From RT.com….
Nursing students attending the University of Pennsylvania are required to refer to their “preferred pronouns” and ask those of an imaginary patient or be punished with point deduction in one course.
In an integrated human anatomy class for those looking to graduate UPenn’s nursing program, students must go through a mock examination of an imaginary patient. One of the requirements for this exam is that the student introduce themselves with their “preferred pronouns” and then get the preferred pronouns of the imaginary patient, according to a report from The Statesman.
If students fail to introduce themselves with their preferred pronouns and/or do not ask their patient the same, they are docked five points, which nearly equates to an entire letter grade on the test. Even if a student does not identify as transgender or non-binary, they still must say the pronoun they want to be referred by.