Advantages
Clear relevance; the credibility of real-life scenarios; the use of clinical scenarios (the science of medicine) to emphasise the importance of the medical humanities (the art of medicine).
Challenges
The time and effort of finding good, relevant cases; the writing of MCQs that are not simplistic nor overly "theoretical"/"academic". The question writing is the most difficult aspect. This is followed by the challenge posed by bright, industrious students whose grasp of English is stretched by the technical nature of a legal proceeding.
Tips for implementation
The key is alignment with the course aims, and the rest of the course offerings (lectures, readings, etc.).
How it supports academic integrity
This assessment gives each student an opportunity to not only reproduce the content that has been delivered to them, but to demonstrate an ability to exercise medico-legal and ethical judgement in a manner that is in keeping with the expectations placed on all medical practitioners.