Questions Flashcards
1
Q
Why medicine?
A
- well-thought out decision.
- Dr Pimple Popper, captivated by patient centred approach and her ability to make patients comfortable.
- From their I read more and more into medicine and became more and more fascinated.
- Science: more interested in human biology, than eg. ecology. Enjoy how science applies to human.
- People: always wanted career with people, evident from voluntary roles undertaken.
- Challenges.
2
Q
Why not nursing?
A
- Increasingly non-doctor health professionals are taking more responsibility, which helps to alleviate stresses and pressures doctors experience.
- Ultimately, doctor makes final decisions, which equates to higher responsibilities for patients.
- Some roles/aspects eg surgery are only available to doctors.
- Ability to heavily specialise - unlike nurses who retain skills that can more easily apply to a wider degree of areas.
3
Q
Why Manchester?
A
- Communication skills learning centre provides great feedback - become more comfortable with interacting with patients and clinical examinations.
- Large amount of independent learning due to PBL course.
- PBL course, interacting with others in my year and having a discussion - helps build skills for working in an MDT.
- Large city in comparison to where I live, lots to explore and people to meet.
- Full body dissections - consolidate learning.
4
Q
Who would you give an organ to?
A
- Justice and clinical needs
- Impact on society, eg do they have any dependents? However this cannot be quantified and so ultimately won’t influence your decision.
- Commitment to post-op care - are they willing to take immunosuppressants? Limit alcohol intake etc?
- Discussion with MDT about which patients are best match, eg. blood type, organ size, distance between donor + recipient hospitals as these will impact success of transplant.
5
Q
What is empathy and why is it important?
A
Ability to understand a person’s feelings and viewpoint.
Helps understand root cause of behaviour/anxieties which helps create a clearer way of moving forward.
6
Q
Give an example of where you have displayed teamwork:
A
John Watson - violent child.
- Mini activities session with all classes.
- Student became violent towards teacher = has to ensure their safety, other students safety and staff safety.
- I was tasked with escorting other students back to classroom in calm and effective manner.
- All roles within a team are important, no matter the scale and contribute to positive outcomes.
7
Q
Give an example of where you have displayed leadership:
A
- Volunteering with KEEN.
- Attending craft session, and after a few weeks was asked to lead a session.
- Initially nervous, but took on board advice given by session leaders and observed their approach.
- Challenges = communication, folding paper into correct shape, tried many different approaches, eventually asked parent to help.
- Importance of adaptations
8
Q
An example of where I’ve shown empathy:
A
- Caring for nan with dementia.
- Can have days where she is sad.
- Easy to use distraction techniques like music but doesn’t get to the root of the issue.
- Concept of meeting her where she is, rather than expecting her to come to where I am.
- Step into her world and mirror her emotions - knowing she is accepted and heard can bring tremendous relief.
- Open ended questions and validating how she feels.
9
Q
BAME Staff:
Inequalities?
How are these being addressed?
A
- Inaccurate representation amongst board members.
- Recruitment issues due to lack of diversity at senior levels.
- Discrimination.
- NHS People Plan to increase BAME representation across workforce.
- NHS striving to engage further with staff and staff networks
10
Q
BAME patients:
A
- Black women 5x more likely than white women to die in childbirth.
- Detrimental health outcomes associated with socio-economic status of BAME groups.
11
Q
Brexit and the NHS:
A
- False pretence of extra funding.
- Staffing crisis - harsher immigration laws means shortage of over 40,000 nurses.
- Supply chain of medicines and impacts on medicine deliveries eg. insulin for diabetics.
12
Q
Abortion:
A
- 24 weeks of pregnancy in most cases, only legally allowed if 2 drs agree that it will negatively impact woman’s mental or physical health to continue.
- Pro-life vs pro-choice legal debate
- Legalisation of second abortion pill at home 2018, prevents risk of women miscarrying on journey home which is traumatic - opposed by pro-life groups that it trivialises abortion, pushes patients to experience trauma with no supervision, and cannot monitor if taken without force.
13
Q
A&E:
A
- NHS cannot meet 4hr standard due to austerity and staffing pressures.
- Longer waiting times due to rising attendance, lack of bed from delayed discharges and staffing shortages.
- Plans to scrap 4hr target by Matt Hancock (twat), but Drs say this will just result in problems being buried.
14
Q
Vaccinations:
A
- uptake of 13 childhood vaccines fallen between 2018-2019.
- Wakefield MMR scandal reduced patient trust.
- Falling numbers could also be because parents have forgotten seriousness of illness and have no urgency to vaccinate.
- NHS long term plan aims to improve local coordination and immunisation conversation in low uptake areas + MMR check for children aged 10-11 with GPs.
15
Q
COVID-19 Vaccinations
A
- Availability issues mean that gov is prioritising vaccinating max number of eligible people, rather than fully vaccinating ‘vaccinating more with half efficacy is better than half efficacy in only half’.
- Pfizer vaccine trial did not compare different dose spacing.
- Oxford vaccine did include trials, finding a longer gap led to a greater immune response.
- Issues with this 12 week gap being seen as ‘off label use’.
- BMA ‘cause huge logistical problems, with a terrible impact on emotional well-being of vulnerable’.
- Will consent still be valid?
- Vaccine resistance.
- Lowering public trust, so full evidence for decisions around vaccine should be readily available to public.
