Motivational/personality questions Flashcards

1
Q

Why do you want to come to Bristol Dental School?

A

a. Traditional.

b. Unique in the fact it has one of the most orthodontic experience/training

c. Wax models in year 2.

d. Opportunity to assist many of the older years quite frequently.

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2
Q

Why do you want to come to Sheffield Dental School?

A

o Traditional.

o Virtual simulation - ORCA

o Very patient centred - from year 2 onwards you are trying to improve on the way you interact/treat patients.

o Possibility to do outreach placements in different parts of the world.

o BUCS - basketball league.

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3
Q

Why do you want to come to Plymouth Dental School?

A

o Traditional - start of year 1 working in small, integrated study groups.

o Very patient centred - trying to improve how their students treat patients holistically.

o year 4 ability to shadow specialist clinics.

The opportunity to intercalate between year 3 and 4 and undertake a one year MSC in one of their research labs.

o The barbican - destress.

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4
Q

Why do you want to come to Manchester Dental School?

A

o EBL-being able to work independently from the start

o You will be introduced to the clinical environment in the first semester of Year 1, enabling you to integrate theory and practice early on in the course.

o particular note is the use of Critically Appraised Topics (CAT), in which students pose a clinical question, eg ‘Is water fluoridation an effective means of preventing tooth decay?’, and assess the existing published literature to draw conclusions.

o interdisciplinary-themed theatre events combining presentations, clinical case presentations and interactive exercises.

o One of the biggest cities in UK.

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5
Q

How do you think you will cope with criticism from colleagues or other health professionals?

A

o Assume positive intent.

o You could ask your peers if they feel the
same way.

o Self-reflection.

o Ask your peers again if you have actually improved.

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6
Q

If u were the National Medical Director of NHS England which dental services would u invest the most money in?

A

o Patient: would want the best for the least amount of money.

o Dentist: would want to use the money they have been funded in the way which which treats the most patients (justice) (benifiscience)

o Government: would want to do the most for the least amount of money: this could mean they allocate most of the money towards public health campaigns - to the target population.

o Prepare for the future as well by thinking about rapidly growing problems.

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7
Q

What are some alternatives of the sugar tax? Would a sugar tax be better?

A

o Public Health Campaigns.

o Pros: People are less inclined to spend on sugary snack helping prevent tooth decay (benifiscience).

o Against: People from perhaps financially disadvantaged backgrounds may be unfairly treated as they may be taking care of their teeth/oral hygiene but affected on the foods they wish to buy. (Utilitarianism).

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8
Q

Did you have a mentoring role at school? If so, how did you get that role and what did you learn from it?

A

o Chess club - talk about the skills (NVC/VC gentle tone of voice) - back up with tell, show, do at the dental clinic you saw on work experience.

o Show support - if an individual found it challenging, explain how you went and helped them and took it at their own pace and worked with the individual through the teaching.

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9
Q

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

A

o Help your peers.

o Society - such as basketball.

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10
Q

How have you shown integrity and responsibility at school?

A

o You forgot to give your friends laptop back on the required day.

o Empathise.

o Apologise immediately.

o Relate to dentistry as this could possibly breach duty of candour.

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11
Q

How do you think the profession will change over the next 20 years?

A

o Talk about the shift to aesthetic.

o Ethical considerations.

o Back up by pillars/GDC.

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12
Q

A 15-year-old girl attends your practice with her mother and is complaining of toothache. After your initial examination, you decide to take an x-ray of the tooth. As part of the routine procedure, you ask the patient if there is any chance, she could be pregnant. She originally says no, but once her mother has left the room informs you that she has recently discovered that she is pregnant and is scared that the treatment may harm her baby. Discuss with us how you would react to this situation.

A

A. What are the issues to consider in this scenario?

a. The Patient’s Safety.
b. Gillick’s Competence.
c. Respecting dignity.
d. Gaining Valid consent – Autonomy and GDC 3.

B. What information must you keep in your arsenal when dealing with pregnancy ethical scenarios?

a. The Fraser Guidelines – regarding scenarios such as pregnancy, sexual health, and contraception.

b. Fraser Guidelines for a pregnant patient – Avoiding any routine X-rays or treatment unless there is a risk of deterioration or urgency.

c. In this scenario – The patient does have pain, so would need to consider the safest treatment to reduce the patient’s pain.

C. How must you also relay your communication to the patient?
a. Non-judgemental.
b. Respectful.
c. Respect her decision to not tell her mother if she assesses Gillick’s competence and shows maturity.

D. What are the different scenarios you need to consider?

a. If the patient assesses positive for Gillick’s competence and shows maturity – Then explain her options and obtain valid consent (GDC 3) for treatment that’s in her best interests.

b. If the patient does not assess for Gillick’s competence – Strongly encourage the patient to tell her mother if it is safe to do so.
i. Would not be able to gain consent as the mother is the decision maker and is not fully informed of the risks.

ii. Explain this to the patient and would then choose to help her to disclose the pregnancy.

c. If baby was at harm from not carrying out any treatment or not dealing with the cause of the pain – It would then be your duty to tell the mother in a secure, safe environment.

E. Are there any additional issues to consider?

a. Possibly any safeguarding issues – if I feared the patient would be unsafe if her mother found out.

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13
Q

You are a dentist expecting a patient you haven’t seen in a few years. This low-income individual does not have dental insurance and makes appointments only when significant treatment is needed. The last time you saw them, they were unable to pay for their dental services. What do you do?

A

o Important to identify that this individual has probably come into the clinic due to severe pain.

o Important to attend to this quickly and put the patient out of pain through a clinical examination.

o Then after the patient is out of pain, discuss the financial situation and empathise with the individual and be non-judgemental and see if there’s anything you as a dentist can do to help alleviate this.

o Then formulate a plan of action.

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14
Q

Should dentists be role models to patients?

A

o For: Lead by example and as a dentist you will understand the struggles of keeping up with hygiene and be able to empathise with patients better.

o against: discrimination (things dentist did in the past could inadvertently affect the dentist in a negative way) and dentistry is already stressful and keeping up with hygiene could be an extra added level of stress.

o In conclusion: Dentists should be good role models.

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15
Q

What is the role of a dentist/what is a good dentist?

A

o Go through the GDCs.

o GDC 6: see each individual in the team as an equal.

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16
Q

What are you looking for in a dental school?

A

o People skills.

o Science skills - manual dexterity and clinical knowledge and skills.

o Societies - outside of dentistry to help destress and manage stress.

o Relate these points to the dental school.

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17
Q

Can you convince me that you can cope with the workload in dental school?

A

o Talk about a situation in which you were stressed and remember to formulate a plan of action.

o How you also managed the stress - hobbies, play a sport etc.

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18
Q

Tell me about a mistake you’ve made?

A

o Example: Called an individual on the rugby team by the wrong name (was a new student that joined the school)

o Empathise, apologise and self-reflect.

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19
Q

If you have two patients who are in dire need of care, what factors do you look at to determine who you would treat first?

A

o NHS - Only looks at clinical needs; but if I had to choose.

o Biological - if they are in pain etc. - Justice.

o Psychological - Low esteem, self-confidence etc.- Beneficence.

o Social - If they are the breadwinner for the family etc, how much the dental treatment can not only affect how much money they make but how it inadvertently affects other individuals.

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20
Q

How would you describe the relationship between science and dentistry?

A

o Science - Say how it is a science - implement clinical research into practice when working with patients.

o Art - say how it is in art - the way you treat patients holistically and communicate effectively.

o However dentistry is not just a science nor an art but it is the combination of both.

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21
Q

What will be the most challenging part of your dental training and career?

A

o Stress.

o How will you manage the stress.

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22
Q

What is the last article you read about dentistry?

A

o Say the ethical pillars - justice for the example of hospital tooth extraction article.

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23
Q

You are a dentist who has been in practice for a number of years but are starting to feel a sense of isolation. You feel it’s difficult to establish close personal relationships as you sense nobody wants to see you or come back to see you, because either they come in pain, or you cause them pain. What do you do?

A

o Self-reflect - Am i putting patients at risk, patient priority is number one.

o Seek advice from a peer or individual within your MDT to see if you are causing any harm etc.

o Formulate a plan - Take a break from dentistry, Support network - speak to friends or family to help alleviate the stress, speak to point of support.

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24
Q

You have a patient who has not seen a dentist in more than a decade and they come in with a very large number of issues.

A

o Non-judgment/Non-authoritative - Tell the individual about the main issues at hand (i.e., reach a compromise) also display empathy (NVC/VC, gentle tone of communication etc.)

o Explain to the patient the importance of visiting a dentist and how it can impact their health etc.

25
Q

What makes a team work together well?

A

o Flexibility - ability to compromise.

o Point of support.

o Staying within your expertise - If each individual isn’t sure about a specific thing, then ask peers for clarification etc.

o Motivation.

o Establishing a rapport - doing non work activities together.

26
Q

What exactly about dentistry makes it a stressful position?

A

o Talk about the stresses and how you can manage it.

o Stresses: Time pressure, ergonomic stress, communication, not being able to treat some of the patients.

27
Q

Tell me the one most important thing when communicating with patients?

A

o Talk about communication with patients of different ages.

o Why is this important (because it allows patient to fully understand info and therefore valid consent).

o I’ve done this in… chess club with year7s vs year13s.

28
Q

How would you describe a successful career?

A

o People’s skill

o Science skills - perhaps hone in on a specific treatment.

o Perhaps include ways to manage stress.

29
Q

Tell us about a significant recent advance in dentistry, and why do you find it interesting?

A

o Assist dent.ai

o Talk about ethical considerations (Beneficence, autonomy, justice etc.).

o After each for and against, state the ethical pillar.

o Come to a conclusion.

30
Q

Describe the ideal patient?

A

o No ideal patient.

o Biological - Knowledge, misinformation etc.

o Psychological - Keeping to a strict schedule etc.

31
Q

How would you explain to a teenage patient who isn’t bothered about oral health that it is important to look after their teeth?

A

o Non-judgemental.

o biopsychosocial model - within the model I can justify each with the GDC guidelines/ethical pillars.

o Formulate a plan.

32
Q

Give reasons why a middle-aged smoker might not want to visit a dentist regularly.

A

o Non-judgemental.

o Biological - Misinformation on how important oral health is.

o Psychological - He may not want to face the fact he has a lot of complications or might think he is already addicted, and nothing can be done.

o Social - He may not have the support at home to keep up with oral health/quit smoking.

33
Q

You are a dentist waiting for a fee paying an NHS patient and reading the notes you realise that they haven’t seen you in a few years. This patient is not a regular attender and makes appointments only when emergency treatment is needed. The last time you saw them, they were unable to pay for recommended fillings. What do you do?

A

o Stabilise the situation.

o Talk in a non-judgemental and empathetic manner.

o Action plan - talk to the practice manager, recommend a cheaper alternative treatment, and management strategies.

o I’d seek to combat this issue by doing voluntary work.

34
Q

Why should patients trust you? How would you persuade difficult patients to trust you and your recommendations?

A

o Empathy.

o How you demonstrate the empathy (by understanding the context of a patient’s disease e.g. Biopsychosocial or NVC/VC).

o Empathy leads to rapport which leads to trust.

o Lastly trust is built over time - follow up consultations.

o Add a point to better answer the Second question- add that you’d tell them you have their best interests at heart.

35
Q

You are the captain of the school netball team and have an upcoming netball tour of New Zealand; you have arranged to meet your close friend Katie to advise that unfortunately she has not made the team. How would you break this news to her?

A

o Signpost.

o Then give her time.

o Apologise.

o Empathise - demonstrate empathy (NVC/VC, gentle tone of voice, etc.).

o Action plan.

36
Q

How would you organise a campaign to improve dental health?

A

o Public health campaign at leisure centre.

o Also do at my own practice and tell dental nurses to tell patients.

o This is to stress the need of preventative dentistry to the target population.

o Use emotive language that fits the target audience (avoids clinical jargon, simple words for kids, big font for elderly).

37
Q

Should dental treatment be free on the NHS?

A

o Context.

o Say for and against for the NHS being free (backed up by the ethical pillars):

for: discrimination against the poor - justice.

Against: unrealistic standards - non maleficence, financially not viable - justice.

o Come to a conclusion.

38
Q

If you had your own dental practice, what would you most like to organise differently, and why?

A

o People’s skills - communicating with MDT to improve the ethos of the team.

o Science skills - discuss ethical scenarios for unprecedented challenges with the team to help prepare for the day/week.

o Include preventative dentistry.

39
Q

How would you distribute funding for NHS dentistry? Which treatments would you prioritise?

A

o Which treatments specifically - tooth decay, periodontitis.

o To do the most good to the greatest number of individuals - utilitarianism

o Prepare for the future - educating individuals about preventative dentistry.

40
Q

What problems are there in NHS dentistry? other than the lack of funding?

A

o Time pressure etc would not be allowed.

o Introduce hot topics you have researched. (i.e. DIY dentistry, young dentist facing complaints).

o DIY dentistry - ethical considerations and to include the possible solutions - if we don’t educate them, they could get hurt - non-maleficence.

o Tooth decay in different areas in the UK - educate more on the preventative dentistry in different areas - Justice.

41
Q

Who leads the multidisciplinary team? When a procedure goes wrong is it the leader’s fault or those who have advised him?

A

o Dentist leads the team.

o Dentists’ fault as the leader is meant to overlook other members of the team.

o Members of MDT’s fault - it’s their duty to work within their competence and maintain their knowledge and skills - GDC 7.

o As both can be at fault - it’s a shared responsibility.

42
Q

How would you ensure a patient wears their retainers after braces?

A

o Use the biopsychosocial model.

o Demonstrate empathy and be non-judgemental.

43
Q

Tell me how to cook your favourite dish?

A

o Say ‘Are you following’ or any variation of the following after each group of statements and try not to say too often.

o Don’t assume knowledge also.

44
Q

Look at this picture and describe that picture.

A

o Be methodical.

o Use a specific structure: outside to inside/background to foreground.

45
Q

You are a 3rd-year dental student completing a shadowing? A fellow dental student who is with you often shows up to these sessions tired, messy, hungover, or even drunk. One day you found him in the lunchroom unaccompanied, so you decided to talk to him. Please enter the lunchroom.

A

o Empathetic and non-judgemental.

o Get a greater context behind why the student is feeling that way.

o Formulate a plan of action to solve the issue.

o Escalate.

46
Q

What impact do you hope to make in the field of dentistry?

A

o People skills.

o Science skills - remember to state career examples.

o Back up by GDC, ethical pillars etc.

47
Q

What is special about Dentistry in Plymouth University? Many would say we don’t have a diverse range of patients in the north and furthermore, there is far more cosmetic dental surgery done in London.

A

o Don’t disagree with their views.

o Combat it with their other positives.

48
Q

Dental training is long and being a dentist can be stressful. Some dentists who qualify never practice. What makes you think you will stick to it?

A

o Stress management.

o Organisational skills.

o resilience.

49
Q

How do you think you will cope with criticism from colleagues or other health professionals?

A

o Competent.

o Rugby - Used a formation during a game which teammates didn’t agree with.

o Assume positive intent.

o Ask peers.

o Self reflection.

50
Q

Give me a time when you have shown professionalism?

A

o DofE - Assigned roles to different individuals.

  • Teaching chess to younger children, didn’t prioritise one individual over the others, and gave equal weighting on each individual.

o Non-confrontational.

51
Q

Is it better to be a team leader or a team member?

A

o Team leader - rugby - less conflict between communication of ideas.
 More delegation of roles.
 Within the MDT.

o Team member - management of chess club - collaboration of ideas.
 CPD courses working alongside other dentists.

o Conclusion certain scenarios team leader effective and certain scenarios team member effective.

52
Q

What did you notice about the skills dentists needed when they were carrying out a consultation?

A

o Demonstrate Empathy, non-judgemental.

o Listen to concerns.

o Make a plan of action.

53
Q

What do you know about the traffic light system, and what are your opinions on it?

A

o Advantages - ethical pillars.

o Disadvantages - ethical pillars.

o Conclusion.

54
Q

What are some alternatives to the sugar tax? Would a sugar tax be better?

A

o Public Health campaigns.

o Preventative dentistry.

o Pros of sugar tax: Justice - doing a lot of good to the wider society as many people are positively benefiting from sugar tax.

o Cons of sugar tax: Autonomy - individuals don’t have the right to choose even if they have been having proper oral hygiene methods in their lives.

55
Q

What are some hot topics concerning NHS dentistry right now?

A

o Discuss the topic.

o Discuss the ethical principles.

o Discuss your solution to the problem.

56
Q

Think of a time when you had to say ‘sorry’ to someone. How did that change your relationship with that person?

A

o Empathy (NVC, VC).
o Takes time to build trust.

57
Q

What are the key things to remember when talking to someone with a different viewpoint? (e.g., a patient who does not believe that they require treatment)

A

o Empathy.

o Biopsychosocial model.

o Autonomy.

58
Q

How do you go about establishing rapport, especially with a patient?

A

o During my care home.

o Open ended questions.

o Demonstrate empathy (NVC VC).

o Built over time.

59
Q

Why is manual dexterity important in dentistry?

A

o During holidays soldering

o Work in tight spaces-precision for long periods of time stamina.

o Specific examples in dentistry.

o Better manual dexterity Improves patient outcomes significantly.