KMMS Flashcards

1
Q

Why medicine?

A
  1. Initial interest stemmed from fascination with human body, disease mechanisms, and the potential to improve lives (BMS research approach)
  2. Undertaking the St George’s Summer Studentship, a research internship, emphasised the importance of translating research into clinical practice
  3. Scenario-based learning tutorials during undergraduate studies cultivated my desire to apply theoretical knowledge to practical, patient-centred setting
  4. Medicine offers a fusion of academic challenge, lifelong learning, innovation, strong communication, and the opportunity to impact people’s lives clinically + teaching and research academically
  5. Experiences at St George’s University highlighted the unique roles of healthcare professionals and the central role of doctors in coordinating holistic patient care
  6. Doctors are key in ordering and interpreting tests, prescribing treatments, and combating issues like antibiotic resistance based on the most recent scientific knowledge
  7. Recognition of the pivotal role doctors play first hand, academic challenges, lifelong learning for my intellectual curiosity and growth + privilege of central collaborative contribution to improving peoples’ lives
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2
Q

Why Kent & Medway?
What do you know about the KMMS course? How is it taught?

A

High quality placements from semester 1; partners across the NHS in Kent and Medway from community, primary, secondary, acute and mental health care settings. With 249 GP practices, 4 community care providers and 4 acute care providers

Academic Support: Personal Tutors and supervisors will ensure you are given the right support to keep me on track, a system that I am familiar with and rely upon during my undergraduate studies at St George’s

The area: Close to the sea and only an hour’s train journey from London, two university campuses both Students’
Unions and both provide counselling, mental health and
emotional wellbeing services

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3
Q

What did you learn from your work experience?
What qualities of a doctor did you see?

A

Through my work experience in various healthcare settings, I gained invaluable insights into the medical profession and observed several key qualities that define an effective doctor

1) Empathy and Compassion: One of the most striking qualities I observed was the empathy and compassion doctors showed towards their patients. I saw how doctors took the time to listen to their patients’ concerns, validated their feelings, and provided comfort in times of distress. This empathetic approach not only eased the patients’ anxieties but also built a foundation of trust and respect in the doctor-patient relationship

2) Effective Communication: I learned the importance of clear and effective communication. Doctors not only communicated complex medical information in an understandable way but also actively listened to their patients. This two-way communication ensured that patients were fully informed about their conditions and treatment options and felt involved in their own care.

3) Clinical Competence and Decision-Making: The doctors I shadowed demonstrated exceptional clinical knowledge and judgment. They were adept at diagnosing conditions, proposing appropriate treatment plans, and adjusting these plans when necessary. Their ability to make informed, evidence-based decisions under pressure was particularly impressive

4) Professionalism and Ethics: I observed a strong adherence to professionalism and ethics. Doctors maintained patient confidentiality, obtained informed consent, and treated each patient with respect and dignity, regardless of their background. They also showed a commitment to their own professional development and staying updated with the latest medical advancements.

5) Teamwork: The collaborative nature of healthcare was evident. Doctors worked closely with other healthcare professionals, valuing the contributions of nurses, therapists, and support staff. This teamwork was crucial in providing comprehensive care to patients

6) Resilience and Adaptability: Working in healthcare can be challenging, and the doctors I observed displayed remarkable resilience. They navigated demanding situations, adapted to changing conditions, and managed their own stress and emotions to provide the best possible care to their patients

In conclusion , my work experience was profoundly educational and inspiring. It reinforced my desire to pursue a career in medicine and instilled in me the qualities I admire in a doctor – empathy, effective communication, clinical competence, professionalism, teamwork, and resilience. These experiences have shaped my understanding of what it means to be a doctor and have motivated me to develop these qualities in my own professional journey

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4
Q

Why do you think you will be well suited for the KMMS course?

A

I believe I am well suited for the KMMS course due to a combination of my commitment to lifelong learning, passion for patient-centred care, and alignment with KMMS’s unique approach to medical education.

1) Commitment to Lifelong Learning: KMMS emphasises the importance of continuous learning and development, which resonates deeply with my own educational philosophy and intellectual curiosity. My academic journey has been marked by a consistent pursuit of knowledge, not just in terms of grades but in truly understanding and applying what I learn. (In a way that allows me to help freshers) I am eager to engage with KMMS’s dynamic curriculum, which integrates traditional learning with problem-based learning, collaborating and learning alongside colleagues is a very familiar and desirable environment for me

2) Passion for Patient-Centred Care: The patient-centred approach at KMMS aligns with my experiences and aspirations. Having volunteered at various healthcare settings, I have developed a strong empathy for patients from diverse backgrounds and understand the importance of considering their holistic needs. KMMS’s focus on early clinical exposure and community-based learning is an ideal platform for honing these skills

3) Research and Evidence-Based Practice: My academic background and interest in research align well with KMMS’s emphasis on evidence-based practice. I have been actively involved in research projects during my undergraduate studies and am keen to further develop these skills. I understand that KMMS fosters an environment where research and inquiry are encouraged, preparing students to contribute to the medical field as evidence-based practitioners.

4) Teamwork and Collaborative Learning: I thrive in collaborative environments and understand the importance of teamwork in healthcare. KMMS’s focus on interprofessional education and teamwork mirrors my belief in the importance of collaborative care. My experiences in team-based projects and activities have equipped me with the skills to effectively communicate, work in diverse teams, and contribute positively to group learning.

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5
Q

Why medicine and not dentistry or nursing?

A

My decision to pursue medicine over other healthcare professions like dentistry or nursing is rooted in my specific interests in the breadth and depth of medical science, the unique challenges and opportunities it presents, and my desire to be at the forefront of patient care and medical innovation

1) Broad and Diverse Scope of Medicine: What draws me to medicine, in particular, is the vast and diverse field it encompasses. Medicine offers an unparalleled variety in specialties and subspecialties, allowing for a wide range of career paths. I am fascinated by the prospect of diagnosing and treating a wide array of conditions, and the intellectual challenge and lifelong learning this entails

2) Depth of Patient Relationships: While both nursing and dentistry involve patient care, the depth of patient relationships in medicine particularly appeals to me. As a physician, I would have the opportunity to engage with patients through all stages of their care – from diagnosis to treatment and follow-up. This continuity of care allows for a deeper understanding of patients’ health journeys and the ability to make a significant impact on their lives

3) Leadership and Autonomy: While all the members of the wider medical team is crucial in successful healthcare delivery, medicine offers a unique blend of leadership and autonomy. Physicians often lead healthcare teams and play a key role in decision-making processes regarding patient care. This level of responsibility and autonomy in diagnosing and devising treatment plans aligns with my career aspirations of being in a position where I can directly influence and improve patient outcomes.

4) Research and Innovation: My keen interest in research and the potential for medical innovation is another reason I choose medicine. The field of medicine is constantly evolving, and physicians play a pivotal role in advancing medical knowledge and treatments through research. This aligns with my passion for contributing to the future of healthcare and being part of cutting-edge medical advancements. CAMP of a doctor’s responsibilities

5) Comprehensive Understanding of Health and Disease: Medicine’s approach to understanding human health and disease in a comprehensive manner, encompassing physical, psychological, and social aspects, resonates with my holistic view of healthcare. This holistic approach is critical in providing effective patient-centred care.

In Summary, while nursing and dentistry are noble and essential professions, it is the broad scope, depth of patient engagement, leadership opportunities, research potential, and comprehensive approach to health and disease that draw me to medicine. My passion and aspirations align strongly with the role of a physician, where I can make the most meaningful impact in patient care and the field of healthcare

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6
Q

Tell us about your volunteering

A

Reflecting on my diverse volunteering experiences, I can confidently say that each has uniquely contributed to my preparedness for a career in medicine, both in terms of skill development and understanding the qualities essential for a good doctor

1) Multifaceted Healthcare (Hospital Volunteering): In the cardio-respiratory ward at the NHS Hospital, I undertook both administrative and direct patient care tasks. Handling paperwork and managing patient meals required meticulous attention to detail and organisational skills, echoing the precision needed in medicine. This role also gave me a first-hand experience at the operational side of healthcare delivery. It is in these administrative details that patient care begins - from accurate record-keeping to ensuring dietary needs are met, each task directly impacts patient well-being. Supporting the nursing staff broadened my understanding of patient care beyond clinical interventions. It encompassed creating a comfortable, safe environment for patients, which is pivotal in their care and recovery process. Ensuring patients feel empowered to be a part of the multidisciplinary team.

**2) Empowering Others (Volunteer Biology Tutor): With CoachBright, I delved into the world of mentorship and education. I found parallels between tutoring and patient education – both require clear communication, patience, an individualised approach and importantly empathy. This role taught me the importance of adaptability. Just as each student had a unique learning style, each patient has unique healthcare needs and preferences. Adapting explanations and tailoring discussions to individual understanding is a skill that directly translates to effective patient communication in medicine

3) Leadership and Teamwork (J Group and ABACUS): Leading these groups was a test in leadership and collaboration. Organising events and managing teams are akin to coordinating healthcare delivery, where collaboration among various healthcare professionals is key. These roles also honed my conflict resolution and negotiation skills. In medicine, these skills are essential, especially when managing differing opinions within a healthcare team or addressing patients’ and families’ concerns.

4) Research Acumen: My laboratory internship was a deep dive into the scientific underpinnings of medicine. Handling molecular biology techniques and managing tissue cell lines required a blend of precision, analytical skills, and patience – qualities that are foundational in medical research and practice. This experience also highlighted the importance of evidence-based practice in medicine. Just as in research, where decisions are based on empirical evidence, medicine relies on evidence-based guidelines to ensure effective and safe patient care.

5) Clinical Insight (Shadowing): Shadowing provided a realistic glimpse into the daily life of a medical practitioner. Observing the pre-operative discussions emphasised the significance of informed consent and patient autonomy. Patient Centred Care. It also taught me the value of reassurance and empathy in patient interactions. Seeing patients’ anxieties eased through effective communication was a powerful reminder of the impact a doctor’s words and demeanour have on patient experience.

**6) Compassion and Patient-Centred Care (Care Home Volunteering): Working with elderly residents, particularly those with cognitive impairments, was perhaps one of the most emotionally enriching experiences. It taught me about the power of empathy, active listening, and the importance of addressing the holistic needs of patients. This experience brought to life the concept of patient-centred care. I learned that treating patients with dignity and respect, understanding their life stories, and catering to their emotional needs are as crucial as their physical care.

In conclusion, my volunteering experiences have collectively instilled in me the critical qualities of a competent and compassionate physician. From empathy and effective communication to organisational acumen and teamwork, these experiences have been instrumental in shaping my approach to medicine. They have not only reinforced my aspiration to become a doctor but have also equipped me with a diverse skill set and deep understanding of patient care, both in the clinical and personal dimensions

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7
Q

What are your hobbies?

A

One of my main hobbies is playing badminton, which I have been passionately involved in since my undergraduate days. I find that it not only helps me maintain physical fitness but also improves my mental agility. Badminton requires quick reflexes, strategic thinking, and the ability to anticipate the opponent’s moves, all of which help in sharpening decision-making skills. This sport has also taught me the importance of resilience and adapting to changing situations, qualities that are transferrable in the medical field.

Another hobby of mine is engaging in volunteer work, particularly tutoring underprivileged students and new university students. This experience has been profoundly rewarding, as it allows me to make a positive impact in the community. It has honed my communication skills, particularly in explaining complex concepts in an accessible manner. This aligns closely with the role of a doctor, who needs to communicate medical information clearly and empathetically to patients. Allowing me to hone my communication and problem solving skills as each requires an individualised approach.

I also have a keen interest in food, especially the culinary aspect. Cooking has always been a source of relaxation and creativity for me. It’s a way to express myself and unwind after a challenging day. The exploration, learning and recreating dishes are similar to the dedication needed in medicine. Moreover, engaging in creative pursuits like baking provides a healthy balance to the analytical and scientific aspects of my life, ensuring a well-rounded approach to personal and professional development.

Lastly, I enjoy sharing exploring cultures and cuisines through travel. It has broadened my perspective, making me more adaptable and open-minded. Interacting with diverse cultures has enhanced my cultural sensitivity, an essential skill in today’s globalised and diverse patient population in medicine.

These hobbies are integral to my life, not only providing a source of enjoyment and relaxation but also contributing to skills and attributes that are valuable in the medical profession, such as teamwork, communication, cultural sensitivity, resilience, and a balanced approach to life.

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8
Q

What are the negatives of a career in medicine?

A

A career in medicine, though immensely rewarding, comes with its set of challenges. One of the primary negatives is the emotional toll it can take. Healthcare professionals frequently encounter situations of life and death, suffering, and emotional distress. Dealing with patients and their families during such vulnerable times requires not only professional skill but also a high degree of emotional resilience. It’s crucial to find a balance between empathy and maintaining professional composure, which can be mentally taxing.

Another significant challenge is the demanding nature of the profession in terms of time and commitment. The long hours and the necessity for shift work, especially in the early years of one’s medical career, can impact work-life balance. This can sometimes lead to burnout and stress, as maintaining personal relationships or pursuing hobbies becomes difficult.

There’s also the aspect of continuous learning. Medicine is a rapidly evolving field. Keeping abreast of the latest research, technologies, and treatments is essential, but it can also be overwhelming. This lifelong commitment to education, while intellectually stimulating, requires a dedication that goes beyond what is typically expected in other professions.

However, it’s important to note that these challenges are part of what makes a career in medicine fulfilling. Overcoming these difficulties not only strengthens character but also enhances one’s ability to provide compassionate and competent care. They remind us of the importance of self-care, the value of a strong support system, and the need for efficient time management. Moreover, these challenges underscore the profound responsibility and privilege that comes with being a medical professional – to make a real difference in people’s lives.

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9
Q

Why should patients trust you?

A

Patients should trust me because of my unwavering commitment to the core principles of medicine: empathy, integrity, and competence. My experiences, both academic and voluntary, have been geared towards developing these essential qualities. Mirroring closely to the NHS core values, the 6 Cs of:

  1. Care
  2. Compassion
  3. Competence
  4. Communication
  5. Courage
  6. Commitment

Firstly, empathy is at the heart of my approach to patient care. Through my volunteering experiences in various settings, like the care home and the hospital, I have developed a deep understanding of the importance of listening to and understanding patients’ needs and concerns. I have learned to connect with individuals from diverse backgrounds, ensuring they feel heard and valued. This ability to empathise and relate to patients on a personal level is crucial for building trust

Secondly, integrity is a cornerstone of my personal and professional life. In my academic pursuits and leadership roles, I have consistently demonstrated honesty and ethical behaviour. I understand the importance of maintaining confidentiality, upholding ethical standards, and being honest with patients about their care. Trust is built on the foundation of knowing that one’s healthcare provider adheres to these high ethical standards. This allows the patients to feel empowered and take part in the MDT

Furthermore, I believe in the importance of competence. Through my rigorous academic training in Biomedical Sciences and my hands-on experiences in research and healthcare settings, I have developed a strong knowledge base and skill set. My dedication to continuous learning and staying abreast of the latest medical research and practices ensures that I can offer the most current and effective care to my patients.

Additionally, I prioritise clear and open communication. My experience as a tutor has honed my ability to explain complex information in an understandable way, a skill that is critical in ensuring patients are well-informed about their conditions and treatment options. This transparency is key to building trust.

Lastly, I am committed to treating each patient with respect and dignity. This respect for the individual, regardless of their background or circumstances, fosters a trusting relationship. Up holding the justice of medical ethics, ensuring only discriminating based on clinical needs

In summary, patients can trust me because of my empathetic approach, integrity, continuous pursuit of medical competence, clear communication, and unwavering respect for each individual. These qualities, I believe, are fundamental to being a trusted and effective medical professional.

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10
Q

What are your best qualities?

A

One of my best qualities is empathy, which I believe is fundamental in the field of medicine. Through various volunteer experiences, such as my time at a care home and in the hospital, I’ve developed a deep ability to understand and share the feelings of others. This empathy extends beyond just listening; it involves actively engaging with patients and their families to understand their experiences and perspectives. This quality is crucial for providing compassionate and patient-centred care.

A key skill which empathy builds from is effective communication - another strength of mine. Through my experience as a tutor and leader in various student organizations, I’ve learned to convey complex information in a clear and accessible manner. This skill is crucial in medicine for explaining diagnoses, treatments, and procedures to patients and for collaborating effectively with colleagues. Patient-MDT

Another key quality I possess is resilience. Medicine is a challenging field, both intellectually and emotionally. My academic journey, particularly in Biomedical Sciences, and my involvement in extracurricular activities like badminton, have taught me to persevere through challenges and adapt to changing circumstances. Resilience is vital in medicine, as it allows healthcare professionals to cope with the demands of the job while maintaining a high standard of care.

I also consider my analytical and problem-solving skills to be among my best qualities. These skills have been honed through my academic work, especially in research and scenario-based learning. In medicine, the ability to analyse complex information, make informed decisions, and solve problems is essential for effective diagnosis and treatment planning.

Lastly, I am highly committed to lifelong learning. My pursuit of knowledge didn’t stop with my degree; I continuously seek out opportunities to expand my understanding, whether it’s through research, reading, or attending workshops and seminars. This quality is indispensable in medicine, where ongoing education and staying updated with the latest advancements are key to providing the best patient care.

In conclusion, my best qualities – empathy, resilience, analytical and problem-solving skills, effective communication, and a commitment to lifelong learning – not only define me as an individual but are also aligned with the core competencies required in the medical profession.

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11
Q

How do you manage stress?

A

Managing stress effectively is crucial, especially in a demanding field like medicine. My approach to stress management is multi-faceted, combining physical activity, time management, mental well-being practices, and maintaining a support system.

Firstly, I engage in regular physical activity, particularly playing badminton, which I find immensely beneficial for both physical health and mental relaxation. Physical exercise is a proven stress reliever. It helps clear my mind, enhances my mood, and improves my overall energy levels. It also serves as a constructive outlet for releasing the build-up of any stress or tension.

Secondly, I practice effective time management. Utilising tools and techniques such as the Pomodoro technique and energy tracking has greatly helped me in organizing my tasks and maintaining productivity without feeling overwhelmed. By breaking down my workload into manageable chunks and taking regular short breaks, I can keep stress levels in check while staying focused and efficient.

Another crucial aspect of my stress management strategy is mindfulness and reflective practices. Engaging in activities like meditation and journaling helps me maintain a balanced perspective and provides a space for self-reflection. These practices allow me to process my thoughts and emotions, ensuring that stress does not escalate unchecked. These practices are adapted from my Behavioural Medicine lectures, another example being adapting my internal voice.

Additionally, maintaining a strong support system is key to managing stress. Open communication with family, friends, and personal tutor allows for a healthy outlet to share concerns and challenges. These support networks provide emotional support, advice, and sometimes, simply a listening ear, which can be immensely relieving during stressful periods. - KMMS Counselling and support services from both universities

Lastly, I believe in the importance of maintaining a balance between professional commitments and personal interests. Pursuing hobbies and interests outside of my academic and professional life provides a necessary and enjoyable diversion. Whether it’s playing music, reading, or cooking, these activities help me unwind and return to my work with a refreshed mind.

In summary, my approach to managing stress involves a combination of physical activity, effective time management, mindfulness practices, a strong support system, and maintaining a healthy work-life balance. I believe these strategies not only help me manage stress in my current pursuits but will also be invaluable in my future medical career.

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12
Q

Can you provide us with an example of a time when you demonstrated resilience?

A

A pivotal moment that exemplifies my resilience was during my undergraduate studies in Biomedical Sciences. In my second year, I faced a particularly challenging period when I had to balance a demanding academic schedule with my responsibilities in the university’s badminton team and my volunteer work.

The situation escalated when, during midterms, I was simultaneously preparing for crucial exams, a badminton tournament and continuing my responsibility for CoachBright, the tutoring organisation I volunteered with. The confluence of these responsibilities created a highly stressful and demanding situation. I found myself struggling to maintain my academic performance while fulfilling my commitments to badminton and volunteering.

Recognising the severity of the situation, I took proactive steps to address it. Firstly, I reassessed my time management strategy and prioritised my tasks more effectively. I employed the Pomodoro technique to enhance my study efficiency, allocating specific time slots for academic work, effective time management allowed me to allocate time for badminton training, and volunteering preparations. This helped me to stay focused and productive during each activity.

Additionally, I sought support from my mentors and peers. I discussed my academic challenges with my professors, who provided guidance and resources to help me manage my coursework more effectively. My peers in the badminton club and CoachBright were also incredibly supportive, assisting me with some of my responsibilities.

Despite these efforts, the pressure took a toll on my mental well-being. I realised the importance of self-care and started incorporating mindfulness and relaxation techniques into my daily routine. Activities like meditation and short walks became integral in providing me with the mental clarity and resilience needed to navigate this challenging period.

This experience was a testament to my resilience. It taught me valuable lessons about the importance of time management, seeking support, and self-care. It also reinforced my belief that with determination and the right strategies, one can overcome demanding situations and emerge stronger

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13
Q

Give us an example of a time when you demonstrated teamwork

A

An example that vividly illustrates my ability to work effectively in a team comes from my leadership experience with the J Group mentorship program at my university. In this program, I was part of a team responsible for guiding first-year students through their initial university experience, addressing academic and social challenges.

A particularly challenging situation arose when we noticed that several mentees were struggling with a specific module, feeling overwhelmed by the content and the pace of the curriculum and a fear for their first university exams. Recognising this issue, our team decided to organise a series of extra group tutorial sessions specifically for the module as well as.

My role involved coordinating with other mentors and university staff to organise these sessions. This required efficient teamwork and clear communication. I collaborated with academic staff to understand the course requirements better and identify key areas where students were struggling. Working closely with my fellow mentors, we developed a plan to divide the course content among ourselves, based on each mentor’s area of expertise.

To ensure the effectiveness of these tutorials, we also had to work closely with the students. This involved not only teaching them but also listening to their feedback and adjusting our approach accordingly. We encouraged an open dialogue, making sure that the students felt comfortable expressing their concerns and challenges.

The result of this collaborative effort was remarkable. The students who attended these sessions showed significant improvement in their understanding of the course material, as reflected in their subsequent academic performance. Furthermore, the mentorship program itself became more robust, with increased attendance and engagement from first-year students.

Leading to an increase and the need to scale up.

This experience taught me several key lessons about teamwork. Firstly, the importance of recognising a collective challenge and addressing it collaboratively. Secondly, the value of diverse skills within a team, where each member’s unique expertise contributes to the overall goal. Finally, it highlighted the importance of adaptability and open communication, both within the team and with those we were assisting.

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14
Q

What are your strengths and weaknesses?

A

One of my key strengths is my ability to empathize with others. Through various volunteering experiences, such as at the NHS Hospital and a local care home, I have honed my ability to understand and share the feelings of others. This empathy allows me to connect deeply with patients, understanding their needs and concerns, which is crucial for effective patient care.

Another strength is my resilience. During my academic career, particularly in my Biomedical Sciences degree, I faced several challenging situations. Balancing academics with extracurricular activities and volunteer work often required me to adapt and persevere. These experiences have strengthened my ability to remain focused and composed under pressure, a crucial skill in the high-stress environment of medicine.

As for my weaknesses, one area I am actively working on is my tendency to take on too many responsibilities at once. Initially, in my eagerness to learn and contribute, I found myself overwhelmed by commitments. This sometimes led to increased stress and affected my ability to perform optimally in all areas. Recognizing this, I have been actively working on improving my time management and prioritization skills. I’ve learned to assess opportunities more critically and commit to those where I can contribute meaningfully without compromising my well-being or other responsibilities.

Another area for improvement is my initial hesitation in seeking help or feedback. Early in my academic journey, I preferred to work through challenges independently. However, I have come to realize the value of collaboration and mentorship. Seeking advice and constructive criticism from peers and mentors has been instrumental in my personal and professional growth. It’s a practice I now embrace as a vital part of continuous learning and development.

In summary, my empathy and resilience are strengths that I believe are essential in medicine. At the same time, I recognize the importance of balancing responsibilities and seeking guidance as areas for improvement. I am committed to continuous self-improvement and believe that being aware of and working on my weaknesses is as important as leveraging my strengths.

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15
Q

How would your friends describe you?

A

My friends would likely describe me as empathetic, dedicated, and intellectually curious. These characteristics have been highlighted in our interactions and are integral to who I am, both personally and in my pursuit of a career in medicine.

Firstly, they would mention my empathy. My friends have often observed and commended my ability to understand and share the feelings of others. Whether it’s supporting them through personal challenges or celebrating their successes, I strive to be emotionally present and understanding. This empathy extends beyond my personal life; it’s a quality I actively bring into my volunteer work and academic pursuits, and it’s fundamental to my aspiration to become a compassionate physician. Working together to build a supportive network where it is encourage to seek help.

They would also highlight my dedication. My friends have seen my commitment to my goals, whether it’s in my academic endeavours, volunteering, or hobbies like badminton. They’ve witnessed the time and effort I invest in my passions and responsibilities. This dedication is something I pride myself on, and it’s a trait that I believe is crucial in medicine, a field that demands a high level of commitment, perseverance - continuous academic and personal growth.

Lastly, they would describe me as intellectually curious. I have a natural inclination to learn and explore, whether it’s delving into new research in Biomedical Sciences or engaging in discussions about diverse topics. My friends have often pointed out my enthusiasm for knowledge and understanding, especially in subjects related to healthcare and science. This intellectual curiosity drives my ambition to continually grow and develop in the medical field.

In summary, according to my friends, my empathy, dedication, and intellectual curiosity are qualities that stand out. These attributes not only define my personal relationships but also align closely with the values and skills essential in medicine. They believe, as do I, that these qualities will significantly contribute to my success and fulfilment in the medical profession.

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16
Q

Tell us about an article that you have recently read

A

Recently, I read a fascinating article titled the ‘Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy’ published in the Lancet journals.

The article explored strong evidences which showed that physical inactivity increases the risk of many adverse health conditions, including major non-communicable diseases such as CHD, type 2 diabetes, breast and colon cancers, and shortens life expectancy and aimed to quantify the effect of physical inactivity on these major non-communicable diseases by estimating how much disease could be averted if inactive people were to become active and to estimate gain in life expectancy at the population level.

Physical inactivity causes 6% of the burden of disease from CHD, 7% of T2 Diabetes, 10% of breast cancer, and 10% of colon cancer. Inactivity causes 9% of premature mortality in 2008

From this I explored their references to gain an understand of why, For instance, regular physical activity strengthens the heart muscles, improves circulation, and helps to regulate blood lipid levels, which collectively contribute to mitigating the risk of coronary heart disease. In diabetes management, exercise enhances insulin sensitivity and glucose metabolism, thereby playing a crucial role in maintaining healthy blood sugar levels. protective effects against breast cancer in postmenopausal women may be attributed to PA aiding in maintaining a healthy body weight, modulating hormone levels, reducing inflammation and improving metabolic functions, all of which are factors in reducing breast cancer risks

Finally, the article didn’t just highlight the benefits; it also addressed the barriers to physical activity that many individuals face, such as lack of time, resources, or motivation. It suggested practical strategies to incorporate more activity into daily life, emphasizing the importance of finding personalized and enjoyable forms of exercise.

Reading this article reinforced my belief in the importance of a holistic approach to health. As a future medical professional, it reminded me of the need to encourage patients to incorporate physical activity into their lifestyle as a preventive measure and as a complementary approach to treating various health conditions. It also highlighted the importance of addressing potential barriers to physical activity and working with patients to find sustainable and enjoyable ways to stay active.

17
Q

What do you think are the most rewarding aspects of being a doctor? Can you compare them to the most challenging parts of the career?

A

One of the most rewarding aspects of being a doctor is the ability to make a tangible, positive impact on people’s lives. Whether it’s diagnosing a patient correctly, managing a chronic illness effectively, or providing reassurance and support during difficult times, the role of a doctor is pivotal in improving patient outcomes. The gratitude and trust that patients place in their doctors are deeply fulfilling and serve as a constant reminder of the importance of this profession.

Another rewarding aspect is the continuous learning and intellectual stimulation that medicine offers. The medical field is ever-evolving, with new research, technologies, and treatments continually emerging. This dynamic environment offers endless opportunities for personal and professional growth, keeping the profession intellectually stimulating and challenging.

Moreover, being a doctor allows for meaningful human connections. Building relationships with patients and their families, and being a part of some of the most pivotal moments in their lives, is incredibly rewarding. It’s a privilege to be trusted with someone’s health and well-being and to offer support not just medically but emotionally as well. Opportunity to be a part of every stage of the care process

Comparatively, the career also presents significant challenges. One of the most prominent is the emotional toll it can take. Doctors often deal with life-and-death situations, and the responsibility can be immense. Managing personal emotions while providing the best care possible can be challenging, particularly in cases with poor outcomes.

Another challenge is the long and irregular hours, especially in certain specialties. This can impact work-life balance, leading to potential burnout and stress. Balancing the demands of the profession with personal life requires careful management and self-care.

The constant need for staying updated with medical advancements, while intellectually rewarding, can also be overwhelming. Medicine requires lifelong learning, and keeping pace with the latest developments is both time-consuming and essential.

In summary, the most rewarding aspects of being a doctor—making a difference in people’s lives, continuous learning, and meaningful human connections—are as profound as the challenges, such as the emotional toll, demanding hours, and the need for continual education. Both the rewards and challenges are integral to the profession, shaping the experience of being a doctor and underscoring the dedication required to excel in this field.

18
Q

When did you first realise that you wanted to be a doctor?
What have you done to further your knowledge of the profession?

A

I first realized my desire to become a doctor during my undergraduate studies in Biomedical Sciences. This realization was a culmination of both academic interest and personal experiences. My fascination with the human body and its complex mechanisms was sparked by my coursework, where I delved into subjects like human anatomy, physiology, and pathology. It was incredibly intriguing to understand how intricate and yet interconnected various bodily systems are. This academic exploration laid the foundation for my interest in medicine. My personal favourite being Microbiology and Immunity

To further my knowledge and prepare myself for a medical career, I engaged in several activities. I undertook a research internship at St George’s University of London, where I worked on molecular biology techniques and cell culture maintenance. This experience gave me practical insights into the scientific research process, which is an integral part of medical advancements.

Additionally, I shadowed medical professionals, including an anaesthetic registrar, which allowed me to observe the day-to-day responsibilities and challenges faced by doctors. These shadowing experiences provided me with a realistic understanding of the medical field and reinforced my commitment to this career path.

Furthermore, I continued to volunteer in healthcare settings, including at a care home and in hospital wards. These experiences helped me develop essential skills such as empathy, communication, and teamwork, which are crucial for a successful medical career.

Lastly, I have been proactive in staying informed about current medical issues and advancements by regularly reading medical journals and attending healthcare-related seminars and webinars. This continuous learning approach has broadened my understanding of various medical fields and current challenges, further preparing me for a career in medicine.

In conclusion, my journey towards realizing and preparing for a career in medicine has been a blend of academic curiosity, hands-on experiences, and a commitment to continuous learning. These experiences have not only fortified my desire to become a doctor but have also equipped me with the knowledge and skills necessary for the profession.

19
Q

What changes would you make to the NHS if you could?

A

If I had the opportunity to implement changes in the NHS, I would focus on addressing the most pressing challenges the system currently faces, based on recent findings and analyses.

Firstly, I would tackle the issue of staffing shortages, which has been a significant problem. The high level of recorded vacancies has led to an unsustainable staffing gap, increasing the pressure on existing staff and necessitating higher spending on temporary staff. This not only impacts the quality of patient care but also contributes to the burnout and stress of healthcare professionals. Efforts to recruit and retain more permanent staff, possibly through improved working conditions, competitive salaries, and better career development opportunities, would be a priority.

Another critical area of focus would be the mental health services within the NHS. The demand for these services has been growing, and the current system struggles to meet these needs adequately. Enhancing mental health services by increasing funding, expanding the workforce specialized in mental health, and integrating mental health more effectively into primary care could significantly improve patient outcomes.

Also, I would continue the expanded efforts on public health, improving health literacy; Disease Prevention and Management with vaccination programs, health education campaigns. Social and Behavioural Health. Antibiotic Resistance

In conclusion, while the NHS faces significant challenges, such as staffing shortages, mental health service pressures, care backlogs, and health inequalities, addressing these issues holistically could greatly enhance the efficiency and efficacy of the health service.

20
Q

What are the NHS values and why are they important?

A
  1. Working together for patients - Prioritizing patients in all decisions and actions.
  2. Respect and dignity - Valuing each person as an individual and respecting their aspirations and commitments.
  3. Commitment to quality of care - Striving for the highest standards of excellence and professionalism in providing quality care.
  4. Compassion - Centralizing compassion in care delivery, responding to each person’s needs humanely.
  5. Improving lives - Aiming to enhance health and wellbeing and improve experiences of the NHS.
  6. Everyone counts - Maximizing resources for the benefit of the community, ensuring no one is excluded or left behind.
21
Q

What is it like to be a doctor?

A

CAMP

Being a doctor is a multifaceted and rewarding profession that combines scientific knowledge with interpersonal skills to provide patient care. It involves diagnosing and treating illnesses, but also encompasses a compassionate understanding of patients’ needs and concerns. Doctors face the intellectual challenge of keeping up-to-date with medical advancements and applying this knowledge practically. The role often demands long hours and can be emotionally taxing, especially in situations involving critical care or complex ethical decisions. However, the satisfaction of improving and sometimes saving lives, along with the respect and trust that come from patients and the community, make it a highly fulfilling career. The profession requires a commitment to lifelong learning, adaptability, and a passion for helping others.

22
Q

How do you deal with overpopulation?

A
23
Q

What do you know about the local area here in Kent & Medway?

A
24
Q

What are the main challenges that face the NHS?
How has COVID changed the way the NHS operates?

A

Staffing Shortages: The NHS has long grappled with staffing issues, including shortages of nurses, doctors, and allied health professionals. This leads to increased workloads, stress, and burnout among existing staff, impacting patient care quality and staff well-being.

Financial Constraints: Funding limitations have always been a significant challenge. Balancing the budget while meeting the rising demand for services is a complex issue, often leading to difficult decisions about resource allocation.

Increasing Demand for Services: An aging population and the prevalence of chronic diseases have led to a higher demand for healthcare services. This puts additional pressure on the NHS resources and infrastructure.

COVID-19 Impact: The pandemic has brought unprecedented challenges. The NHS had to quickly adapt, leading to rapid changes in service delivery. This included deferring elective procedures, which has resulted in a significant backlog that the NHS is still addressing.

Adoption of Digital Technologies: COVID-19 accelerated the use of digital health technologies, such as telemedicine, for remote consultations and patient monitoring. This shift has implications for future healthcare delivery models.

Public Health Focus: The pandemic highlighted the importance of public health and preventive strategies. The NHS has had to focus more on community health and infection control measures.

Mental Health Services: There’s been an increased demand for mental health services, both from the public and within the NHS workforce. Addressing this need is a growing challenge for the NHS.

25
Q

How does the healthcare system differ here compared to other areas in the UK?

A
26
Q

What is the debate surrounding euthanasia, should it be legalised?

A

The debate surrounding euthanasia is complex and multifaceted, involving ethical, legal, medical, and social considerations. Proponents argue for the right to die with dignity, emphasizing autonomy and relief from unbearable suffering for terminally ill patients. They believe that, under strict regulations, euthanasia can be a compassionate response to end-of-life suffering.

Opponents, however, raise ethical concerns about the sanctity of life, the moral responsibility of doctors to preserve it - non-maleficence - and the potential for abuse or coercion, especially among vulnerable populations. They also worry about the slippery slope effect, where the legalization of euthanasia might lead to less stringent application over time - Paternalistic medicine

The legalization of euthanasia involves navigating these complex ethical dilemmas. It would require creating robust legal and medical frameworks to ensure it’s conducted ethically, consensually, and without coercion. This involves strict eligibility criteria, informed consent, thorough medical evaluations, and a comprehensive review process.

In countries where euthanasia is legal, these measures are in place to balance ethical considerations with compassion and dignity for those facing terminal illnesses. However, the debate continues, fuelled by differing cultural, religious, and individual beliefs about life and death.

27
Q

Who would you give this organ to? [Prioritisation]

A
28
Q

A young mother comes with their 3-years old child to your GP practice as a part of the routine immunisation schedule. However, the mother reveals that she decided not to vaccinate their child against measles, mumps and rubella (MMR) and appears to be anxious. What would you do?

A

In a situation where a young mother decides against vaccinating her child with the MMR vaccine and appears anxious, my approach would focus on understanding her concerns, providing factual information, and communicating the benefits and risks associated with her decision in a respectful and empathetic manner.

  1. Build Rapport and Show Empathy:

First, I would build rapport with the mother to create a comfortable and trusting environment. It’s important to acknowledge her concerns without judgment. I would say something like, “I understand that you have concerns about the MMR vaccine. Many parents have questions about vaccinations, and it’s important to discuss them.”

  1. Understand Her Concerns:

I would ask open-ended questions to understand why she has decided not to vaccinate her child. Is her decision based on specific information, personal or family health history, or something she has heard or read?

  1. Provide Clear and Accurate Information:

Once I understand her concerns, I would provide clear, factual information about the MMR vaccine. This includes discussing the benefits of the vaccine in preventing measles, mumps, and rubella, all of which can have serious health implications for children.
I would also address common misconceptions about the MMR vaccine, such as the debunked claim linking it to autism, and provide evidence-based information to counter any misinformation she may have encountered.

  1. Discuss Risks of Non-Vaccination:

I would calmly and clearly explain the risks associated with not vaccinating, including the potential for the child to contract and spread these diseases, and the implications for public health.
It’s important to convey this information in a non-alarming way while emphasizing the seriousness of these illnesses and the protection that vaccines offer.

  1. Address Anxiety and Provide Support:

Recognizing her anxiety, I would offer support and reassurance. I would ask if there are any specific aspects of the vaccination process that worry her and address those concerns.

  1. Respect Autonomy but Advocate for Public Health:

While it’s important to respect the mother’s autonomy in making healthcare decisions for her child, as a healthcare professional, I have a responsibility to advocate for the child’s health and public health. I would emphasize the importance of vaccinations in protecting not only her child but also the community, especially those who cannot be vaccinated for medical reasons.

  1. Offer Additional Resources:

I would offer additional resources for her to read, such as literature from reputable health organizations, and suggest a follow-up appointment to discuss any further questions or concerns she might have.

  1. Document the Conversation:

The conversation and the mother’s decision, whether she remains against vaccination or changes her mind, would be documented in the child’s medical records, along with the information provided during the consultation.

Conclusion:
In conclusion, handling a situation where a parent is hesitant to vaccinate requires a balance of empathy, clear and factual communication, and a firm understanding of public health principles. It involves addressing concerns, debunking myths, and highlighting the importance of vaccines in a manner that respects the parent’s autonomy while advocating for the child’s and public health.

29
Q

If you notice that a colleague has turned up to work drunk, what would you do?

A
30
Q

Who can you escalate concerns to within a hospital?

A
31
Q

How would you approach group tasks in MMI statation

A

Understand the Task: First, make sure you clearly understand the topic or problem presented. If instructions are given, listen carefully and take mental notes. If there’s a prompt or a scenario, take a moment to read it thoroughly.

Plan Your Time: In a 40-minute session, time management is crucial. Plan to spend a few minutes at the beginning for understanding the task, the majority of the time for discussion, and a few minutes at the end for summarizing and concluding.

Active Listening: Listen attentively to what others are saying. This not only shows respect but also helps in building upon their ideas, leading to a more cohesive group discussion.

Contribute Thoughtfully: When you speak, ensure your contributions are relevant and constructive. It’s not about how much you speak but the quality of your input. Back your points with logical reasoning or evidence if possible.

Encourage Participation: If you notice someone hasn’t spoken much, encourage them to share their thoughts. This demonstrates leadership and inclusivity.

Stay Calm and Respectful: Maintain a calm demeanor even if the discussion becomes heated. Respect differing opinions and avoid dominating the conversation.

Conflict Resolution: If a conflict arises, try to mediate and steer the discussion back on track. Presenting a neutral point of view or a compromise can be helpful.

Body Language: Be mindful of your body language; maintain eye contact, nod in agreement when others speak, and avoid negative gestures.

Summarize and Conclude: Towards the end, summarize the key points discussed and any conclusions the group may have reached. This demonstrates your ability to synthesize information and highlights your contribution to the discussion.

Reflect and Learn: After the session, reflect on what went well and what could have been improved. This self-assessment is a crucial learning tool for future discussions.

32
Q

Medical Ethics & NHS Hot Topics

A

Resource Allocation and Funding: Decisions around how limited resources are allocated within the NHS, including funding for treatments, hospital beds, and staff resources. This topic often intersects with ethical considerations around fairness and equity.

Patient Confidentiality vs. Public Health Needs: Balancing individual patient confidentiality with the needs of public health, especially relevant in the context of infectious diseases and public health crises.

Mental Health Care: The provision and quality of mental health services, including access to care, stigma, and treatment options.

End-of-Life Care and Assisted Dying: Debates around the ethics of assisted dying, palliative care, and end-of-life decision-making.

Medical Technology and Innovation: Ethical implications of new technologies like AI in diagnostics, telemedicine, and personalized medicine. Questions around consent, data privacy, and the impact on the doctor-patient relationship are key.

Healthcare Equity and Inclusivity: Addressing disparities in healthcare access and outcomes among different population groups, including ethnic minorities, LGBTQ+ individuals, and economically disadvantaged groups.

Antimicrobial Resistance: The growing concern of antibiotic resistance, its implications for treatment options, and the ethical considerations in antibiotic stewardship.

Vaccinations: Ethical issues around vaccine mandates, distribution, and hesitancy, especially in the context of COVID-19 and other infectious diseases.

Artificial Intelligence and Ethics: The use of AI in healthcare raises questions about accountability, transparency, and the potential biases in AI systems.

Medical Research Ethics: Issues surrounding clinical trials, consent, and the use of patient data in research.

Workforce Challenges: Staffing issues, including the recruitment and retention of healthcare professionals, working conditions, and the impact of these factors on patient care.

Genetics and Genomics: Ethical considerations in genetic testing, gene editing (like CRISPR), and their implications for individuals and society.