Questions Flashcards
Why pediatric respirology?
-The class I enjoyed the most during my medical studies
-The best role models I encountered were pediatric respirologists.
-I enjoy understanding the physiology behind diseases, and respirology offers a lot of insights in this area.
-My personal life has also influenced me—one of my favorite authors has cystic fibrosis, and I’m passionate about diving, a sport that involves a lot of respiratory physiology.
-There are many interesting research opportunities in respirology, and exciting new treatments, such as Trikafta, are emerging.
-I appreciate the technical aspects of the field, as well as the good balance between clinical and paraclinical tools used to establish diagnoses.
-Respirology involves a lot of collaboration with other healthcare professionals and emphasizes prevention.
Speak about yourself
- Name + age
- Where I come from
- Collaborative skills during medical school (prompt committee , conference organizer on respirology and mental health)
- During the same period, I did a lot of volunteering (homework supervizing, fundraising campaigns) –> concrete exposure to the effects of dererminants of health on our community. Helps me to be more sensitive to health inequities.
- Now 3rd year of pediatrics, passionate with my training. My colleagues would describe me as a motivated, rigorous and positive teammate.
- Pediatric respirology cf ci haut
What are your qualities?
- Stay calm even under pressure –> helps me to keep a big picture of the situation and to stay organized and efficient. Comes from my ability to trust my colleagues and to delegate tasks efficiently.
- Open to comments and critics. After difficult on-call shifts or busy days, I always think about how it went and how I could improve my work as well as my communication and teaching skills.
- Positive leader: thank students for their work, highlighting everyone’s achievements. I think that the key to having a well-functioning team is to create an environment where everyone feels equally important and respected.
- Quickly adapt to new environments: They told me so in my pediatric psychiatrics rotation. I integrate teams quickly and I can work with various types of personalities. I am discrete and I leave room for everyone, but I am also able to clearly share my point of view and to discuss with my colleagues in more difficult situations.
What are your flaws
- Demanding of people around me –> can lead to tension or disappointment. I have lots of projects and I want to include people in these projects. Example of sports. Telling to myself that it’s ok if the people I love don’t have the same needs and values as me
- Competitive –> Can be positive because I push myself but and lead me to see situations from an ‘all or nothing’ perspective . Example of half-marathon. Telling to myself that it’s better to do it and to lower my expectations than to not do it at all.
- Easily feel guilty
- Always in a solution mode when sometimes people just want me to listen at them
What was the hardest thing you ever experienced?
-ID rotation
- Many consults each day and we rarely can eat lunch before 3 PM and go back home before 9 PM
- ID specialists are intense and passionate, but very strict with students when it comes to teaching
- There is a negative dynamic as they are complaining a lot and they criticize a lot the approach of other doctors which makes the day heavier
- I could not identify to this work ethic
- It was an exercice of patience and tolerance for me and it was an occasion to identify some supervision methods that I don’t want to replicate.
Situation where you had leadership
- Recently, we chose our study groups for Royal College study
- We are 8 PGY-3 residents, and we needed to form 2 groups of 4 people
- We have a colleague who is extroverted and sometimes a bit stressed out and some of my colleagues totally refused to be with her for studying and she was upset and crying because she felt excluded
- I also agree that it’s more difficult to work with her than with other more calm and soft colleagues
- However, I tried to act as a positive leader, and I told her that I would be grateful to study in the same team as her even if it was not necessarily the best option for me either.
- She finally joined our study group and was very grateful
- At the end, it might not have been my first choice of teammate, but I believe it was important for her to feel included in a supportive team that cared for her. It also gave to my colleagues an example of respect and tolerance. These are important values in the medical field where we must interact and collaborate with so many parents and team members even if the personality fit is not optimal.
Research project
- Name
- Supervisor
- We studied patients from our Quebec clinic (n=56)
- Statistically significant difference in means of 0.65 between the number of respiratory pathogens in the year following ETI compared to the year before. We also found a statistically significant degrease in P. aeruginosa prevalence (difference of means of 0.45) and a nonsignificant decrease in S. aureus prevalence (difference of means of 0.79).
- Happy with this project –> field I would like to specialize in + revolutionary treatment + allowed me to develop my autonomy
Which research project would you like to do during your fellowship?
-Other project in the CF field would be my first choice because it’s the field in which I would like to specialize in order to return in Quebec City.
- Name the specific staff who do research project in this field at each hospital
Why do you want to complete your fellowship at our university?
Answer adapted to each university (they all look so interesting!!)
How do you teach
- I like to listen to the case, and then complete with key information
- I ask questions because I consider that it’s a good way to remember the information, especially if we don’t know the answer and need to search for it
- During academic presentations, I enjoy true/false quizzes and clinical cases
- I love talking about physiology and this is a reason why I enjoy resp where there is a wide physiologic component with ventilation, altitude, respiratory physiotherapy, etc.
Did you have any mentors during your training?
Dr Daigneault
Are you interested in teaching?
- Yes, I love teaching and if I had not been in medicine, I would have chosen teaching as my profession.
- I find it more stimulating to work as a team instead of working alone as they sometimes do so in community centers.
- I enjoy being asked questions by students and I find out that explaining something to others makes it even clearer for me
- As I had the chance to be accompanied my mentors during my residency, I want to play this role for younger students too.
Can you tell us about an interesting case you had?
CF patient during my PICU rotation, lung transplant planning, example of perseverance, multidisciplinary care
Why should we take you?
- Passion for pediatric respirology which would allow me to be dedicated to my fellowship. I confirmed that I love this subject by completing a lot of electives in this field. Next year, I’ll also ask for related electives such as ENT and anesthesia.
- I’m really interested in research and as I already did it during my pediatric training, I would like to continue participating in conferences and to develop projects especially in the CF field.
-I am able to adapt to the environment around me. For example, when I did my internship at McGill, I lived near a swimming pool, so I started swimming. When I did an internship at Hôpital Saint-Pierre, I would run on the beach. In Quebec, I live near cross-country ski trails, so I often go skiing. I am versatile and know how to make the most of every experience.
- Great personal/work balance which makes me a positive and calm colleague. I have a positive perspective on what I experiment and I am described by my colleagues as an easygoing resident.
How do you see yourself in the future?
- I would like to return to Quebec City with a specialization in CF and tuberculosis.
- Gradual transition of responsibilities when I come back
- Doing lots of teaching
- Research on CF
- Presentation in conferences and attending events such as CPS and CRC. I already know two pediatric respiratory fellows in Montreal and I imagine myself going to national conferences and meeting them there, organizing social activities and catching up with some other respirologists across the country
What will you do if we refuse your candidature?
It’s sure that I will be disappointed, but in the worst-case scenario when I’m not chosen in any resp faculty across the country, I would be happy to become a general pediatrician and to orientate my practice in respirology. I would maybe communicate to you later in my studies to complete a one-year fellowship after ending my general pediatrics formation.
Difficult medical situation
PICU or SAVI situation
Which is the worst flaw a doctor can have?
I think that the most important quality a doctor should have is kindness and compassion. According to me, it’s the basis in order to create a strong relationship with the patient.
Conflict?
Separation of study groups
Regrets?
- Not playing music
- Too small appartment
Are-you willing to move?
Yes! I’ve been planning to apply to pediatric respirology since the beginning of my pediatric training. I know for a while that this subspecialty is not offered in Quebec City and I had a lot of time to think about where I would like to move. I also had the occasion to discuss about my projects with my boyfriend and with my friends and family. This long-time based decision makes me ready to move and I’m motivated by the field I chose and by this occasion for me to speak English a lot and to see another way of doing things. I think I’m lucky to have the occasion to move for work and I look forward to this new step.
What did you find the most difficult during residency?
- Irregularity of schedules. I like to stick to a routine, for example I try to go running every two days. I needed to adjust my expectations and to organize my activities in a more irregular schedule. In the beginning, I found it more challenging, but I’m now used to do it that way and I feel okay like this.
- We are the program where residents work the most in the province of Quebec after General Surgery program. I also found that part difficult because it leaves less personal time to keep doing what we like outside medicine. For me, it was important to keep doing sport, to continue to see friends outside medicine and to keep reading which is my favorite hobby. J’ai trouvé des strategies au fil du temps pour essayer de ne pas m’égarer de mes priorités. For example, It’s really helpful for me to do a schedule and to plan in advance everything I want to achieve during the day to keep motivated and efficacious in my work. I also tried to insert what I love in my work routine. For example, I started in the two last years to go to work by bike and I even went to a bike shop this winter to customize my bike and make me able to use it even in the snow. I still find out that my work takes a lot of my time, but au moins je reste heureuse de travailler puisque j’ai trouvé des moyens de rester épanouie sur le plan personnel.
What was the last article you read?
Diagnosis of Post-Hematopoietic Stem Cell Transplantation Bronchiolitis Obliterans Syndrome in Children: Time for a Rethink?
New diagnosis criteria for BOS
How do you create a confidence relationship?
When I begin a new rotation with staff I don’t know well, I try to arrive prepared by reading in advance on the discipline. I try to give the maximum I can since the beginning because for me it’s a sign of respect that facilitates the work after. I really like when people feel like they can trust me.
With patients, I make sure to have enough time when it’s the first time we meet and I try to ask more open questions at the beginning so I get to know them better when they feel at the same time as I’m truly interested in them. Moreover, I make sure to explain to then the different steps of the meeting so they can feel comfortable in the new environment.
How do you make sure that your decisions are evidence-based?
In every rotation, I have access to online files with a lot of scientific articles that I like to read in complement to the clinical cases I had during the day. Another way to reach out for new evidence-based information is to read the AAP Pediatrics in review or to go to different conferences each year to present as well as to assist to different conferences.
Error I did?
Clinic PGY-1
Stressful situation?
On-call shifts with two emergencies at the same time
Do you have questions for us?
- How do on-call shifts work at your hospital? Do resp fellow cover general pediatrics wards or they cover only respirology? Is is at home or at the hospital? How many shifts each month?
- How many resp fellows do you usually have at the same time?
- What is the things fellows enjoy the most about your program?
- Are you performing lung echograph?
- Are there any committees we can we get involved in?
Quels sont mes bons coups/fiertés
- OSCE before Christmas
- Presentation on severe asthma
- Improvement in my supervision of medical students/increase in autonomy in clinics
-Separation of study groups/positive leadership
What I enjoyed during my respirology rotations and what I enjoyed less
:) Staff, common subjects, prevention, mix with ID (TB), lots of discussions on complex cases, autonomy
:( Emotionnaly difficult cases ex. adolescent patients with CF who developped behavioral issues and are refractory to treatment, recently newbord with PCD and important respiratory distress/SMA patient on which genic modificator zolgensma did not work well
What will be easy for me during the fellowship and what will be more difficult
:) Passion for the subject, so dealing with cases, preparing clinics, doing presentations and studying will be exciting for me. I’m also calm and discrete, so I’m confident that I will build new positive relationships with the staff, the other fellows and residents and other hospital professionals.
:( Even if I easily adapt to new environments, I think I might find it difficult to live far from my family and my friends. I will try to go back to Quebec as often as I can and I would clearly have a sofa-bed so I can receive the people I love. I think that working in an anglophone hospital will also be a challenge at the beginning, but I liked the challenge at McGill and my rotation went well anyways.
Situation with a lack of professionalism
Cardiologist who says that medical archives are not ordered in the right way since black-skinned people do the job.
What annoys me
When people don’t trust me
Teamwork situation where I performed well
Elective admission of a patient who received a new diagnosis of metabolic rare disease
