Admitted

How do you feel about treating patients whose own choices caused their disease?

Whether you carry judgment into the operatory. It leaks, and patients feel it.

Written by Victoria Young, DDS · NYU College of Dentistry '24 · Penn Dental Medicine

The trap

Sounding morally superior, or the opposite — pretending you'd feel nothing. The strong answer admits the reaction and shows what you do with it.

How to structure your answer

Name the honest human reaction → reframe toward causes → describe your actual approach → connect to outcomes.

A weak answer

What most people say
I don't judge patients. Everybody has their own story and it isn't my job to decide how someone ended up in my chair, it's my job to treat what's in front of me. I'd focus on where they are now and what we can do going forward, and I'd try to educate them gently about prevention so it doesn't keep getting worse.

Denies the reaction entirely, which reads as rehearsed rather than settled.

A stronger answer

What lands
Honestly, I've felt it. I do home health, and I've watched a client drink regular soda all day on top of medications that already dry his mouth out, and the first thing that came up in me was, come on. What I've learned is that the feeling shows on your face before you've decided anything. So I ask instead, what does a day look like, when do you eat, what are you taking, and half the time the answer is a medication, a night shift, or no grocery store within two miles. Shame makes people cancel appointments.

Admits the flinch, then names exactly what he does with it.

"I don't judge" is a claim about a feeling nobody can see. The second answer tells you what his face was doing.

These are illustrations, not scripts. An answer you memorize sounds memorized — the point is the shape and the specificity, in your own words and about your own life.

Reading it isn't the same as saying it.

Most people can explain a good answer and still fall apart saying one out loud. Admitted asks you all 100 questions in a faculty voice, records you, and scores your pace and filler words.

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