a 24 y / o single , educated , mother is hesitant to have her 12 mo daughter vaccinated for measles , mumps and rubella ( mmr ) due to concerns of her developing autism . student objectives : to discuss the actual risks and benefits of the mmr vaccine and to debunk the link the between the mmr vaccine and autism by describing recent medical literature on the topic . a 7 y / o boy has been having more frequent asthma exacerbations and his divorced parents are arguing in the office over the situation and both are potentially at fault . student objectives : to manage the interview effectively keeping the patient s interest and not the parental issues at the center of the discussion . a 16 y / o healthy female ( or male ) , from a middle - class background , comes to the office for a sports physical . the patient s social history is significant for increasing marijuana use , occasional sexual intercourse , and brief periods of depression in her past . student objectives : to gain the trust of the patient and to complete a thorough psychosocial history with interventional guidance as appropriate .