FY1 interview questions Flashcards
Why this job,
?
why this hospital,
what do you know about our service
Why did you want to join this particular trust ?
Useful to know a bit about the hospital, any particular specialist services it provides / anything it is well known for (google is your friend).
what can you bring to the team,
?
what are your strengths and weaknesses,
?
Go through your CV for us
Give an overview of the Cv
can start with your name, as that’s natural when you are introducing yourself to someone. Then start to follow the structure. The first structure is known as CAMP.
C = Clinical A = Academic M = Management P = Personal
Clinical
Start with the last place that you’ve worked at, including your job title, duties, and responsibilities. Remember, no one likes long, dragged-out answers to questions that could be answered in a few word
Academic
This question isn’t only asking about how much you have studied, but also how much you have helped others to study. You can briefly state any papers that you have written, or relevant post graduate qualifications you have or courses you have done. And importantly any teaching that you have done. They really appreciate doctors with a positive attitude towards teaching. I am pretty sure we all have helped our juniors in medical colleges one way or another. Be it the ward when you were an intern and teaching final years how to palpate the abdomen or over a cup of tea to a bunch of juniors how to talk about management of acute cholecystitis. These are informal teaching experiences,
Management
Again, this is not about managing a patient rather how you manage your surroundings. If you have worked in a team, talk about how was it like. If you worked under pressure or in a lot of rush, talk about how you managed it.
In all the cases a candidate is preferred over others if they work well in a team and they can handle working under pressure.
Personal
End your answer with a personal touch that you may have mentioned in your CV as hobby. Also may be what you do in your leisure
to summarize
You can practice answer to this question by following the ‘Job description & Person specification’ in the job advert. I highly suggest you do that, because if you include those in your answer it shows a commitment from your part. Also, please make sure to not sound like you have memorized anything
Why do u want to take up this post / speciality
Why do you want to work in this hospital?
What’s your biggest achievement?
C = Mix of acute and chronic cases, involves prevention as well as treatment in the case of most medical specialties; the technological aspect, in that you get an immediate result from work as well as having the chance to work with chronic patients too in the case of most surgical specialties A= Good opportunities for research and teaching M= Mix of independent and team work P= The 'high' of working under pressure (surgery, emergency medicine), or the challenge of dealing with difficult and sensitive situations
Remember, it’s very important that you be truthful about the reasons that you are mentioning. Nobody said it is mandatory to mention reasons from all the categories. If you do that, you may invite questions that you are not truly enthusiastic or well versed about.
what is a clinical Audit
it is a process of quality improvement where it will improve patient outcome through systematic review of care against explicit criteria / standards and the implementation of change
steps to a clinical audit ?
Stage 1: Identify the problem or issue
likely to involve measuring adherence to healthcare processes that have been shown to produce best outcomes for patients. Selection of an audit topic is influenced by :
where national standards and guidelines exist; where there is conclusive evidence about effective clinical practice (i.e. evidence-based medicine).
areas where problems have been encountered in practice.
what patients and public have recommended that be looked at.
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Stage 2: Define criteria and standards
Decisions regarding the overall purpose of the audit, either as what should happen as a result of the audit, or what question you want the audit to answer, should be written as a series of statements or tasks that the audit will focus on. Collectively, these form the audit criteria. These criteria are explicit statements that define what is being measured and represent elements of care that can be measured objectively. The standards define the aspect of care to be measured, and should always be based on the best available evidence.
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Stage 3: Data collection
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Stage 4: Compare performance with criteria and standards
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Stage 5: Implementing change
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Re-audit: Sustaining Improvements
Why clinical audit is important?
improve and maintain the quality of patient care in a collaborative and systematic way
it enables the quality of care to be reviewed objectively
Promotes and enables expected practice
• Provides opportunities for education and training
• Builds relationships between clinicians, clinical teams, managers and patients
• Leads to improvements in service delivery and patient outcomes
Difference between research and audit?
Research is concerned with discovering the right thing to do; audit with ensuring that it is done right
Research using systematic processes generate new evidence to refute, support or develop a hypothesis, by asking the question ‘what is best practice?’ As a result of which a new service or new practice may be developed.
Research must comply with Research Governance, and be registered with the Research and Development Department. It also has to be submitted to the Research Ethics Committee (REC) for approval.
Alternatively, clinical audit aims to improve the quality of local patient care and clinical outcomes through the peer-led review of practice against evidence-based standards, implementing change where necessary. It asks the questions ‘are we following best practice?’ and ‘what is happening to patients as a result?’
THEREFORE CLINICAL AUDIT
will never involve a completely new treatment or practice, never involve the use of control groups or placebo treatments, nor does it involve allocating patients randomly to different treatment groups.
Safe prescribing within personal limits using EPMA
?
Evidence based medicine
best evidence in making decisions about the care of individual patients. EBM integrates clinical experience and patient values with the best available research information.
Incident reporting
?
Clinical governance n its pillars
is a quality assurance process, designed to ensure that standards of care are maintained and improved and that the NHS is accountable to the public.
???? pillars
7 pillars of clinical governance.
Any research that you have done
?
Why should we take u for this post
?
Where do you see yourself in 5 years time
I see myself as a registrar , one who is a competent doctor and who serves her patients well
How many invasive procedures have you done
?
What you primary interest
?
Well then talk to us about your audit (if in CV)
And the outcome so far noticed ?
https://aroramedicaleducation.co.uk/clinical-audit-as-a-trainee-examples-and-how-to-complete/
What skills do you think you need to improve/work on?
?
Tell us about a situation where you worked under pressure.
Give an example of a challenging clinical scenario you experienced
STAR
Situation: What is the context of the story your telling?
Task: What did you have to achieve?
Action: What did you do? How did you do it? Why did you do it?
Result / Reflect: What happened in the end? Did you learn anything from it?
Tell us about a time when you played a key role in a team.
Situation: What is the context of the story your telling?
Task: What did you have to achieve?
Action: What did you do? How did you do it? Why did you do it?
Result / Reflect: What happened in the end? Did you learn anything from it?
Situation = During my surgery rotation, I was admitting patients. I was one of the only two intern doctors on-site, while my registrar and other senior colleagues busy in theatre, and consultant on call. A patient presented with a stab wound in his left hypochondriac region. He got into a fight, so the police brought him here.
Task = The patient needed an immediate exploration as I could see he was deteriorating. I started resuscitating him with fluids, and I asked one of my nurse colleagues to call the registrar. I felt it was important to inform him as soon as possible. The registrar informed me that he would be busy for at least two hours, so I took the decision to call another senior colleague who was on call. He told me that he would come in and see the patient.
Action = At the same time, I asked the nurse practitioners to call the anaesthetist and help prepare the theatre so that everything would be ready by the time the senior colleague arrived. Throughout that time I kept a constant line of communication with the colleague in order to ensure that he was fully briefed. The patient was taken to the theatre within minutes of his arrival and on exploration it was found that he had diaphragmatic injury due to the stabbing.
Result/ Reflect = It was repaired and the patient made a successful post-operative recovery. By coordinating with the team at a time that was stressful for all involved, I learned how crucial communication is in ensuring that the whole team functions well and also brings good result for the patient.
Note the absence of any overly detailed clinical information. One should be concise and try to connect back to what was said before.
Discuss a situation when you had to ask for a senior help.
Situation: What is the context of the story your telling?
Task: What did you have to achieve?
Action: What did you do? How did you do it? Why did you do it?
Result / Reflect: What happened in the end? Did you learn anything from it?
Give an example where your communication skills made a difference to the care of a patient.
Situation: What is the context of the story your telling?
Task: What did you have to achieve?
Action: What did you do? How did you do it? Why did you do it?
Result / Reflect: What happened in the end? Did you learn anything from it?
what impact can you bring here
?
what concerns you about a career in this speciality ?
?
what are the challenges facing this speciality in 5 years
?
if you could change on thing in the ohs what would it be ?
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