Reporting a family to social services when the parents became incapable of treating their 40-year-old daughter with Down's syndrome and having her removed from the home.
Delivering babies when Mom wasn't sure who the Father was and the husband was present.
Doing ICU care on a quadriplegic, who could only blink an eye to indicate answers/respond to questions.
Sending patients to nursing homes when they do not want up go there. They prefer their homes.
Whether to treat a patient to the point that he could be found sane and thus executed.
Withdrawing care from a young female who was critically ill but perhaps may have still be kept alive but with brain damage after she suffered septic shock.
Overstating conditions to insurance companies remains the most difficult. I don't want to commit fraud but in each case the patient has benefited greatly with the correct treatment.
End of life decisions in the face of medical futility.
Recognizing the deficiencies of another physician.
Not initiating dialysis in a patient with end of life medical issues.
Patients wanting futile care for themselves.
Continuing futile care when the family demands it for a terminally ill or brain dead patient.
Underage patient whose life threatening illness is easily treatable but guardians refuse to consent to treatment.
To abort or not a severely compromised fetus.
End stage liver disease patient is currently almost too sick to come out alive from the transplant but will surely die without one. However, the organ might save someone easily that is not as critically ill.
Having to operate to save the life of a criminal who had harmed several people.