*MEGATHREAD* Medicine 2021 Interviews discussion

I see!
Still haven't been anywhere near a theatre so I have no idea how they work
This one then appeared in my reccomended and made me giggle: https://www.youtube.com/watch?v=xyfua5CFql0





We had a session on how to ICE patients! And then got told "however you still need to listen to them after asking the questions"

This is actually turning into very good revision

Would it be classed as illegal? And it says to inform the patient and work with them when disclosing something.

Would it be classed as illegal? And it says to inform the patient and work with them when disclosing something.

Another legendary video!
As I say, we have SOOOO many med students/trainees at the minute, I spend my day saying "........and ICE.......?"
But listening to the patients??? Come on, we have to be realistic......! Next someone will suggest you address their ICE!

Are they first years? My GP hasn't mentioned ICE, but we have a meeting after morning clinic where we describe the patients we saw and after each one he asked us "do you think this consultation was an example of shared decision making"!

We're meant to address the ICE? Not just write a reflection on how well we ICEed a patient???

We have 4th and 5th year med students and a GPR at the minute.
ICE and shared decision making, along with Calgary-Cambridge are things I talk about in my sleep at the minute. The actual "medicine" is the easy bit

Reflection is key. I often reflect how far away I was from meeting a patients expectations

The 4th and 5th years actually get to do things, right
Right now, for us it feels like the opposite - saying "what do you think about that" is easy, the concept of diagnosing someone is terrifying!

Do you write reflections, or do you just reflect on it with colleagues/in your head? We have written reflections to "pass" our placement module, it's oddly intimidating

And today's question of the day is *drumroll*:

You're a GP working in a rural practice. Your patient today is a 65yo man who has come to see you about his knee pain. He has had osteoarthritis in his right knee for several years and was happy to manage with painkillers, but it's now interfering with his ability to work as a dairy farmer.

You assess the patient and conclude that his best option would probably be a knee replacement. However, he's a heavy smoker and probably wouldn't be a suitable candidate for surgery unless he quits smoking. When you tell him this, he refuses to quit and becomes angry, saying that he doesn't care about the risks and needs the surgery.

How would you deal with this situation?

n.b: you can always ask the interviewer questions if you're unsure of what something means!

Hi guys

I was going through some interview questions and many people suggest to link back the question to medicine. While this may seem appropriate during questions on work ex/voluntary work, is it necessary to do that for every question?

For example; if the questions asks for my greatest strength, and I say perseverance, would I have to go on to say that perseverance is a key attribute in doctors? The example I read elaborated:
"I saw perseverance in doctors when a doctor attempted to take some blood from the vein of a patient and didn’t succeed the first time around. He didn’t give up but tried again and again."

This example seems sort of unnatural/not very significant. Should I always try to link it back to medicine like the example has done?

..."I saw perseverance in doctors when a doctor attempted to take some blood from the vein of a patient and didn’t succeed the first time around. He didn’t give up but tried again and again."

Haha that makes sense. I read that as an exemplar answer in Medify! They’re getting increasingly harder to trust.

Hi guys

I was going through some interview questions and many people suggest to link back the question to medicine. While this may seem appropriate during questions on work ex/voluntary work, is it necessary to do that for every question?

For example; if the questions asks for my greatest strength, and I say perseverance, would I have to go on to say that perseverance is a key attribute in doctors? The example I read elaborated:
"I saw perseverance in doctors when a doctor attempted to take some blood from the vein of a patient and didn’t succeed the first time around. He didn’t give up but tried again and again."

This example seems sort of unnatural/not very significant. Should I always try to link it back to medicine like the example has done?

Haha that makes sense. I read that as an exemplar answer in Medify! They’re getting increasingly harder to trust.

What they've done is illegal, but do doctors have a duty to report something just because it's illegal? Read this bit of what ecolier linked about what it means for disclosure to be 'required by law' in this context: https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/confidentiality/disclosing-patients-personal-information-a-framework#paragraph-17
Do you think the situation would be different if the patient said he had illegal fatal poisons which he intended to use on others, for example?

Have you purchased the Medify interview package?
If so, how is it?

I’m still on the introductory sections, but it seems okay.

The reason I’ve bought it so that I have a ready made wealth of topics. Their knowledge bank is good, and tells you how to deal with particular scenarios. I’ll update you when I have read a little more

This one is interesting, if a child had a serious genetic (recessive mutation) and after mapping both parents and the child's genome they find out that the father is not the father of the child. What would you do?

I would probably discuss that I either have to break the confidentiality of the mother (not telling her husband that the child is not his) or break the autonomy of the father ( he has a right to know if he has such a recessive mutation and that if he does not have it then he should know that any child he has can only be a carrier or not be affected - assuming that the mutation does not occur for the first time in one of his children - statistically v unlikely).

This, however, would be a MDT decision and I would definitely explore it with more senior medical professionals (like my consultant supervisor) asking for guidance as well as consulting any hospital policy and the GMC guidance.

However, I would personally lean towards informing the father (however, I would ask the mother in private if she will tell her partner first, explaining that if she doesn't I will inform him - and give her time to tell him if he wishes) for a few reasons: a) If the father later finds out (even months/years later) he could feel betrayed which could erode a doctor-patient relationship - which could have serious consequences down the line. b) The importance of giving the father the information to make assessments based on his own health and genetics - he could choose to never have children again for example.
I believe this outweighs the mothers confidentiality - and the trust that the mother could loose in me as a doctor (assuming that she is informed i will tell her before hand and that also this is handled in a discreet and sensitive manner - it is likely going to be an emotional and (possibly anger fuelled) situation that as a doctor I should attempt to handle carefully without judging the mother.

Have I missed any points? Please let me know if you have any feedback!