interview question prompts Flashcards
Why Do You Want to Go to Medical School?/
Why do you want to be a doctor/ w
Why medicine?
MOTIVATION :
- working with children
- continuity care I received in my younger years (Dr Higgins)
- Asthma diagnosis, explained to me, even though I was so young, not excluding me from my treatment (respect), thus a trustful patient-doctor relationship
EXPLORATION:
- Health and wellbeing classes w/ youth at my church (communication) , (patient care centred)
- part of initiative at my church that allows youth members to train in basic first aid (make quick decisions work in team)
- Lectures (MOOQs) explore how science + research can create safe + effective care
- medical society (communication, teamwork)
QUALITIES:
- motivated + committed ( Surrounded by supportive teachers, mother
- discipline , teamwork - Netball for 5 years
- Communication, working with children, organising
If You Weren’t Offered a Place to Study Medicine, What Would You Do?
- take a step back, let give myself some time to process speak to someone
- take a year out, gather work experience, and knowledge that will aid my understanding of what medical school will entail
Clinical - do more volunteer work and get involved in my community (non - NHS providers)
- build on my teamwork and communication skills; work in a clinic
Academic + Managment + Personal - reflect on what in particular made me unsuccessful ( don’t stop there act on improving ) How? RESILIENCE
- growth mindset - work on improvement
NHS Privatisation: (For and Against)
AGAINST:
- private companies 4 profit; value money over providing quality care
- Fragmentation of care; different aspects of care being provided by different providers,, travel to different places for care, issues with patient records(no central place where all records can be accessed)
conflict between doctors,
- goes against the statements that NHS was founded on (clinal care, regardless of money)
FOR:
- NHS has been run as a non- profit for years; has not always provided quality care
-private companies take on simpler cases as they are aware they are not trained
- statements can become outdated (e.g Hippocratic oath)
what are the 6Cs of the NHS? Tell me a bit about them.
CARE
- core business, improves heath of whole community as well as individual
COMPASSION
- empathy, respect and dignity. intelligent, + kindness
COMPETENCE
- understand an individuals health + social needs with the correct expertise (clinical + technical)
COMMUNICATION
- central to success. listening , beneficial to staff + patients
COURAGE
- doing right by patients, speak up when we have concerns, embrace new ways of working
pros and cons of revalidation
Pros:
- ensures compliance with some basic requirements and provides focus to appraisal (evaluation) process
- formalises practices that may have been done when needed/necessary
previously
Cons:
- will not stop another Shipman
- puts risk of identifying underperformance too late
- process may require info that trusts do not hold
A time you worked in a team?
Situation: - In my biology class I we were split into groups and given diseases to research, and prepare a PowerPoint presentation
Task;
- My groups particular task was to research Thrombosis. (symptoms, lifestyle effects, recovery)
Action:
- divide the work load evenly into topics (I did lifestyle) + researched for 30 minutes
- when researching my own section : used statistics from medical articles to support each lifestyle choice (smoking)
-came together to communicate after 30 mins ,
we had not done a research task before( some of data difficult to understand we left sometime to consolidate everyone’s findings, work through any difficulties together .
Result :
Our presentation was ready on time, clear + informative.
Reflection:
- Our ability to communicate and manage our time effectively made us a good team, we opening + had time to tackle when they arose
where do you see your self in 10 years’ time? /
What do you hope to have achieved in your medical career?
CAMP(Clinical, Academic, Management, Personal)
Clinical:
- leading a multidisciplinary team as a consultant; paediatric setting. working in a team + having regular patient contact always appeal to me
Academic:
- Taking part in more research; involved in HIV research. (work on creating a vaccine)
Management:
- consultant role opportunity to manage other healthcare professionals
Personal:
- I want to write a book (elaborate) share knowledge, etc.
What do you think doctors do other than treating patients?
Clinical:
- involved in prevention work (advice on lifestyle, vaccination)
- attending teaching sessions and courses
- involved in counselling patients (deal with the consequences of illness
- campaigning, public health issues, working with charities
Academic:
- teach medical students, junior doctors
- research
Management:
- team management, (organising rotas, theatre lists, clinic schedules)
Personal:
- balancing home life with professional work
- tactics to relieve stress
what are the pros and cons of being a doctor?
CAMP
Pros:
- (Clinical) get to work in a multidisciplinary team. patient- doctor contact
- (Academic) lifetime learning (reading journals)
- (Management) get to work/manage in multidisciplinary teams, appreciation for other med professionals
- (Personal) regular contact with individuals from all walks of life, why is this important (elaborate)
- long hours
- working with difficult patients
-write ups
- attending regular meeting, balanced with home life
Do you think Doctors should ever go on strike?
PROS
- doctors have the right to strike (like any other professionals)
- striking effective, peaceful professional way of being noticed heard
- non-emergency units strike so impact will not be high
- stopping striking lead to poor moral, staff do not feel empowered (NHS constitution)
CONS
- Doctors have a duty to patients, patients suffer
- NHS waiting times high already, add on problem
- hippocratic oath = save lives above all else
- striking can lead to poor public perception of doctors
- emergency doctors striking fatal
You’re a surgeon in a hospital. A lady with a BMI of 45 (morbidly obese) comes to you and you must decide whether to offer her Bariatric Surgery (weight loss surgery)
Discuss the ethical issues and implications that arise in this situation.
Beneficence/Non-maleficence:
- high BMI, at the risk of severe + several health problems(diabetes, heart attacks)
- offering this surgery will improve her health, better quality of life
- minimise the risk of other health conditions
Autonomy:
- assume she’s over 18, with the assessed capacity to decide, has a right to decide
Justice:
- costly procedure
- takes experienced surgeons, nurses
- emitting to hospital + nurse care w/ this
- what can be done w? money (finite resources)/ how may other people might this benefit
Do you think it is right for carers to encourage relatives to go to Switzerland for Euthanasia?
AUTONOMY: ultimately the patients decision. can be overridden if patient is not in a correct mindset, has been coerced, does not have the capacity/competence to make decisions.
NON-MALEFICENCE: can do harm, patient is dying (may negatively effect family members
BENEFILENCE: providing euthanasia is in the best interest of this patient
JUSTICE: patience quality of life may be very bad, would it be fair to keep them alive
when is consent valid
when it is:
- voluntary (if under pressure to make a certain decision this can be seen as invalid consent)
- informed (pros + cons)
- competent
capacity/competent consent
- Understand
- Retain
- Weigh up (to make a decision)
- Communicate (decision)
Capacity in 16 -17 and 16- below
16-17
- if 16-17 olds can tick all capacity boxes their consent is valid
- cant refuse treatment if parent says they must
16-below
- Gillick competence child may have the capacity to make decision
- can’t refuse treatment
Why not nursing or another healthcare profession?
- acknowledge the overlap, relieves doctors of some duties that were traditionally set aside for them
(nurses giving injections, leadership roles (communicating) - multidisciplinary team, nurses, other professionals cannot work without the other
CLINICAL:
- doctors get to look at patients HOLLISTICALLY
-come up with the treatment plans interplay with one another
(important why)
- hyper specialised in one area
- diagnosing, deducing what is wrong recently referred to as ‘medical detectives’ (scans, blood tests, etc)
- FINAL SAY over patients treatment ,making decisions with more authority (GMC - justify decisions take responsibility)
Academics:
- Doctors gain opportunity to research learn more about the conditions they are treating ( + the people)
Management:
consultant opportunity
Personal:
- work with people, get to approach and assist people as patients and as people.
what have you read or experienced to prepare for entry into medicine?
CLINICAL
The nursing standard :
- holistic approach to clinical care, for de-escalation techniques, trans healthcare
teamwork - STARR (media unit at church)
ACADEMIC
- ( reading medical Journals from the BMJ/BBC Health)
- get used to the layout of medical journals (objective, setting, participants = age gender, results,)
- EXAMPLE statin treatment vs placebo on clinical outcomes for covid-19 in (ICU)
MANAGEMENT
- balancing my work towards getting into med school with leisure
PERSONAL
—-(hopefully volunteering at hospice :)
what is the difference between empathy and sympathy? which would you say is more important in this line of work
- comparing the two (look for more comparison of qualities questions)
- both are a useful tool in helping
EMPATHY - putting yourself, in someone else’s situation (shoes)
SYMPATHY - feeling pity or sorrow for someone - core duties of a doctor:
- responsible for providing the best care + outcome to patient)
- reveals more about how to provide better care
- must not do harm
empathy: - enables doctors to understand how a patient is feeling, what patient is expecting in terms of clinical outcome.
- ## reveals more bsympathy
important in communication (change your town to one of sympathy when negative clinical outcome - can be patronising
- can isolate the person
- pity does not provide support (the medic portal)
tell me about a recent piece of medical news?/ what do you think the most important medical advancement has been?
- HIV - (research + investment stagnant?)
(GOOD) more awareness in terms of STIs (importance, young people, WIDER SOCIETY) - treatments to make HIV/AIDs undetectable in the blood (better quality of life, etc)
- ( BAD) however socially still taboo, and massive decrease in time + money invested in HIV research in the developing world , (was, originally primarily effecting white men, was a detriment to the American economy)
- specifically enzyme inhibition via fragment based approached (fragmented based drug design)
- switching out part of a compound to increase the potency , solubility, etc
- help with other diseases Tuberculosis (enzyme based)
- pros
(ETHICS) Imagine the following scenario: A 13 year old presents to your clinic requesting a contraceptive pill. She has come alone and does not want you to tell her parents. What do you do?
- Gillick competence
if capacity is assessed and approved she has the autonomy to make decision - ask questions to make sure she understand what contraception is the risks (may not work)
- check for any bruises, any signs of maltreatment
why do some students who qualify to as doctors give up medicine and never practise?
- Med is a difficult course and a profession that has such a small margin of error
CLINICAL:
- Not suited to their skill set
- training too lengthy
- dealing with patients not as glamorous as assumed. demoralising to deal with people who have such high expectations for clinical outcome
ACADEMIC
- reading research papers is complex
- do not enjoy teaching others
MANAGEMENT
- too much pressure to get involved in non-clinical activities
- paperwork, meetings
PERSONAL
- uncomfortable in a competitive environment
- do not enjoy working in a team (teamwork)
- patients life and death a responsibility (coping with sick/terminally ill children)
how important is information technology in medicine?
- the role of it CLINICAL - word processing used = reports, referral letters, prep educational material - patient data stored in computers - central data base for info - radiologists can send X-rays/scans sent home, less need to be on-site - easy access to info - printing organs (with 3D printer)
PATIENTS
- order repeat prescriptions , make appointments online
How important is teaching in the medical profession?
x
what are the extended roles of nurses in healthcare
xxx
Are you an empathetic person?
INTRO -
- empathy is the ability to put yourself into someone else’s situation/shoes.
- crucial to a doctor
- yes something that I am becoming increasingly better at demonstrating (with friends, with people who may need a listening ear)
SITUATION:
- my sister was in hospital for weeks
TASK:
- coming in to see her
ACTION:
- although seeing her like that was difficult, it was important for me to put my fear aside and try to put myself in her shoes; if I was sick, I’d want my sister to visit me
- listening attentively to her concerns (feel that she was worried)
- relate to role of doctor (making people comfortable when your uncomfortable part of ensuring best outcome)
- reflecting on my visit; how much happier it made her and me, raised moral in the house. more at ease
why do you wish to study at this medical school? why Plymouth?
CLINICAL/ACADEMIC:
- PBL taught; develop skills for working in a multidisciplinary, team, work with peers to problem solve
- learning about practical elements alongside
- anatomy; associate practical elements with science informed knowledge for best clinical outcome
best patient outcome
-hot topics = holistic approach to learning; balanced look at the science related knowledge practical knowledge, and healthcare in wider society
- Reflect and weigh up
MANAGEMENT: - a course that can get heavy: (THE LISTENING POST) trained listener - mental health - med soc -other societies
PERSONAL:
- BAME student; lots of societies
- similar to the city I grow up in seaside
