently right now, stating that doing so is the only way to keep the clinic on schedule and avoid cancelling appointments. Chloe looks nervous and pulls you aside into the hallway, whispering that she has only observed a joint aspiration once on a plastic model and feels completely unequipped to do it alone.

Dr. Ian Woods is a family medicine resident completing a rotation at a First Nations community health centre, with two weeks remaining. During an appointment for a nine-year-old child with poorly controlled asthma, Dr. Woods proposes scheduling weekly clinic appointments over the coming month for close monitoring. In front of the child's grandmother, Darlene, an experienced community wellness worker who coordinates local care, states, "We do not book visits like that. Families will not come three times a month for puffer checks." The grandmother nods in agreement with Darlene's statement. Dr. Woods wants to ensure adequate asthma control while respecting the community's context and care coordination norms.

Dr. Al-Mansoor is examining Mr. Henderson, a 68-year-old patient with severe osteoarthritis and limited mobility living on a guaranteed income supplement. Mr. Henderson reports that his publicly funded daily personal support and dressing changes were abruptly halted this week due to an unpaid fifty-dollar administrative enrollment fee. Without assistance, he cannot perform personal hygiene, and Dr. Al-Mansoor observes developing Stage II pressure injury breakdown over his sacrum. When Dr. Al-Mansoor phones the regional home care coordinator, Gail, she states agency fee rules are strictly enforced and services remain paused until payment. Dr. Al-Mansoor must address the acute clinical deterioration while advocating for systemic care resumption.