Basic Questions Flashcards
Why AFP?
Seven Points
i) Strongly agree with evidence based medicine and believe it to be fundamental in good medical practice in conjunction with clinical experience.
ii) Enjoyed my experience with clinical and literature research and want to gain more experience.
iii) Want to have ring-taped time to pursue research interests and for this to be rigorous. (better quality and higher throughput)
iv) Coding –> Want to learn more and perhaps become involved with computational medicine. Think coding is a good method for data analysis
v) Career Oppotunities –> AFP will give me a comprehensive taste of academic career.
vi) Want to contribute to interventional radiology. Lack of guidelines. Lots of potential! –> Glad Y&H allows choice of research pursuit and I’ve already enquired as to whether interventional radiology will be an option and it will.
vii) Focused teaching - statistics, research methodology
What is your research experience?
Name them (5)
i) CPET Study - prognostic
ii) CPET Study - Drug effect
iii) Meta-Analysis
iv) Audits (paid) for GP
v) Current audit in IR
What did you do in the CPET study?
2 points
CPET Study:
i) looked at VO2 max as a prognostic marker for people with PAH. Prospective cohort study challenging current practice (uses 6 minute walk test). I was involved in data extraction, transformation and interpretation. Described part of the methodology
ii) different component looked at whether CPET was different for patients depending on their drug history. retrospective cohort study. Data extraction, transformation and interpretaton. Described part of the methodology
What did you do in meta-analysis?
Why wasn’t it published?
Therapeutic hypothermia in stroke - undertook analysis for temperature, time from symptom onset to cooling, duration of cooling, stroke type.
Problems - different morbidity scales used. Attempted to create surrogate severity based on common points between each scale (bad science)
Wasn’t published because chinese group had published before i had finished.
What did you do in GP audits?
Have been working part time in a GP practice for the past 3 years for which I’ve done several two cycle audits on the practice populaton:
Polypharmacy
Diabetes - Glycaemic Control
Hypertension
Drug monitoring
Radiology Guideline adherence
What about the IR audit you’re doing?
Assessing difference betwen imaging results at follow up (within 12 months) for patients who had long SFA recanalisation by:
i) Angioplasty + Stent
ii) Angioplasty alone .
Why? - After first stent has been put in then re-stenting or putting in adjacent stents can be very challenging/ not possible. If angioplasty has similar outcomes to angioplasty + stent for long SFA stenosis then stenting can be held off for if/when disease recurs
Teaching experience
7 points
Osce tutoring - clinical exams, radiology, ECG skills
Pathology Tutorials for fifth years- immunology
Online flashcard decks - to help the students in the lower years
Lifebox - Global surgery talk
Hacakthon - Global surgery, sterilisation methods etc.
Strength and conditioning lead for sports club
Tutoring maths and sciences up to A level
What would i like to get from this AFP?
5 points
i) Opportunity to aid research in a field of my choice - ideally neurointerventional radiology
ii) Opportunity to do research within a research faculty –> well-supported
iii) Further teaching on research methodology and statistics
iv) Opporunity to apply/develop coding skills (involved in computational medicine)
v) Develop stronger methodology, appraisal skills to equip me for the role of a clinical / academic clinician
What skills do i have which make me think I’d be right for the AFP?
6 Points
Academic ability - Hand full of distinctions and merits from medical school
Computer literacy –> Work with computers in professional settings. Understand basic coding in python and currently learning more
Management Skills –> Hackathon, working two jobs throughout medical school, positions of resoponsibility ( kabaddi, lifebox )
Previous research experience –> Not enterring this program blind and have a good idea of what to expect from i. Udnerstand the rigors of academic medicine –> Methodology, statistics
Attention to detail –> hackathon, studies, previous research, recruitment processes
Professional –> working in managerial position at a GP practice -> CQC inspections, recruitment processes etc.
How can you handle research and clinical duties?
Buzzwords - prioritisng workload, organisational skills.
ACtively seek out additional clinical learning opportunities
Liaise closely with educational supervisor
Happy to spend additional time in clinical settings to further learning
Examples:
2 jobs throughout medical school, sports team, charity rep, done well academically.
Been awarded above expectations on numerous occasions for clinical placement sign offs.
Answering their questions
Method
i) Pause for a couple of seconds
ii) Signpost and give three examples if possible
iii) Finish up using the question they answered
Buzzwords about research
Inform Clinical decision making
Improve patient care
Further scientific knowledge
Why y and h?
4 points
Why Y and H
Excellent teaching hospitals- three medical schools. Lots of opportunity to teach and lots of academic work.
Colleagues have had fantastic experiences working in Sheffield and Leeds
More choice over research project - important to me!
Outdoors activities (close to pennines) - work life balance
Why neurointerventional?
Emerging profession! - lots of space for academic input and i’d love to be a part of this
Combines neuroscience background with both practical and radiological skills
Minimally invasive work –> improves patient safety and experience
Important part of clinical work?
8 points
Ensuring patient safety
Knowing when to escalate and ask for help
working within comptencies but capitalsing on learning opportunities
Being humble and self aware of other allied health professionals and their value, knowledge and experiene
Prioritising workload
being organised
Attention to detail
Willingness to go above and beyond for the patient
