Interview Prep Flashcards

1
Q

What do I want from a medical school?

A

PBL/CBL - application of the science into real life scenarios

Full body dissection - practical way of anatomy which can’t be learnt from a textbook

Clinical placements throughout the course and lots of patient contact

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2
Q

Manchester unique points

A

Support team for medical students

Technology enhanced learning - free iPads

PEP programme - research projects and analysing literature

Focus on independent learning and small group sizes for PBL

Peak District and audacious

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3
Q

Cardiff unique points

A

Varied placements - more than just city medicine

Altruistic approach

Medic sports teams

Medic support systems

Spiral learning - revisiting topics but each time having more patient contact and more responsibility

Harmonised 5th year - not exam focused and elective for Africa

Simulator

World leading in clinical neurosciences

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4
Q

Teamwork examples

A

Youth - task distribution and involving seniors

Hospice - coordinating with the chef, nurses and other volunteers to ensure efficiency

Painting the church - me on the scaffolding, those older lower down

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5
Q

Welsh NHS

A

No NHS prescription charge

7 health boards - each is responsible for delivering all healthcare services

3 trusts

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6
Q

GMC roles

A

Keeping a register of all qualified doctors

Fostering good medical practice

Promoting high standards of medical education and training

Dealing with doctors who may not be fit to practice

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7
Q

Informed consent

A

Means that the patient has consented to a procedure or treatment having been given and having considered all the facts that were necessary for a decision to be reached

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8
Q

Four principles of medical ethics plus another key point

A

Autonomy - patient has the right to make their own decisions

Beneficence - do good and act in the best interests of the patient

Non-maleficence - doctors shouldn’t act in a way that will harm

Justice - fairness in medical practice, only discriminate based on clinical needs

Confidentiality

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9
Q

Why GP?

A

Holistic approach to patient care - lifestyle intervention

Ongoing patient relationship

More flexibility to accommodate work life balance

Variety

Work in the community

Opportunity to run lifestyle intervention clinics

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10
Q

Recent medical interests

A

China study

Dr Esselstyn and heart disease

Cognitive behavioural therapy for insomnia reverses grey matter atrophy in those with fibro

Preliminary ideas of using medication to combat insulin resistance to help reduce pain from fibro

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11
Q

Welsh trusts

A

Welsh ambulance services

Velindre NHS trust - specialist cancer care and support

Public Health Wales - organisation as opposed to delivery of healthcare

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12
Q

What does Crowland GP practice provide that hospitals often can’t?

A

Additional support for carers

Smoking cessation service

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13
Q

20th century medical advances

A

Boost in pharmacology - vaccines e.g. Smallpox and polio
Antibiotics - penicillin Alexander Fleming

Imaging - PET, MRI, ultrasound imaging

Artificial organs - for kidney failure

Prosthetics

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14
Q

Politics in healthcare

A

Working hours - European time directive

Funding

Regulation - e.g. Of pharmaceutical companies

Rationing - making cuts and restrictions

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15
Q

Holistic medicine

A

Treating the patient as a whole

Not only physical but also social and psychological issues

E.g. Rash - give them ointment but also determine whether it could’ve been caused by a stressful lifestyle

Chronic illness - not just the physical aspects but the psychological and social impact

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16
Q

IT in medicine

A

Sending referrals

Storing patient data

Pathology results e.g. Blood tests

Imaging results

Organs could be built using 3D printer

Teaching and research

Patients can make GP appointments and request repeat prescriptions

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17
Q

A doctors team

A

Other doctors

Nurses and healthcare assistants

Secretaries and receptionists

GPs and other specialists

Dietitians

Porters

Cleaners

Physiotherapists

Patients

Social workers

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18
Q

Extended roles of nurses

A

Due to the decrease in doctors working hours nurses have been able to take extended roles in medicine:

Advanced nurse practitioners

Speciality nurse practitioners

Managerial nurses

Research nurses

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19
Q

Does the bulk of medical treatment occur in the community or the hospital?

A

In the community:

Self-medication

GPs are the first port of call

Some GPs can provide basic specialist care

Chronic diseases

Community speciality doctors

Outreach clinics

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20
Q

Multiculturalism in medicine

A

Can impact treatment - Jehovahs witnesses and blood transfusions

Widening participation schemes for medical schools

Results in medical practitioners requiring education about cultures and beliefs

Language barriers

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21
Q

Euthanasia

A

Active euthanasia - act of ending someone’s life through a practical action

Passive euthanasia - lack of action results in the death

Voluntary euthanasia - euthanasia with consent

Non-voluntary euthanasia - where the person whose life has ended was unable to give consent

Involuntary euthanasia - where the person whose life was ended was able to give consent but said no to euthanasia or wasn’t asked

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22
Q

Arguments in favour of euthanasia

A

Patients should be allowed to choose what is best for them

Patients can avoid lengthy and unnecessary suffering

Patients can die with dignity at a time of their choices

It would free up beds and other NHS resources

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23
Q

Arguments against euthanasia

A

Goes against religious principles - doctors or relatives playing God

People may have changed their mind at a later time when they may have already passed away

Cases where lost causes have recovered

Difficult to set specific criteria

Relatives could face murder charges or abuse the situation

Patient may be pressured into it

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24
Q

Causes of anger, stress, aggression etc in patients

A

Influence of drugs

They are in pain

Waiting times and delays

They don’t feel they are being listened to

Fear

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25
Advantages of PBL
Provides a practical view of medicine Small group teaching - greater contributions from each student Promotes teamwork Early exposure to clinical scenarios and patient contact Facilitator makes sure the learning is guided in the right direction
26
Disadvantages of PBL
Some topics may be best taught formally May leave gaps which would need to be filled by lectures or reading Learning experience is dependent on the rest of your team
27
Advantages of lecture-based learning
Ensures all students receive the same information Students drive their own learning experience Strong background in scientific principles
28
Disadvantages of lecture-based learning
No real life application for the first few years Patient contact is delayed Lectures can be boring Difficult to participate and ask questions Same pace of learning for all students
29
Qualities that make a good doctor
Empathy Teamwork Communication Remaining calm under pressure Integrity
30
Skills learnt from my hospice work experience
Communication - particularly listening to patients and relatives Empathy Building trust Teamwork Patience
31
Skills learnt from youth work and peer mentoring
Communication Being a role model/leader Teamwork
32
Key situations in the hospice
Puzzles and time with Bruce - he had no visitors The angry lady when I brought her food The relative who I spoke to about her situation she just needed someone to talk to Ivy - made her day by going out of my way to bring royals news
33
Tibial head
The top of the bone below the knee on the inside of the leg AKA the shinbone
34
Why do you want to be a doctor?
Unique combination of science and caring for others Discovered that I wanted to involve the care of others in my career through voluntary work in a youth group and a hospice Discovered how much I enjoyed medical science from my EPQ project and also the PBL taster sessions at open days
35
Summary of the China Study
Most comprehensive study of its kind: 65 counties 367 variables used for thousands of comparisons e.g. Blood cholesterol to coronary heart disease Concluded that a WFPB diet was optimal for human health
36
Summary of How Not to Die
Unpacks the science of using nutrition in the prevention and treatment of diseases Then gives more applied practical advice Points that stood out to me: Dr Neal Barnard study diabetes Dr Esselstyn and heart disease Diseases such as Alzheimers and dementia are linked with plaque build ups in the arteries of brain blood vessels Dr Dean Ornish and prostate cancer
37
Integrated course
A course where basic medical sciences are taught concurrently with clinical studies - not in separate years
38
Advantages of integrated course
Students learn in context Students are encouraged to take a more holistic approach Promotion of communication, teamwork, application of knowledge and problem solving skills Students are able to see a direct application of what they learn early on
39
Disadvantages of an integrated course
Non-integrated course may provide a stronger underpinning of scientific theories of Medicine Some topics may be omitted May require teachers to teach outside their discipline
40
How have I developed my communication skills
Presentations at school Hospice work experience Youth work Teaching others complex science
41
STARR framework
Situation/task Action Result Reflection
42
Attributes of a good team player
Understands his role in the team and how it fits within the whole picture Respectful of others and supportive Willing to help Flexible and adaptable Communicates constructively and listens actively - encouraging Reliable, takes responsibility and ownership of his role
43
Attributes of a good team leader
Has clear objectives and communicates effectively to the team Leads by example Understands and motivates the team Communicates and interacts well with the team Recognises the need for change and implements it - a decision maker Flexible
44
Advantages of being in a team
Able to spread the workload Easier to gather ideas to deal with issues as everyone can contribute Can learn from others Able to rely on the support of others if you require assistance Can achieve more through using everyone's strengths More social environment
45
Disadvantages of being in a team
Too much input can be confusing - hinders decision making There could be disputes and 'group politics' Requires a strong leader Can be distracting having to many people around
46
Shipman case
Harold Shipman was a practicing GP in the Manchester area who was convicted of murdering 15 patients mostly via opiates
47
MMR vaccination Wakefield case
Results couldn't be independently validated His motives were wrong he wanted to scare people into buying a single-jab measles vaccine Wakefield ignored data that conflicted with his hypothesis
48
Revalidation
A system used to impose regular checks on doctors to ensure they are fit to practice Licensed doctors must maintain a portfolio demonstrating good medical practice Required to link to a responsible officer Normally the responsible officer will make a recommendation to the GMC regarding fitness to practice every 5 years
49
Clinical governance
Doctors should ensure their practice is compliant with latest evidence Provide safe care to patients Should own up to mistakes and learn from them Constantly develop skills and should train others Attentive to patient needs and take on board feedback Recognise limitations and ask for help
50
Organisational skills
Time management Multitasking Identifying the right resources Plan effectively Prioritise Delegate tasks Stay focused on the task at hand
51
What is your main weakness?
Sometimes I can be over-empathetic which could lead to attachment to patients - I am learning from the hospice the balance between empathy and not becoming emotionally involved Taking criticism too personally - but learning that criticism is a way to improve
52
What makes a good teacher?
Knowledge Communication skills Generating interests Respect Approachable and supportive
53
Reasons for cosmetic surgery
Embarrassment about a particular features Physically inconvenienced by a feature e.g. Breast reduction to reduce backache Low self-esteem due to the media Pressure from others
54
Advantages of private healthcare
Private healthcare reduces NHS waiting lists People using private in effect pay twice so the NI contributions can be redirected to other patients Some doctors use private work to supplement their income and may be driven out of medicine is this is unavailable Takes some of the strain off the NHS in terms of budgets
55
Disadvantages of private healthcare
Benefits the wealthier population leading to inequality Some private institutions subcontract back to the NHS which diverts NHS time and resources away Financially driven - could be issues with doctor motivation, may not be altruistic
56
Inequalities in healthcare
Socio-economic inequalities - some areas are less educated regarding health Geographical distribution of healthcare resources - postcode lottery Private vs public healthcare
57
Arguments for paying for your own healthcare
Currently you pay NI regardless of whether you use healthcare services or not - new system would mean you only pay for what you need Prevents time wasting visits Introduce competition at doctors' level leaving to improved standards of care May encourage healthier lifestyles
58
Arguments against paying for your own healthcare
Would place the poor at a disadvantage People may put off seeing a doctor when they need to - could cause problems when urgent medical attention is needed Patients may choose cheapest treatments rather than the best option Would disadvantage those with chronic illnesses
59
Alternative medicine Complementary medicine
Therapy taken instead of conventional treatment Therapy taken alongside conventional treatment
60
Arguments for alternative/complementary therapies
Some therapies take a very holistic approach fulfilling patients spiritual needs Can offer future hope when conventional medicine has nothing left to offer May have a role in treating side effects of conventional treatments and medical conditions
61
Arguments against complementary medicine/alternative medicine
Not a very substantial evidence base Mechanism of action of alternative therapies is poorly understood Some complementary therapies involving taken substances that could be toxic Poorly regulated Alternative therapists aren't doctors so won't be able to advise the patient with the full picture in mind
62
Self inflicted illnesses examples
Heart and hypertension due to an unhealthy lifestyle Skin cancer following prolonged exposure to sun rays Lung cancer due to smoking Liver cirrhosis due to excessive drinking It's important to remember most disease are self inflicted to some extent
63
Arguments for funding non essential surgery
Some of these surgeries arise from underlying psychological issues Could lead to debts of patients if not funded Not funding could push people to choose to have surgery in less regulated environments
64
Arguments against funding non essential surgery
Some non essential surgeries may be better treated through psychological intervention People may exploit and abuse this type of surgery being funded Difficult to implement boundaries - it opens the floodgates and could require additional funding
65
Why are 60% of medical school applicants female?
Statistics - more girls alive than boys at age 17 Academic success - girls tend to perform better than boys at exams Government campaigns - Medicine was a male-dominated profession and the government encouraged girls to take up the profession Work-life balance - European working time directive has reduced working hours making it easier for female doctors to start families
66
Advantages of extending the role of nurses
May free up doctors' time and helps reduce waiting lists Better continuity of care for patients - doctors change posts frequently throughout their training Nurses may be able to spend more time with patients Acts as a motivator for nurses
67
Disadvantages of the extended role of nurses
Nurses are taken away from frontline nursing care Reduces opportunities for junior doctors which will adversely impact their training Issue of patients' confidence - they may not want to be treated by nurses and may prefer a doctor
68
Example of being a leader
When organising the dodgeball and tug of war Leading the presentations
69
Solving the problem of transplant organ shortages
More research into alternatives to living organs Introduce financial incentives NHS communicating to help people get over the psychological barrier of donating organs to others
70
Why do doctors no longer wear a white coats?
Infection control An effort to get closer to patients and appear more professional The white coat can be perceived to create an artificial barrier to the doctor-patient relationship
71
Book that taught be about another side of medicine
Atul Gawande - Being Mortal This book really emphasised to me the importance of quality of life over prolonging it This concept I saw put into practice in the hospice