SJT

Question 1

If patient late by around 30 minutes = allowed to decline appointment

Answer 1

Vomitting - May be disease not just food posioning

Question 2

Arrowhead technique - Is the overall situation appropriate or not appropriate? Go from there

Answer 2

DNR orders do not need family consent

Question 3

Layers - Does the action solve the main underlying cause?

Answer 3

Will the action taken improve or worsen the situation

Question 4

‘Hollow’ comforting responses - responses that do not necessarily help or comfort the person who it is given to

Answer 4

Always own up to clinical mistakes

Question 5

Mitigating factors - Contexts which can secure an answer option

Answer 5

Diverging paths - Think about the consequences of an event and the responses to the event which are not explicitly told in the question

(THIS IS THE MOST IMPORTANT RULE)

Question 6

Flexibility with patients with foreign language is good

Answer 6

Working hours - Generally important, especially if overworked

Question 7

It is generally not important if a staff hears a slur or offence as it is NOT ACCEPTABLE for whoever said the remark to say it in the first place

Answer 7

Lets say:

You are a doctor and your student is a student and they are or seem to be breaking the dress code:

then it is of minor importance if they get offended

Question 8

Hospitals are not North Korea, there are no clear cut guidelines most of the time and you need to be sympathetic and understanding. Sanctions should generally be a last resort.

UNLESS: The action is inexcusable in a medical setting (e.g confidentiality breach, inappropriate behaviour, illegal drug use etc.)

Answer 8

Reputation is not a factor or excusable the vast majority of the time

Question 9

Skipping academics for social events (e.g weddings) is unprofessional and not appropriate

Answer 9

Negative emotions of the your character needs to be kept at a minimum but not totally ignored either

Question 10

Stress must be accounted for

Answer 10

Even though it may be said for good intentions, try not to make your response sound like an excuse

Question 11

The very inappropriate box is generally only reserved for ethical breaches

Answer 11

You should not be only reserved to ask one doctor

Question 12

A fault that does not seem to be important could hold some importance as it could be used as a basis in discussion after the fault

Answer 12

Personal opinions should be kept to a minimum or never at all

Question 13

You need to be confident towards patients

Answer 13

Plagiarism is never ethical

Question 14

It’s not a doctors duty to do maintenance duties

Answer 14

Patient’s should be examined in hygienic, certified conditions

Question 15

Parents can withhold medical info provided their child is a minor

Answer 15

It is against GMC to treat family members

Question 16

Respect boundaries

Answer 16

More effective tool = Most appropriate

Question 17

It is very important to be confident when presenting

Answer 17

Wellbeing is on the ‘important’ option if it is not the greatest issue presented

Question 18

If a promise has been made in the past that is not strictly medical, then it is of minor importance

Answer 18

Patient autonomy > doctor’s ideas

Question 19

Making patient happy = important

Answer 19

If patient angry then outlook of hospital not important at all

Question 20

If someone is at subject of harm (verbal/physical), current workload should not be first priority

Answer 20

You can ask members of a group for concerns of an individual

Question 21

Understand roles

Answer 21

If you are in conflict with another member of staff, then try to politely resolve it as soon as it is appropriate

Question 22

Someone accidentally leaking patient info should have no importance

Answer 22

Make no assumptions

Question 23

Waiting to report misconduct is inappropriate but not awful

Answer 23

Apologising on behalf of others is appropriate but not ideal

Question 24

Pick the most helpful response for Most Important

Pick least helpful for Least Important