Leicester Flashcards
How many MMI interviews
. 7 Stations each around 10 minutes long
. You will be given time between each station
. Simple numeracy test for one station so no calc needed
What topics will they ask
- Motivation to study medicine and genuine interest in the medical profession
- Insight into your own strengths and weaknesses
- Ability to reflect on your own work
- Personal organisation
- Problem solving
- Ability to deal with uncertainty
- Ability to manage, risk and deal effectively with problems
- Ability to take responsibility for your own actions
- Conscientiousness
- Insight into your own health
- Communication skills, including reading, writing, listening and speaking
- Teamwork abilities
- Ability to treat people with compassion, respect and dignity
- Resilience and the ability to deal with difficult situations
-Empathy and the ability to care for others
- Honesty
- Emotional intelligence
- Ethical judgement
Why do you want to study here in Leicester?
- When researching what universities to apply to, I found that it is in the top 10 unis for medicine so this encouraged me to further research it.
- Group based learning lead by experts allows me to collaborate with other people to learn together. This will teach me the skills that come with being a doctor because a lot of the job is brainstorming to diagnose a patient with the help of others.
Case based learning. I am curious person. - I am a visual learner so the dissection sessions really appeal to me: I heard there is a really well equipped dissecting room. You use a cadaver with your group and large TV screens where a demonstration cadaver is used to teach
- Very early clinical experience, you study for your Health Care Associate (HCA) qualification instantly.
This gives experience within the clinical setting - There is a lot of research into cardiovascular medicine and cancer research
- 3D printing
What would you do in Leicester apart from the medicine part
The students union have around 250 societies and sports teams
I think I would join the Badminton society or the modern dance society.
I did Jazz class for a couple years and made some great friends doing it. I had to stop a few weeks ago because our teacher moved away.
I find that dancing is a great way to relax and clear my mind.
Paediatric society would be interesting as it is definitely an option I’d be willing to specialise in.
What is appealing about research into cancer and cardiovascular medicine
- Heart disease and cancer are both responsible for the deaths of thousands of people in the UK every year
- Cancer research is interesting to me because I enjoy learning about how cells in the body grow uncontrollably. It would be amazing to do more work experience in this field, as I briefly had a conversation with an oncologist who explained to me how she does prostate cancer clinics. She mentioned that nurse practicioners help out prescribing medication to the men.
- I would love to go into the academics behind medicine to research how cancer and cardiovascular diseases are caused.
- I attended a lecture on cardiac function and how it works to pump blood around the body. 4 Chambers, talk about possibly joining a cardiovascular society there.
What did you learn from the lecture on cardiac function
I learned about the heart conduction system
There are nodes in chambers and sinus node can stimulate an electrical impulse. This stimulates atria to depolarise and contract.
Then impulse travels to AV node where there is a delay to let blood flow from atria to ventricles.
Overall this triggers ventricular systole .
Cardiac output is volume of blood ejected from left ventricle every minute.
Stroke volume is volume of blood ejected with each heartbeat.
How is Leicester integrated curriculum a good fit for you
- Blend of traditional learning with innovation.
Two phases of learning: Phase 1 is Systems based learning in year 1 and 2 eg cardiovascular system.
Phase 2 is full time clinical placements where you rotate around wards and specialties - They put us into groups of around 8 to learn. We work with qualified doctors who tell us about their experiences and what they would do in particular situations. We learn this way, and with lectures also in an equal split.
I think this will help me to review and consolidate my learning effectively. - Clinical experience from the first two weeks in sessions called ‘Patient knows best’
- Full dissections on cadavers, it is an honour to study the bodies of kind people who donated them.
It lets me explore my hands on skills
What are the NHS core values
- Working together
- Respect or dignity
- Commitment to quality of care
- Compassion
- Improving lives
- Everyone counts
Which NHS core value sticks out most to you
I think all the core values are of equal importance however commitment to quality care and respect sticks out to me.
In particular the Francis report was taken from hospitals in Staffordshire and found that the quality of patient care was very low. For example they found the managers were more focussed on numbers than actually on patients who were being neglected. Kindness wasn’t very common in the hospitals which is why the report came out.
I think it is incredibly important to have a relationship built on trust and respect with your patient. So being committed to quality care is very important to reach the best income for the patient.
When I was doing work experience I noticed that all the screensavers for computers had slogans reminding doctors to be kind. This could be a result of the report.
How have your experiences prepared you for early clinical exposure here in Leicester
- When volunteering at a nursing home near me, I was able to improve my empathy and listening skills.
I was around dementia patients who would tell me all about their lives and stories. We often would go through old pictures together.
I spoke to the carers who explained to me the importance of showing them you’re interested in what they have to say. So for example nodding along or asking questions about their experiences.
Could talk about communication story. - When doing work experience I did two weeks in total and was on a paediatrics intensive care ward for a few days. It was really insightful to see how gentle and kind the doctors and nurses were. They would talk to the parents of children in a friendly and kind manner and answer any questions they had also.
Advantages of studying medicine in a diverse city like Leicester
Studying in a diverse city gives an amazing opportunity to meet people from all different backgrounds. City is vibrant and there is a lot to do.
The campus is located in the city centre so you will be very involved in the city life.
Because it is so diverse there may be different diseases predominantly present in certain ethnic groups such as sickle cell anemia. So studying medicine and becoming a doctor there would be really interesting as you can meet these people.
Disadvantages of studying medicine in a diverse city like leicester
One disadvantage that comes to mind
Pros of studying in Leicester
- Good mix of content and clinical exposure: Extremely patient focussed.
They teach skills beyond medical sciences such as compassion, communication, understanding diversity - Timetable is quite laid back for the first two years to give students time to get the extracurricular experience.
Cons of studying in Leicester
- They do big exams at the end of every year. You are put in deciles depending on your results.
Although this is stressful I believe it is also a good way to prepare doctors for the ranking to get foundation years.
This won’t be a problem with effective strategies to avoid stress and burnout
Should a doctors personal beliefs influence their decisions on patients care
The GMC good medical practice states that you must treat patients fairly and not discriminate against them.
- Pillar of justice: Treat all patients equally
- Autonomy: Patients should be able to make their own medical decisions. Your role as a doctor is to give them all the information on the treatment, discuss options, and respect the patients choice.
- It would be professional misconduct to discriminate against patients.
For example, a doctor who may be against abortion due to religious beliefs should not allow this to influence the patient. Instead it would be a good idea to refer the patient to another competent provider without delay or harm.
What ethical considerations should be addressed when looking into AI in medical diagnostics
- Risk of errors: All algorithms should have achieved the highest level of accuracy to avoid misdiagnosing the patient.
This can be improved by testing regularly in real world scenarios and also monitoring consistently. - Equal access: AI tools should be accessible to diverse populations so standard of patient care is equal. It may be very expensive to develop these AI systems so make sure low income patients can use them
- Privacy and security of patient data:
So patient confidentiality as these systems rely on loads of patient data which could raise concerns about privacy. Ensure that data breaches don’t occur. - Informed consent: Make sure the patient is fully aware about how their data will be used in AI diagnostics and training
- Human oversight: These AI diagnostic machines should always be used alongside a trained healthcare professional who would be able to spot mistakes.
- Overreliance: Doctors may rely on AI diagnostic tools to much to diagnose patient so maybe this will diminish their diagnosing skills
How would you handle a situation where a patient refuses a life saving blood transfusion
- I think it is important to handle this situation with an open mind, without prejudice towards the patient.
- First, I would try to talk to the patient in a non-confrontational way where I encourage them to tell me their reasoning for refusing the transfusion.
It is possible that they have been misinformed about it, or they are unaware of all the impacts of refusing the blood transfusion. There could also be religious or cultural reasoning for refusing it, eg Jehovahs witnesses aren’t allowed these. - As the doctor it is my role to educate the patient as well as I can and give my medical opinion on what they should do. Hopefully you will be able to change their mind. I would clearly communicate the importance of getting the transfusion and make sure they understand it is a life or death situation.
So it is informed decision making. - Assess capacity to decide (Mental capacity act 2005) so they understand information provided and retain it to make a decision.
- However due to the pillar of autonomy it is ultimately the patients choice. You can balance this with the pillar of beneficence where you want to help the patient and improve their life.
- Maybe discuss with a senior colleague or ethics team who can advise you on what to do. You could also try to talk to family members to provide additional perspectives and support