Who you are: You are a FY2 doctor working in the Acute Medical Unit.

Who the patient is: Adam Miller is a 5th year medical student undergoing a rotation in your department. Last night, you were at a dinner party with your fellow staff and Adam was one of the guests. He was drinking alcohol and consuming cocaine with a group of friends. Today, during the ward round, you noticed he was hyperactive and more excited than usual.

What you should do: Talk to Adam, discuss the situation and handle the matter ethically. You have arranged a private meeting and he is waiting for you.