A teenager asks about the pill on her own
AMC Clinical practice station
Ethics, consent & capacity · 2 min to read · 8 min to perform
Try a real conversation · AMC ClinicalAI practice
Take a focused history, discuss contraception and confidentiality, and agree a plan with her.
Ruby TranHi. I want to ask about the pill, but please don't tell my mum and dad I'm here.
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You are a general practitioner. Ruby Tran, aged 15, has made an appointment on her own. The receptionist noted that she wants to talk about "the pill". Her parents do not know she is here. Take a focused history, discuss contraception and confidentiality, and agree a plan with her. There is no need to examine her. The examiner will not take part in the conversation.
What this station tests
- Explain confidentiality and its limits at the start; adolescents will not share a sexual history without it.
- Capacity to consent depends on understanding, not age alone; document your assessment.
- Ask about migraine with aura before offering any combined hormonal contraception.
- Offer emergency contraception when unprotected sex has occurred recently, and discuss ongoing contraception.
- Check for coercion or harm. Age of consent and mandatory reporting rules differ between states, so check local requirements.
Sources for the clinical content
- Family Planning NSW: Emergency contraception
- healthdirect: Contraception options
- Services Australia: Medicare card
- Australian Institute of Family Studies: Age of consent laws in Australia
- Australian Institute of Family Studies: Mandatory reporting of child abuse and neglect
- Medical Board of Australia: Good medical practice, a code of conduct for doctors in Australia
An original practice scenario with invented patients. Not an exam question.