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Phase 3 Medicine 2026
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Which of the following procedures cannot be readily provided to a mature minor upon request?
After watching the primary care scenario, please select the three ethical or legal issues that are most pertinent to this case.
Learning activities
ii. Role of the Practitioner
Privacy versus Confidentiality
Young people who seek healthcare services are often concerned with privacy and confidentiality issues. Before we can address this, we need to know what these words mean.
There is a subtle difference between privacy and confidentiality, though the two concepts are intrinsically linked and relevant as a medical practitioner.
Before we look at the specifics make sure you know the definition of both Privacy and Confidentiality by placing the items in the correct column below.
Learning activities
i. Mature minors and sexual health
1. Is our patient a mature minor?
Sexual health is an issue often encountered in primary care, and duties of confidentiality are extremely relevant due to the sensitivity and privacy of the topic. In Estelle’s case, she has the right to access medical care for sexual health, including contraception.
Can Estelle be considered a mature minor? Yes
2. Does our patient need STI screening?
STI screening is important and often involves the patient divulging very private information. This information should be kept confidential between the practitioner and the patient, and discussed in the context of the patient’s sexual health. This is particularly relevant in young patients and adolescents, who may not have had a STI screen before, are at high-risk of STIs, are often less open about discussing sexual health, and may not have a comprehensive understanding of sexual health or STIs.
Was Dr S right to recommend STI screening to Estelle?
Learning activities
i. Mature minors and sexual health
1. Is our patient a mature minor?
Sexual health is an issue often encountered in primary care, and duties of confidentiality are extremely relevant due to the sensitivity and privacy of the topic. In Estelle’s case, she has the right to access medical care for sexual health, including contraception.
Can Estelle be considered a mature minor?
Theme: Urinary frequency For each patient with frequency of micturition, select the most likely diagnosis. STEM 1:A 25 year old woman has urinary frequency with severe urgency and suprapubic discomfort for the last two days, just after she last had intercourse. Over the last 24 hours she has noted severe dysuria, nocturia, strangury and foul smelling urine. She has a temperature of 37.9°C. Initial laboratory studies show a white cell count of 12 x 109/L (4.5-11) and urinalysis reveals nitrites, leukocytes and trace of blood.
STEM 2:A 55 year old woman has frequency of micturition with severe urgency and nocturia over the last 12 months. Occasionally she leaks a few drops of urine as she is getting her underwear down in the toilet. Her bladder chart shows that she drinks 1.2 L per day and voids volumes of 50-120 ml every 1-2 hours. Pelvic ultrasound reveals 1.5 cm fibroid on posterior uterine wall. Urinalysis shows a raised specific gravity but is otherwise normal.