 Welcome back to our USMLE question of the week. Let's get right to that question. As always, we start with the last sentence of the vignette so we know what we're looking for. What is the physician's best course of action during this visit? A 30-year-old male physician is seeing a new patient, who is a 27-year-old woman. When he enters the room, he recognizes her as someone he met at the bar two weeks ago. He was highly attracted to her at that time, but she left before he could invite her on a date. So what is the physician's best course of action during this visit? Read the question again. Look at the answer choices and decide what would be your answer. Put it in the comment box below. All right, this is an ethics question. Sometimes these can be difficult. So let's go through our answer choices. A, ask her on a date. She is a patient of yours. You never ask a patient on a date, so that is 100% not going to be the right answer. Do not actively seek that. B, continue the visit as normal. Could be the possible answer. C, refer her to another doctor. I don't like answers of refer her to another doctor ever. The answer choice of referring someone to another physician on the assembly is almost always not going to be the right answer, no matter the situation. So I don't like C. D is the same thing, but is referred to another doctor and then asked her on a date. Someone marked that out as well. Return to the room with a chaperone and conduct the visit as normal. While any time there is a male and female in a room, it might be a good idea to have a chaperone, especially if there are situations where the patient may not be fully clothed. In this case, there's no indication that we're seeing this patient has any type of romantic feelings for the physician that could cause a problem here. So there doesn't need to be a chaperone in this situation. So I would say E is not the correct answer. So I'm going to say that our correct answer here is to just continue the visit as normal. And B is our correct answer. So basically this vignette is telling us that the physician had feelings for someone that they didn't know about. Nothing was ever acted upon. He just saw her at a bar across the room. So therefore there's no reason we should think there is any type of relationship that already exists prior to this woman becoming this physician's patient. If that were the case, then we would likely say the physician would refuse to see her on the basis of this personal relationship. However, we can definitely just continue a regular examination without any concern for ethical situations here. Obviously A is 100% never going to be the right answer. You don't actively seek romantic relationships with patients, period. As I said, with C and D, referring the patient to another physician is not going to be a good answer for the USMLE. And then as I said earlier, answer E, returning to the room with a chaperone. There is no indicated reason that the female had any interest in the male physician. Therefore we don't have to behave in this situation any differently than we normally would.