Team Collaboration · Ranking sample

Dr. Al-Mansoor is examining Mr. Henderson, a 68-year-old patient with severe…

Read the scenario, answer it, then compare yourself to the answer key. Every option includes a rationale and a transferable principle.

v2094Team CollaborationRankinghardCollaborator + Communicator, Professional

Rank in order the following actions for Dr. Al-Mansoor to take in response to this situation (1 = Most desirable; 5 = Least desirable).

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.

Ranking scale: 1 is most desirable and 5 is least desirable. Use each rank exactly once. Pick one rank per option.

A. Connect the patient with the clinic social worker to pursue hardship waivers while arranging clinic nursing dressing changes.

B. Advise the patient to borrow money from personal contacts to pay the fee so essential services resume.

C. Engage the clinic team to treat the wound while advocating directly with home care leadership for fee exemption.

D. Provide wound dressing supplies and educational handouts for the patient to manage skin care independently at home.

E. Instruct the patient to attend the emergency department daily for dressing changes until home services are restored.

Use each rank exactly once

Samples are graded anonymously. Nothing is saved.

Show answer and rationale

A. Connect the patient with the clinic social worker to pursue hardship waivers while arranging clinic nursing dressing changes.

Key: 2

This is a strong, collaborative approach that utilizes multidisciplinary team expertise to navigate financial relief mechanisms while ensuring wound care. It ranks slightly below Option A because direct physician-to-program leadership advocacy often resolves administrative impasses more rapidly for critically deteriorating patients. It would rank first if the social worker had direct delegated authority over home care fee waivers.

Leverage interprofessional team members to navigate systemic financial barriers effectively.

B. Advise the patient to borrow money from personal contacts to pay the fee so essential services resume.

Key: 4

This option shifts systemic institutional burdens onto an impoverished, vulnerable patient without exploring administrative hardship exemptions or community supports. It demonstrates poor empathy and ignores systemic health advocacy roles expected of family physicians. It would move down if no medical advice was provided at all.

Avoid burdening marginalized patients with systemic administrative fees without advocacy.

C. Engage the clinic team to treat the wound while advocating directly with home care leadership for fee exemption.

Key: 1

This is the most desirable response as it concurrently addresses the patient's immediate medical danger and tackles the systemic administrative barrier through proper advocacy channels. Combining acute wound care in the clinic with supervisor-level advocacy demonstrates clinical responsibility and effective health advocacy. It would move down if systemic advocacy omitted immediate local wound stabilization.

Bridge acute clinical vulnerabilities while actively dismantling systemic care barriers.

D. Provide wound dressing supplies and educational handouts for the patient to manage skin care independently at home.

Key: 3

Providing medical supplies offers some material support, but expecting a severely immobile patient with sacral breakdown to dress their own wounds is clinically unrealistic and unsafe. It fails to address the root cause of the service cancellation and leaves the patient isolated. It would move up if paired with home care reinstatement efforts.

Ensure patient self-care plans are realistically matched to functional capabilities.

E. Instruct the patient to attend the emergency department daily for dressing changes until home services are restored.

Key: 5

This is the least desirable action because it inappropriately overutilizes acute hospital resources for basic chronic wound care, while imposing painful, impractical transportation barriers on a frail patient. It deflects primary care responsibility and does nothing to solve the underlying home care suspension. It would move up only if the wound exhibited systemic sepsis requiring hospital admission.

Do not offload primary care and social advocacy to emergency services.

Exam context: FMProC assesses team collaboration alongside three other attributes. This is an unofficial worked example, not a live exam item.

Educational scenario only. Not clinical or professional advice.