Ultimately everything is if you remove identifiability and obfuscate details - e.g. medical professionals will (in fact have to) use real cases for things like revalidation of professional registration and education/training.Names and details will be removed and changed to make sure no one could possibly know who it's about, but the details of what happened/what was done will be accurate and someone's "real story".

If you want to take it to the most philosophical level - confidentiality is about the person not about the situation. If you can't link a description of a situation to any individual in any way, then confidentiality hasn't been broken.

Medical and mental health training would be literally impossible otherwise, or if you had to have people sign off consent on their situation being used as a training example, especially in mental health. Most people simply will not, and hypothetical scenarios are much less useful than real-world examples.

Why are you an ex-soldier anyhow? Break military confidentiality out of quantum-mechanical curiosity?

I've never been a soldier of any description (other than a toy one) and that is, funnily enough, ultimately why I decided (after joking about it) that I probably should change it.

I think the fact that I was toying wit. ya may have been missed.

You were being snarky Redway I'm just choosing not to engage.

So disengaged you still chose to reply.