interviews mmi and traditional mmi Multiple mini interviews

interviews mmi and traditional

mmi • Multiple mini interviews • Queen’s Belfast, Birmingham, KCL • Broken into sections where you will be presented with different scenarios • Role play, professional judgement, prioritisation, giving instructions, calculation and data interpretation, and PBL • Be confident, listen carefully, ask for clarification, be sensitive and compassionate, there ae no ‘wrong’ answers

mmi – giving instructions • You are given a map and have to give the examiner instructions on how to get from door A, to door B. • Break down into smaller steps • Be specific as possible with your word choice • Stay calm!

traditional • Cambridge, Imperial, Manchester • Question based – can feel more like a conversation than a series of back-to-back questions • A panel of interviewers: A GP? A lecturer? A med student? • Give spontaneous, but well thought out answers • Familiarise yourself with your personal statement • Know about the university

traditional - questions • From Your Work Experience, Can You Tell Me About A Difficult Situation You Observed/Had To Deal With And What You Learnt From This. • One incident that stood out to me was during my work experience in a GP surgery, where the GP had to deal with an extremely angry and aggressive patient/ break some bad news to a patient. I admired the way the Doctor adapted his communication skills to the situation to calm the patient down/demonstrate empathy by relating to the specific set of circumstances. This has made me value the importance of communication in the Doctor-patient relationship even more. Since then, I, myself, have also tried to be more aware of the power of my communication skills in difficult situations and have really noticed the

WHAT ARE THE 6 C’S OF THE NHS • Care – patient centred • Compassion – empathetic, understanding • Competence • Communication – multidisciplinary team • Courage – dealing with difficult situations • Commitment

MORE THINGS YOU NEED TO KNOW • The NHS was launched in 1948 by the health minister at the time Aneurin Bevan. • Primary care – first point of contact with the healthcare system e. g. your GP, local pharmacy, dentist • Secondary care – hospital care e. g. a planned operation or emergency care • Tertiary care – highly specialised treatment e. g. neurosurgery, transplants

MORE THINGS YOU NEED TO KNOW • The NHS help over 1 million people every 36 hours • Funding for the NHS comes from taxes and national insurance contributions. • Some challenges the NHS faces are: - An ageing population - A growing population - Evolving health issues like antibiotic resistance and an increasing number of people with obesity and diabetes

What are the 4 medical principles? • Respect for autonomy • Beneficence • Non-maleficence • Justice

Why are these important? • Respect for autonomy – Respecting patients right to make their own decision in terms of their health care. • Beneficence – Ensures care has a net benefit and the patient is protected. • Non-maleficence – This is where medical professionals have a duty to avoid risk or minimise it where it is not possible to eliminate. • Justice – There should be an element of fairness in all medical decisions that are made.

Example of medical ethics in use • Case No. 1: A doctor has a disease that interferes with his ability to treat patients. • A patient was having brief lapses of consciousness related to complex partial seizures, a form of epilepsy that had gone unrecognised. He had at least one seizure in the hospital that was so brief no one saw it. The second doctor was uncertain about whether to uphold the privacy of the doctor-patient relationship or to inform the hospital staff. • The issue: The protection of patients in the OR overrules doctor-patient privilege. If his condition is untreatable it should be disclosed to the hospital. It’s then up to hospital administrators to decide whether the doctor should be allowed to treat patients. The doctor treating the anesthesiologist would encourage the anesthesiologist to report himself. If the anesthesiologist refuses to cooperate his doctor would be obliged to go to the hospital administration. • The outcome: His doctor told him it was serious enough that he could not honour his privacy if the anesthesiologist did notify his chairman. The anesthesiologist did and resigned his position. It would be up to that hospital to evaluate the anesthesiologist to see if he was capable of working safely with patients.