general questions Flashcards

1
Q

what is professionalism

A

this encompasses the way you carry yourself, your attitude, and the ways you communicate with others
it is how you respond to the GDC standards expected of you, and how you take responsibility for meeting them

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2
Q

what is the difference between empathy and sympathy

A
  • Empathy is the ability to share and understand the feelings of another individual. To be in patient’s position and understanding it.
  • Sympathy is the feeling of sorrow towards someone else’s misfortune. Sharing the patient’s emotions.
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3
Q

Are you motivated by financial rewards?

A
  • You are motivated to do it to the skills you possess/ are looking to improve on, and the passion you have towards the career after getting a realistic understanding etc, wanting to help people etc.
  • Need to appreciate the financial aspect slightly mention how it gives you a stable career but that’s it.
  • You are more motivated to do it due to the passion you have towards to it not the financial incentives.
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4
Q

what is a failure

A

when i first began sixth year i was also working two jobs, which i was determined to make work because i was able to gain a dynamic range of skills from both. however, it soon began to pile on top of one another and i understood that i would have to leave my job at the deli. this was a difficult decision to make, but i knew what my limits were and was able to put more time and energy into school and the carehome.

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5
Q

what is a detail in your application you would like us to overlook

A

i did less shadowing than i would have wanted, as a result of COVID restrictions in my local practices. however, despite only having a few hours of shadowing logged, i was able to get the most out of the day as the dentist was happy to answer my questions and would explain treatments as he was doing them. i was able to get more experience from my work with the reach programme though.

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6
Q

talk about a challenging situation that you observed during your work experience

A

there was to be a patient coming in that was planned to receive a root canal. i was looking forward to this as it is quite a complex procedure. however, the patient didn’t show, which was disappointing. however, i observed that the dentist used this time to complete notes from his previous patients in the day, showing that no time is wasted. the gap in time that we had also allowed the dental nurse to direct me to their room where they sterilize the equipment, which was an opportunity i would have lost otherwise. one door closed leaves another door open.

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7
Q

What other skills or qualities did you note in the dentists that you observed during your work experience?

A

he was incredibly personable, and spoke to each patient as equals. i observed the change in attitude this brought to the patient. they knew they could trust him because of this rapport and this led to a more smooth treatment process. this is a skill important universally across the field, even if there is not a treatment, it is important that a patient can trust their dentist so they can be open about the problems they are having so that they can be fixed.
implement GDC principles here

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8
Q

What did you understand about the cons of a career in dentistry from your work experience?

A

there will always be discrepancies in appointment attendance; there are a number of reasons that people do not show up to their appointment but the ability of the dentist to take the opportunity to do something positive with the time is important.
there is also a time pressure; to get the patient to understand treatment, feel comfortable receiving it, receiving it, and the aftercare and advice afterward all in the space of 30 minutes can be incredibly difficult. and all the while there will be patients in the waiting room who are maybe scared of the dentist and the longer they sit and think about it the more likely they are to feel more scared and potentially leave.

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9
Q

What do you think you can bring to the university beyond your academic abilities?

A

i would love to branch into epidemiology, and i understand the significance that dundee university does research. i hope to be a part of that.
i heard there is a tea society.

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10
Q

What is Gillicks competence?

A

NOTE: when a scenario involves an individual under the age of 16.

First thing to assess is Gillicks competence.
 Do they have the capacity to consent and take charge of their own treatment.

 Capacity = intelligence + maturity to understand.

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11
Q

how have you shown integrity and responsibility in your school

A

it is important to show maturity and good morals in school. as a house captain, i am a role model for the younger years and as such must behave accordingly. this means wearing the correct uniform and showing respect to the faculty and staff.

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12
Q

would you rather work in the NHS or privately?

A
  • dont pick a side
  • need to say positives and negatives
  • come to conclusion at the end
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13
Q

what issues do the elderly face in terms of oral health care

A
  • bio psycho social model
  • biologically, there can be many adversities within this community as they age, both physically and neurologically. this can impact their ability to maintain their oral health sufficiently. as people age, their health can decline naturally, such as tooth loss as the gums just become more loose over time.
  • psychologically, the way that these people may have been raised to look after their oral health will be different to now, as when they were younger the field wasnt as developed. they may have dental anxieties because dentistry when they were in their childhood was quite brutal
  • socially, the support they have in the community can have a very big impact. their socioeconomic status will also have a large effect on their ability to access practices. i attended an online lecture in 2021 called ageing society in which the professor ruth freeman discussed the isolation that the elderly in the population experience.
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14
Q

what would you do as a dentist if a patient has a toothache, however they state that they cannot afford the required treatment proposed

A

ultimately the patients wellbeing is the priority. it is your responsibility under the beneficence pillar to ensure that the patient is cared for. of course it is importnat to consider the financial implications, and if it was appropriate cheaper treatment options could be offered to choose from.
this is an issue i would raise with the practice owner to discuss a payment schedule that suits the current financial situation of the patient.
as a last resort, i could provide immediate pain relief and then refer them to an NHS hospital or a different affordable treatment centre.
- it is really important to remove the financial barriers that are prevalent in this field, because everyone should have the right to smile. it is possible to receive free care if someone is within a particular income bracket, so if the patient was unaware of this i could look at helping them work out if they can receive this on the government.

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15
Q

how would you tell someone that a tooth needs extracted

A

this is a really important thing to think about first of all, i think a lot of people would look at this from the outside and say its just a tooth its not a big deal, but its a part of you, its something that you have had since birth. losing a tooth can feel like a genuine loss. as such, it needs to be approached empathetically and gently so that the patient feels safe and understands this is the best course of action to take.
i realise this situation requires a lot of empathy and good listening skills. my first port of call would be to explain the current state of the tooth, and the options available to the patient. explain why it is that a tooth extraction is the best action thoroughly, and throughout the discussion ask if they understand what i am saying.
i would be patient with them and take time to hear their concerns and answer any questions they may have.
unless it is an emergency i would encourage them to think about it at home first and we can go from there. some people do not wish to make decisions on the spot which is entirely understandable
if they do not wish to proceed it is their autonomy at the end of the day and i would not forcefully take it from them.

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16
Q

how can a dentist work to improve community health

A

this is a topic that is a primary focus of my dissertation. there are many different approaches but for me i think that the forefront of raising awareness should be education.
not everyone is coming from households where they are taught how to properly take care of their teeth. as such, programmes at schools or leisure centres about the importance of maintianing good oral hygeine could be presented. ultimately if you educate the population this will reduce the number of people who are suffering from oral health issues because more people will have an understanding of how to take care of their teeth.
it is important for all members of the dental staff to be trained in reaching out and being approachable to those who are more vulnerable in the community. this includes the elderly and the homeless.

17
Q

what is the structure you should follow when approaching role play scenarios

A
  • introduce yourself
  • ask open questions
  • develop a rapport
  • address the issues known
  • identify additional issues
  • summary and plan going forward
18
Q

a patient attends your practice and is highly anxious, demanding sedation for a check up. how would u manage this situation

A
  • speak to them and discuss all possible options before attempting treatment
  • consent is essential
  • if the patient is only consenting to treatment if they are under sedation than you cannot perform the treatment under any other conditions
  • if providing sedation is not an option, and the patient will not accept treatment without it, refer them to a sedation clinic and if they fulfil the criteria, treat them under sedation
  • as with everything, explaining the risks and benefits to sedation and the other options available is important so that they can make an informed decision
19
Q

a child attends your practice. you can immediately tell they are withdrawn and reserved. you notice some bruises on their arm during the exam. how would you manage the situation

A

make an accurate note in my records on what i have observed
dont ask any leading or biased questions
dont challenge the parents, particularly if you think this will put the child at risk
inform the safeguard lead at the practice immediately and make them aware of the situation such that further investigation can be done if needed. the safeguarding lead will then take over and contact social services if deemed needed

20
Q

a patient attends your practice demanding a root canal treatment. on examination, you dont find an indication for this on the radiographs and clinically. how will you manage this scenario

A

first of all i would explain the clinical and radiographic findings to them
i would ask them if there is a specific issue they are experiencing that means they would like to receive this treatment.
i would explain the treatments i can offer for the issues that arose on the radiographs, but i would need their consent in order to carry out any alternatives.
under the NHS, treatment needs to be indicated for in order to be carried out. this falls under the non maleficence; if i do not need to drill into their tooth, i will not.
however it is important also to consider their autonomy here; it is their body.
if they are still insisting i would advise them to seek a second opinion

21
Q

a patient attends with a dental complaint and demands antibiotics. on examination, you find antibiotics are not indicated in this case. how would you manage the patient?

A

explain my findings to the patient
explain all of the treatment options to them
if the antibiotics are not required, i would explain this to the patient, and the harm that an unnecessary presciption can have on them
if they continue to insist, i would advise them to seek a second opinion
record all notes accurately
do not unnecessarily prescribe a medication just because a patient asks for it

22
Q

A patient attends your practice for an extraction of an impacted lower 8 that’s close to the inferior dental (ID) nerve. On examination and radiographs, you find that a referral is best suited however the patient demands treatment in the dental practice. How would you manage this case?

A

a. Explain your findings to the patient, both clinical and radiographic.

b. Explain all treatment options to the patient alongside their risks and benefits.

c. Explain that this case is complex and outside your remit and it is in the best interest of the patient and their safety that they be referred.

d. Prescribe any necessary analgesics or antibiotics if indicated to ensure the patient is not in undue pain and the symptoms are adequately controlled.

e. Follow up the referral and keep the patient informed.

23
Q

A patient attends demanding a scale and polish and removal of stains under the NHS to make her teeth ‘sparkly white’. You explain that the scale and polish can be completed under the NHS however stain removal and use of air abrasion is a private procedure. The patient refuses to accept this and demands NHS treatment for it all. How would you handle this scenario?

A

a. Explain to the patient that NHS treatment doesn’t cover cosmetic needs.

b. The scale and polish can be done however stain removal or air abrasion isn’t indicated under the NHS as it is a cosmetic procedure and if the patient would like this, they should seek a private dentist.

c. If the patient persists, advise they can seek a second opinion if needed.

24
Q

During lunchbreak, you notice your colleagues speaking about a patient in the waiting room and disclosing personal information about them. What should you do in this situation?

A

a. It is essential that dentists and all HCP’s maintain patient confidentiality (GDC regulation) and that patient information is not discussed in public areas such as waiting rooms.

b. Kindly remind your colleagues to not discuss in the waiting room area and non-clinical/non-relevant information regarding patients should not be discussed at all.

c. If the problem persists, consider taking it to the practice manager.

25
Q

What does valid consent entail?

A

a. Explaining the procedure at hand to the patient, which tooth is involved and what procedure will be carried out?

b. What are the benefits involved?

c. What are the risks involved?

d. Any possible complications or side effects?

e. Post-operative instructions/guidance.

f. Any questions.

26
Q

What is duty of candour?

A

Card 28 of 28
A
a. It is the professional responsibility to be honest with patients when things go wrong.

b. When breach of patient trust and confidentiality occurs, duty of candour should be considered ensuring that corrective measures are taken as well as the affected parties (Patient) being appropriately informed of the shortcomings.