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1. Does not put enough to achieve his dream

2. No work life balance

3. Stress Management

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1. No academic responsibility (Aster)

2. easily influenced, (environmental factor)

3. Healthier ways to release stress,

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1. Main issue identified: Time management

YR struggles to balance academics and fun, going out every weekend led to him being late for clinical skills.

As a student YR has the responsibility to prioritize his assignments and work before going out for fun.

prevents late submissions or further mistakes such as copying to compensate for his procrastination.

He should plan his activities on Friday or Saturday and avoid late nights on Sunday if he has Monday clinical skills to balance his fun and responsibility as a student.

It is highly important for students to develop skills to plan ahead, control and prioritize according to the situation and responsibilities assigned. (What’s more important at the moment?)

2. Potential Issue identified: Parental expectations and career choice Asian parents pressure

Dr RY may want his son to follow his footsteps but YR may not have the same passion.

Cultural factors (Asian household) may create family induced pressure

The pressure and lack of passion combo leads to low motivation, stress, poor mental health and unhealthy coping mechanisms

therefore, communication with Dr RY and YR is important to ensure a healthy relationship, wellbeing and ultimately respect of one another’s life choices

3. Issue Identified: Unethical use of MC, avoiding consequences of his actions

YR’s attempts to use MC as an excuse for his poor student conduct highlights his professionalism and ethical values.

His actions lead to consequences such as poor reputation and trust, damaged integrity which is very important as a medical practitioner.

It is important for medical professionals to uphold integrity and accountability. saying no to corruption, unethical behaviors and most importantly to take accountability for their own actions.

It is respected and admired to own up to our own mistakes, face the relevant consequences and learn from our mistakes.

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1. Homesickness

YR moved to a new environment, away from family and familiar surroundings. This distance from home made him feel isolated and lonely, which is common for many students.

They might have the feeling of disconnection and emotional stress, leading to difficulty in focusing on studies and adapting to the new environment.

2. Desire to Fit In

Being in a new place with unfamiliar people, YR wanted to make new friends and feel accepted. This led him to engage in social activities like visiting pubs to bond with peers.

But this may cause his social life became a priority, which sometimes led to neglecting academics and responsibilities like attending practicals and completing assignments.

3. Desire to Try New Things

As part of adjusting to university life and exploring independence, YR was eager to try new experiences, like partying and socializing on weekends, which were part of student culture.

The desire to experience life outside academics can lead to distractions, reduced study time, and unhealthy habits (e.g. poor time management, missing classes).

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1. Stress from studies

The stress of studies was evident because he started looking for coping mechanisms outside academics. Instead of adopting positive coping strategies, such as time management or seeking academic help, YR resorted to spending time with friends in pubs on weekends as a way to escape from academic pressure. This maladaptive way of coping not only failed to address his stress but also worsened his academic performance.

As a result, his stressful academic experience led to:

1. Frequent lateness and absenteeism in practical sessions.

2. Plagiarism in his practical report, indicating a lack of focus and possibly desperation to keep up with workload.

3. Very low attendance overall, which ultimately led to him being barred from sitting for his examinations.

Thus, YR’s case shows how stress from studies can negatively impact academic behaviour, attendance, and performance, leading to serious consequences in his education.

2. Struggle with being independent

1. Academic Independence

At IMU, students are expected to take responsibility for their own learning.

YR initially enjoyed the freedom of university life, but once the subject matter became more demanding, he found it stressful.

Instead of developing effective study habits and self-discipline, he avoided academic pressure by socialising and going to pubs.

His inability to balance freedom with responsibility led to poor attendance, lateness, and even academic misconduct (submitting an identical report).

2. Time Management Challenges

Being independent means managing one’s own schedule without parental supervision.

YR often went out late with friends and could not wake up on time for Monday practicals.

This shows he struggled to prioritize studies over leisure.

Missing classes and practicals eventually led to low attendance (<80%), which cost him his exam eligibility.

3. Social Independence

Moving to a new apartment in Covelia and finding new friends gave YR more social freedom than before.

However, instead of building healthy peer support networks, he fell into habits (weekend drinking, neglecting classes) that worsened his academic standing.

This reflects difficulty in choosing positive influences and self-regulating in a new environment.

4. Personal Responsibility

When faced with the consequence of being barred from exams, YR avoided taking responsibility and tried to excuse himself with a medical certificate (MC).

This shows he had not yet developed the maturity to accept accountability for his actions.

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1. Actions will have consequences

With YR not providing a proper reason for his leave application, the consequences were that he had to repeat his semester

Even though he was given a ‘second chance’, he continued with his happy-go-lucky life with little to no concern at all

Nearing his exams, he finally felt the stress and reality of the possibility of failing his exam, leading to him plagiarising from a website

As a result of his actions, the higher authorities have given him a punishment, which is very likely to be expelled

To be professional and have integrity is to hold accountability for one's actions and be honest

This will significantly affect his application in either the same or other universities, as the application form may question his discipline and past actions at the previous university

2. Not willing to learn and change his attitude and mindset (very stubborn)

Even though he was given a ‘second chance’, he was very stubborn about not changing his behaviour

He continued to go to pubs with his friends, skipping practicals on Mondays and clinical skill practicals, which caused a significant impact on his studies, as he would fall behind

This shows that there is a lack of accountability towards his education, leading to poor performance in his examinations

3. His responsibilities as a student were not fulfilled.

Coming into a university, it is our responsibility to attend classes, finish up assignments and be well prepared for examinations

He may be reacting this way due to the taste of freedom, but that is not why he came to a university for

It is good to have a great balance of work and life, but having too much of something is never good

"This shows that having freedom in university must be balanced with proper ethics and responsibilities to prevent it from backfiring."

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1. Desperation led to unethical conducts

2. Realised the issue and consequences too late

3. Uphold the dress code for respect and appearing more neater

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1. A course to break the stigma, promote mental health services,

2. Promote more on counselling services => activities

3. Short interview before enrollment to gauge the suitability of students for the course (students with responsibilities?)

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1. Mentor mentee / Senior junior systems - someone to guide the newbies

2. Build a healthy community of seniors and juniors

3. Introducing new hobbies through monthly workshops

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Possible consequences that YR might face

1. Individual counseling

Provide confidential sessions to address academic stress, lack of motivation, and parental pressure.

Use cognitive-behavioral therapy (CBT) or motivational interviewing to improve time management and coping skills.

Schedule weekly/bi-weekly sessions with progress reviews.

1. Career and Academic Counseling

Conduct aptitude tests to align YR’s program with his interests and UK transfer goals.

Develop a tailored academic plan to boost motivation and engagement.

1. Parental Engagement Sessions

Organize family sessions to align Dr. RY’s expectations with YR’s goals.

Reduce pressure through open communication facilitated by counselors.

1. Early Intervention and Monitoring

Use attendance and performance data to flag at-risk students early.

Assign counselors for regular check-ins to prevent escalation of issues.

Alternative punishments

1. Academic expulsion

Impose strict conditions (e.g., 100% attendance, no further misconduct).

Low attendance (<80%), leading to exam barring and semester repetition.

Expulsion ensures fairness and maintains IMU’s reputation.

Upholding academic integrity and professionalism critical for medical education.

1. Academic Integrity Training

Mandate course on ethical practices and proper citation.

Prevent future plagiarism through education.

1. Grade Penalty

Assign failing grade for plagiarized exam or require resubmission.

Reinforce consequences without ending enrollment.