A Free Resource to Help You In Your Practice and Preparation
| Specialty | Question |
|---|---|
| Anaesthetics | What is the reversal agent for rocuronium? |
| Anaesthetics | What is your approach to the delivery of education? |
| Anaesthetics | Why do you want to train in anaesthesia? |
| Anaesthetics | What are the positives of training/working in anaesthesia? |
| Anaesthetics | What are the negatives of training/working in anaesthesia? |
| Anaesthetics | What previous anaesthetic experience do you have? |
| Anaesthetics | What is the role of the anaesthetic registrar? How do you feel you fit that role? |
| Anaesthetics | What do you know about the training program? What would you change about the training program? |
| Anaesthetics | What physical and safety issues might you face training/working in anaesthesia? |
| Anaesthetics | How is anaesthesia different from other types of medical practice? |
| Anaesthetics | How does anaesthesia relate to other components of the Australian healthcare system? |
| Anaesthetics | What are the skills/attributes of a good anaesthetist? |
| Anaesthetics | What will you be like as an anaesthetist? |
| Anaesthetics | How have you prepared yourself to become an anaesthetist? |
| Anaesthetics | What does an average day involve for an anaesthetist? |
| Anaesthetics | Who do anaesthetists work with? |
| Anaesthetics | What one achievement on your CV do you think best shows you would make a good anaesthetist? |
| Anaesthetics | Have you done any anaesthetic courses? |
| Anaesthetics | What are 2 challenges facing anaesthesia as a specialty? |
| Anaesthetics | What changes may take place in anaesthesia in the next 10 years? |
| Anaesthetics | What is clinical governance? Why is it important in anaesthesia? |
| Anaesthetics | What is the role of information technology in anaesthesia? |
| Anaesthetics | Who is the most important person in theatre? |
| Anaesthetics | What are the critical elements of patient consent? |
| Anaesthetics | How would you prepare a presentation for your department? |
| Anaesthetics | In ICU a senior reg is called away, nurse asks for airway support on a nonventilated post-op patient, what do you do? |
| Anaesthetics | A colleague is behaving strange and appears to be intoxicated, what do you do? |
| Anaesthetics | Give an example of a confrontation with a colleague or patient. How did you respond to the situation? |
| Anaesthetics | What is bullying and what would you do if you or a colleague were being bullied? |
| Anaesthetics | Tell us about a time you made a mistake and what you did about it. |
| Anaesthetics | Tell us about a time when something went right or wrong in a situation and what actions you took. |
| Anaesthetics | Tell us about a challenging conversation you have had and how you dealt with this. |
| Anaesthetics | You have been to a conference which has shown treatment x is best for condition y. You get back to work and your consultant prescribes something other than treatment x. How do you deal with this situation? |
| Anaesthetics | Often egos come into play when dealing with patients perioperatively, how do you ensure this situation doesn’t lead to altered patient care? |
| Anaesthetics | Patient’s often have NFR orders, how do you deal with these in the perioperative period (e.g. for a #NOF)? |
| Anaesthetics | Tell us about a time when you received negative feedback and how you handled it. |
| Anaesthetics | Tell us about a time when you made a sacrifice for a colleague or patient. |
| Anaesthetics | How did/would you deal with it if that person didn’t reciprocate when an opportunity arose? |
| Anaesthetics | You take 4 attempts to get a cannula in for a patient. She writes a letter of complaint about you afterwards, saying that you are incompetent. How do you respond? |
| Anaesthetics | Give an example of when you worked in a team and what made it work well. |
| Anaesthetics | You are walking past a patient in recovery and notice they are aspirating from their LMA, what do you do? |
| Anaesthetics | Your consultant wants to do a regional block but the patient refuses. Once under GA, the consultant starts scrubbing to do the block. What do you do? |
| Anaesthetics | You give a patient the wrong bag of blood. What do you do? No adverse consequences occur, do you tell the patient? |
| Anaesthetics | An anaesthetic nurse tells you that she is worried about another trainee. |
| Anaesthetics | She thinks they are not coping and that they are having difficulty with the specialty. What do you do? |
| Anaesthetics | You are a team leader in a trauma situation, a person in your team is not coping or is not competent to do a task. What would you do? How should you ensure the team members are coping? |
| Anaesthetics | When do you feel that you are competent do something by yourself? When do you call for help? |
| Anaesthetics | You are asked to see a patient in recovery who is agitated. How do you assess them? |
| Anaesthetics | What do you think is better, having a person who has poor skills but is great to get along with and have a beer with, or having someone with exquisite skills but has a ‘personality disorder’? |
| Anaesthetics | You are called to ED to help intubate a patient (morbidly obese, SpO2 90%). When you get there, the ED reg says to the nurse, “OK, s/he’s here, give the propofol, let’s go”. What do you do? |
| Anaesthetics | Tell us about a time where you went above and beyond the call of duty. |
| Anaesthetics | Tell us about a time when you had to manage conflicting priorities. |
| Anaesthetics | Tell us about a time when things didn’t go the way you wanted – like a promotion you wanted and didn’t get, or a project that didn’t turn out how you had hoped. |
| Anaesthetics | Common non-clinical scenarios Have a structure to answer each Surgeon wants to start operation / urgent case Leaving theatre for other urgent task Emergency ETT without boss Complaint from patient Death on table / crisis / error Drunk boss/surgeon/reg etc Poorly-performing colleague |
| Anaesthetics | 3. You are doing the anaesthetic for a caesarean. It is an epidural that is effective up to T5 pre-operatively. The patient starts screaming in pain. What do you do? Why is she screaming? |
| Basic Physician | 70 yr Pt with chest pain. Rural Hospital Emergency Department. Prev renal transplant, diabetic. BP 70/40 diaphoretic. What will u do to assess and manage? ECG shows narrow complex sinus tachycardia. What will you do now? |
| Basic Physician | 92 yo patient brought in by ambulance from nursing home, GCS 9, how do you go about finding the history? |
| Basic Physician | A woman who has felt unwell for several weeks to months comes in with a creatinine of 600 – What do you do? What are the indications for dialysis? |
| Basic Physician | All of us have made mistakes in our careers. Give an example of a mistake you made and what you learnt from it. |
| Basic Physician | As part of the BPT training at POW, BPT candidates are required to go, for at least 3 months of their training, to a rural location. Are you willing to go to our rural hospitals and why/why not? |
| Basic Physician | Clinical scenario = Metastatic colorectal cancer presenting with shortness of breath – What are your differentials and management of this patient? |
| Basic Physician | Clinical scenario = Metastatic prostate cancer patient presenting with lumbar back pain, constipation, abdominal pain and confusion – What are your differentials and management of this patient? |
| Basic Physician | How do you deal with/manage stress? |
| Basic Physician | How do you handle stress? |
| Basic Physician | Name a time that you’ve dealt with conflict and how you handled the situation? |
| Basic Physician | Neurology - Motor neurone disease pt in respiratory failure in ed. How would you approach? |
| Basic Physician | Neurology - Myasthenia gravis pt with sensation of something stuck in their throat - may have a neurological or non neurological problem, do they need admission? |
| Basic Physician | Neurology - Some people say neuro is very difficult, give some reasons why they are wrong |
| Basic Physician | Neurology - Tell us about a development in neurology that interests you |
| Basic Physician | Neurology - Why do you want to do Neuro? |
| Basic Physician | Patient with poorly controlled diabetes presents with foot ulcer under great toe - how would you manage this clinical situation? |
| Basic Physician | Scenario = You are a medical registrar on night shift. You are asked to review a stroke patient on the neurology ward. He is having new fevers, is not responding now to voice and has no advanced care directive in place. On reading the progress notes, you note that this patient has been steadily deteriorating during hospital admission. How would you further manage this patient? |
| Basic Physician | Scenario = You are a medical registrar on the cardiology team. A patient of yours is having an arrhythmia. Your consultant wants to give amiodarone, however the advanced cardiology trainee has reviewed the patient and feels sotalol is sufficient. How would you manage this situation? |
| Basic Physician | Scenario = You are a medical registrar working an afterhours shift. You are called to review a renal patient (60yo) on the ward during a clinical review call for reduced urine output (PACE, RACE). You notice that their renal function has deteriorated significantly from baseline. The patient is also hyperkalaemic, clinically dry and an ABG reveals a high anion gap acidosis. He is also complaining of chest tightness and palpitations on further questioning. The patient has no advanced care directive in place and he is not previously on dialysis. Talk us through your management of this patient. (The interviewers then kept asking questions during your answer, like patient is now hypotensive, what would you do (ie: escalate to rapid response call/ICU involvement), what would you say to ICU when they arrive. Family has arrived, describe to us what you would say to them. How would you discuss the advanced care directive with the patient? What are your differentials?) |
| Basic Physician | Scenario = You notice your fellow BPT is coming in late to work, being depressed in mood and not managing their patients effectively. Describe to us how you would handle this situation? |
| Basic Physician | Scenario: You are a medical registrar on the haematology team. You are currently looking after a NESB patient with end stage myeloma who has severe back pain. The patient's family are refusing opioid analgesia because they feel this will hasten her death. How would you manage this situation? |
| Basic Physician | Scenario: You feel your consultant is being unnecessarily harsh to your intern. Your intern is very upset about this. How do you manage this situation/what steps do you take in broaching this with your consultant? |
| Basic Physician | Tell us about a difficult time in your life and how you managed it/came through it. |
| Basic Physician | Tell us something non medical about who you are? |
| Basic Physician | What do you feel are the roles and responsibilities of a BPT? |
| Basic Physician | What do you know about the RACP PREP program? |
| Basic Physician | What do you understand the BPT role to be? |
| Basic Physician | What have you done to manage stress? |
| Basic Physician | What is a physician? |
| Basic Physician | What is a physician/what does it mean to be a physician/what are the qualities of a BPT? |
| Basic Physician | What is hypotension, how do you measure/define it, list the causes |
| Basic Physician | What qualities do you possess that make you a good leader? |
| Basic Physician | What skills/qualities do you possess that makes you capable of becoming a good physician? |
| Basic Physician | What would you change about the healthcare system? |
| Basic Physician | Where do you find yourself in 5 years? |
| Basic Physician | Which medical professional, whom you have worked with, do you admire most |
| Basic Physician | Why do you want to do BPT at [xx]? |
| Basic Physician | Why do you want to do BPT in the [xx] network? What do you have to offer for our BPT program? |
| Basic Physician | Why have you chosen the [xx]network to do BPT at? |
| Basic Physician | Why have you chosen to do BPT in the [xx] network? |
| Basic Physician | Woman with metastatic breast cancer - you are asked to review her as she has haematemesis and is tachycardic and hypotensive. Before you call consultant she arrests - what would you do now? |
| Basic Physician | You are a first term BPT, and your boss is unsupportive, rude, exercises poor judgement, and often rounds out of hours, how do you handle this situation? |
| Basic Physician | You are called by your intern after hours when you are the most senior person in the hospital. The intern is with a post operative patient that has collapsed. What would you do in terms of further management? What is your differential diagnoses list |
| Basic Physician | You are working in a busy rural hospital when you note your colleague is over worked and stressed. How would you approach the situation? |
| Basic Physician | You have just diagnosed a patient from a NESB with terminal pancreatic cancer. A family member approaches you, insisting that the diagnosis remain kept from the patient. How do you manage this situation? |
| Basic Physician | Your patient is a lady that has presented with community acquired pneumonia. She has a background of metastatic ovarian cancer. Discuss goals of care with her. Family is very keen that she should be for everything. |
| Basic Physician | A 92 year old diabetic, hypertensive who lives alone was brought in by relatives with decreased responsiveness. What are the steps towards managing this patient in the emergency setting? |
| Cardiothoracics | As a cardiothoracic registrar you are told by your supervisor and trainers that your communication skills are inadequate. Evidentally, the nurses and junior medical staff often complain that you’re rude and dismissive. Assuming this happened to you how would you address the supervisor when he informed you of this? Are you aware of performance appraisals in the workplace? Have you ever had any experience or have you been involved in a situation where poor communication has resulted in a bad outcome for a patient? Can you describe a situation in your professional experience where it’s been necessary for you to prioritize amongst competing important calls to your attention? |
| Cardiothoracics | You’re presented with a 65 year old gentleman with cancer of the lung and he’s had his workup and the treatment that is recommended for him is surgery and you’ve been referred this patient. Take it from there… What if he turns around and says he doesn’t want surgery? Probed again: what if after that he says he doesn’t want surgery? ?Alternative treatment?? Something about planning post op care and things like that |
| Cardiothoracics | What aspects of Cardiothoracic surgery are you most interested in and what are your future aspirations in cardiothoracic surgery? Which area do you expect to expand in cardiothoracic surgery over the next 10 years? |
| Cardiothoracics | Briefly outline the clinical features of myocardial ischaemia and the treatment options for myocardial ischaemia What tissue sampling options could be considered for a patient with solitary pulmonary nodule seen on a plain chest xray? |
| Cardiothoracics | What is your understanding of the term informed consent? Take us through how you get informed consent. What is it you make sure you’re passing on to the patient when you’re getting informed consent? What do you discuss? Once you’ve gone through that information is there anything else you do to confirm you got consent before you go through to theatre, what is it that you do? |
| Cardiothoracics | How do you ensure the patient is comfortable with the informed consent process? Is there anything about the environment? Ok we’ll go onto the next scenario so.. A colleague of yours has been diagnosed with a serious illness, and is having curative cancer medical therapy. They are still operating and theatre staff have raised concerns with you about their competency. They come asking for your help. Can you tell us how you would manage this situation and the steps you would go through? Tell us about the other people you would discuss this situation with. They’re a bit unwell and they lack a bit of insight so they don’t want to go and talk to anyone, what can you do as an individual to protect your patient. Say that person is the training supervisor. So as a group you encourage this person to stop operating, and they still lack insight and they continue to operate that a patient dies as a direct complication of one of the operations they did and you’re really concerned about the patient safety, where would you go from there? |
| Cardiothoracics | Can you describe a situation in your professional experience where it’s been necessary for you to prioritize amongst competing important calls to your attention? |
| Cardiothoracics | Interviewer 1: What are the skills and process required to perform a research project? Interviewer 2: So the project you’re doing is going to cost a million dollars. How are you going to get funding for the research project? So moving onto the last scenario, I want you to describe to us what teaching experience you have and how do you prepare for those teaching episodes? So let’s take that experience, the teaching of nurses for anatomy. How did you prepare for that session? What steps did you undergo? How did you establish what you thought the nurses would want? Is there sort of a formal process to evaluate last years session and what they got out of it? Interviewer 1: How do you know what the nurses learnt at the end of the session, what they got out of it? |
| Cardiothoracics | Interviewer 1: What local, national and international benchmarking tools are you aware of? Want to talk about auditing, have you used audit yourself? And Give me an example of how it’s changed your performance in any way. Interviewer 2: What components of clinical performance are you aware of? Which of those is most important (Racs competency)? Give an example of experience you have in a leadership role What skills and attributes made you a good leader on that day? Interviewer 1: Tell us the key ingredients to a good team. What are the attributes of a good team? |
| Vascular | AAA patient with multiple comorbidities, patient’s family wants palliation but your consultant wants to do an open AAA. Family is distressed and confused about the plan. Theatres and anaesthetics are looking at you for answers. How would you deal with this scenario? What are the processes to avoid "futile" surgeries? |
| Consultant Role | How do you feel that your clinical repertoire complements the Unit? |
| Consultant Role | Can you give an example of dealing with another difficult colleague? |
| Consultant Role | Refusal to participate in performance management? |
| Consultant Role | Steps to implement a new procedure. |
| Consultant Role | One of the Consultants wants to trial a new procedure. |
| Consultant Role | Examples of how you have supported relevant research in the past. |
| Consultant Role | Consultant with conflict of interest between private and public rosters. |
| Consultant Role | Trainee complains about Consultant. |
| Consultant Role | Nurse complains about Trainee. |
| Consultant Role | Example of quality improvement initiative. |
| Consultant Role | How would you look to improve the efficiency and productivity of the unit? |
| Consultant Role | Challenges in taking up the role? |
| Consultant Role | Preparation for leadership? |
| Consultant Role | Capacity building for regional services. |
| Consultant Role | What do you understand about the Credentialing Process. |
| Consultant Role | 15y female, MVA, needs surgery for her injuries, is 18 weeks pregnant and doesn't want her parents to know what would you do? |
| Consultant Role | In theatre your not familiar with the instruments provided - what to do |
| Consultant Role | What makes a good surgical team? |
| Consultant Role | How were your non-technical skills developed and assessed? |
| Consultant Role | An inexperienced scrub nurse is constantly allocated to your theatre, and you want to perform complex cases — how would you manage this situation? |
| Critical Care | Tell the panel about an interesting case you were involved with. |
| Dermatology | A colleague has offered $200 of skin check services to be raffled to raise funds for a local primary school. What do you think of this? |
| Dermatology | A patient has come to you with a pigmented lesion that she has been seeing a GP about for the last 12 months, who has basically just monitored the lesion. You excise the lesion and the pathology results return – thick melanoma with a 50% survival rate. What do you do |
| Dermatology | A patient you have been seeing is increasingly becoming more annoying to you. You dread having to see them. What do you do |
| Dermatology | Apart from dermatology, what other medical professions have you considered; favourite medical school subject |
| Dermatology | Community involvements, what do you get out of that; other hobbies/ interests outside medicine; how do you maintain balance in life |
| Dermatology | Describe a time when you got two people who disliked each other to work together. How did you accomplish this? |
| Dermatology | Describe some of the frustrations you want to avoid in a new job; what impact will you have in the first year; how will you approach learning this new job; in what areas do you think you will need guidance |
| Dermatology | Describe your ideal job |
| Dermatology | Do you see yourself as clinician or academic |
| Dermatology | Give an example of an initiative you implemented at work in the last two years? |
| Dermatology | Give me an example of a time when a colleague criticized your work in front of others. How did you respond? |
| Dermatology | How do you deal with competition? Are you a competitive person? |
| Dermatology | Moving interstate/ rural practice; rural experience; how do you feel about training outside Sydney; what do you see as the specific dermatology needs/ particular dermatological problems of your preferred state |
| Dermatology | Scenario: A patient with renal failure who has been in a coma has died over the weekend. A registrar not looking after the patient has been forced to explain to the family the death. The registrar was told that the death was expected, but the family do not agree with this and are angry and upset. The next day the registrar tells the consultant about the situation. The consultant tells them not to worry. Comment on this situation. |
| Dermatology | Tell me about a time when you disagreed with a superior? |
| Dermatology | Tell me about a time when you had to do about and beyond what is expected to help a patient/ colleague |
| Dermatology | Tell me about a time when you had to gain the cooperation of a group over which had little or no authority. What did you do |
| Dermatology | Tell us about a time when you had to provide complicated medical information to someone. How did you break it down for them |
| Dermatology | Tell us about a time when you had to speak up for something you believed was right or that disagreed with you colleague/ consultant / supervisor |
| Dermatology | Tell us about a time when you went above and beyond your role of responsibility |
| Dermatology | Tell us about a time when you were assigned a difficult or complex project where the objectives were unclear |
| Dermatology | Tell us about a time when you were in conflict with another health worker in which the conflict made you change your opinion of a situation |
| Dermatology | Tell us about a time when you worked on a project/ patient case without close management or direction from others |
| Dermatology | Tell us about the most rewarding interaction between a patient and yourself; tell us about something you achieved in a clinical setting that makes you proud |
| Dermatology | Tell us about your research projects |
| Dermatology | Tell us what would you do if the ward clerk asked for a corridor consult |
| Dermatology | Three things you did last year to improve yourself |
| Dermatology | We can sometimes identify a small problem and fix it before it becomes a major problem. Give an example of how you have done this. |
| Dermatology | What are your motivations for pursuing dermatology; when did you interest in dermatology first start; tell us about your passion for dermatology, when did it start; what areas in dermatology do you have a particular interest in |
| Dermatology | What do you think are the main factors that can boost morale in the work place |
| Dermatology | What do you think it takes to be successful in this career; what qualities should a dermatologist have; what suggestions do you have for the college; what do you see the role and success of the dermatology college to be |
| Dermatology | What does it mean to be successful, according to your definition, how successful have you been so far, what are your biggest achievements/ accomplishments; what was the best decision you ever made; what is the best thing that ever happened to you; what is the most creative thing you ever done |
| Dermatology | What experience have you had; tell me about yourself; describe yourself in 6 words |
| Dermatology | What have you done that show initiatives |
| Dermatology | What have you got to offer; give us 5 reasons/ attributes why you should be on the program; 5 things you will contribute to dermatology; what would make you a good dermatologist; what are you outstanding qualities; what is it about you that stands out against others |
| Dermatology | What have you learned from your mistakes |
| Dermatology | What will you do in next 12 months if you don’t get into the program; how many years will you keep applying. where do you see yourself in 10 years time |
| Dermatology | What would you do if someone asked you medical opinion on a dermatology condition whilst you are at a dinner party? |
| Dermatology | What would you like to achieve, professionally and personally |
| Dermatology | Your strength and weakness (how your referees describe these); if there is something you could change about yourself, what would that be; what would nursing staff and allied health works have to say about you |
| Emergency Medicine | Tell about your past experience |
| Endocrinology | What makes you unique? |
| Endocrinology | What would you be doing if you didn’t do Endocrinology? |
| Endocrinology | Why do you want to do Endocrinology? |
| Endocrinology | What skillset do you bring to Endocrinology? |
| Endocrinology | Tell us about a negative experience you have dealt with. |
| Endocrinology | How do you deal with an insulin administration error? |
| Endocrinology | What is the role of research in endocrinology? |
| Endocrinology | Which areas require more research? |
| Endocrinology | Our hospital has a longer length of stay for DKA than others, how would you audit this |
| Endocrinology | Explain to medical students what diabetes / endocrinology is |
| Endocrinology | Describe a difficult time/ time where you were under pressure |
| ENT | What is Surgical Audit? |
| ENT | What Problems can arise with the audit process? |
| ENT | What makes for effective audit? |
| ENT | What is the Difference between Audit and Research? |
| ENT | What is Research? Why is it important? |
| ENT | What is Scientific Misconduct? |
| ENT | What is Clinical Governance? |
| ENT | What is Clinical Effectiveness? |
| ENT | What is Clinical Risk Management? |
| ENT | What is Quality Assurance? |
| ENT | What is Clinical Excellence Commission? |
| ENT | What is ASERNIPS? |
| ENT | What is the WHO Time Out Policy? |
| ENT | What is a root cause analysis? |
| ENT | What is a sentinel event? |
| ENT | What is Meta-analysis? |
| ENT | How would you do a prospective trial |
| ENT | What are clinical indicators? |
| ENT | What is Evidence Based Medicine? |
| ENT | How do you practice EBM? |
| ENT | Why are Ethics Committees important? |
| ENT | When do you involve Guardianship board? Can you use it if parents don’t agree to necessary operation (eg MRM) |
| ENT | What do you think of making surgeons complication rates public |
| ENT | How important is Teaching in Surgery |
| ENT | You are told you have technical deficiencies / How do you self assess |
| ENT | Head and Neck patient continues to smoke and drink. What do you do. |
| ENT | What are the considerations if someone gets signed out against medical advice. |
| ENT | Patient presents with fixed larynx, having seen colleague 6/12 prior. What do you tell the patient? How would you handle the situation? |
| ENT | Family don’t want you to inform their relative of terminal diagnosis. |
| ENT | Patient declared dead, someone sees breath. What do you do |
| ENT | Consultant about to cut RLN |
| ENT | 5 yo child with rapidly progressive to severe throat pain and dysphagia from mild URTI develops stridor within hours, now toxic (illlooking, exhausted) and drooling with marked cervical lymphadenopathy – what do you do? |
| ENT | Grommet falls into middle ear – what do you do? |
| ENT | What are the steps to perform nasendoscopy? |
| ENT | Head and neck cancer patient presents post definitive chemoradiotherapy with recurrence. Family want medical treatment, patient doesn’t answer. You suspect there are cultural reasons why. What do you do? What are the ethical issues? |
| ENT | A patient requires a rigid oesophagoscopy to remove razor blade sharp pin from proximal oesophageus. The patient is incapable due to mental health issues. How do you proceed? What are the issues? |
| ENT | Intern says to you that a registrar on another team abused them over the phone. You hear that they have done this before, but are nice to you. What do you do? |
| ENT | You are about to take a Cat 2 post tonsillectomy bleed to theatre. They aren’t currently bleeding. There is a discussion if it could be delayed for a Cat 2 caesar that has just been booked, and the obstetric registrar is pushing hard for their case to go first What do you do? What are your avenues of action? |
| ENT | There are three cases on the emergency list. They were all initially of the same acuity. One consultant is present in theatres and wants to do his case now, the other patient has many comorbidities and has been Prerehearsed structured answers with a personal example. waiting all day for their case. Your consultant has a full long day of operating tomorrow, and wants to get some rest before the day starts. How do you prioritise the cases? Who’s is the most important Do you consider the patient’s on tomorrow’s list? |
| ENT | You are contacted by the relative of a patient about an operation performed privately. It was an extensive head and neck resection and reconstruction. The relative says that they were shocked to receive a very expensive private bill from the surgeon, and state that they had not been expecting any bill. They want to know what to do. Who are your obligations to? |
| ENT | A patient has returned from receiving medical treatment overseas. They have been admitted with a complication. This is adequately treated, but then you hear them discussing their plans to receive further treatment overseas. Do you approach them? What do you tell them? |
| ENT | You have arrived at a new hospital, and are working in a busy Head & Neck unit. You find that there is a significant personality clash between members of the multidisciplinary team. This isn’t impacting upon patients, but you are worried. Can you do anything about this? What are your responsibilities? |
| ENT | You are in the coffee queue and you hear your intern whingeing to one of the consultants that he is finding the ENT term quite boring, and that none of the patients have any real problems anyway. How do you approach this problem? |
| ENT | One of the paediatric anaesthetists approaches you, concerned about one of your senior colleagues, who is rumored to retire soon. He says that he is working as hard as ever in his private operating lists, and is worried that things are taking him longer than usual. There have been no adverse outcomes yet, but he is generally a little concerned. What is your approach? What are the ethical issues here? |
| ENT | A postoperative patient has a massive saddle embolus PE. They are intubated in ICU, receiving anticoagulation. In going through the patients notes, you see that there was DVT prophylaxis given, despite you writing this in the postop note. The family believe that this complication is the result of medical negligence and are very angry The son demands to know why didn’t you look after his mother properly. |
| ENT | You are presenting a paper at a conference, and a peer admits to you that some of the data in his presentation has been made “to look good”. What is your response? What if he tells you that his consultant changed the data? |
| ENT | You are at an outer metropolitan hospital, and a 15yo patient who was a life long tracheostomy patient, and only decannulated recently is brought in by ambulance with stridor. She is managed appropriately in Emergency, and doesn’t need a new tracheostomy. The family however are adamant that she gets transferred to her usual paediatric hospital. |
| ENT | An ex-IVDU patient is admitted with MRSA neck abscess. You drain the abscesses in theatre, but back on the ward the patient is very loud and abusive, refusing to be touched (for cannulas etc), and restricting medical care. The NUM wants to kick the patient out of hospital. What do you do? Are you allowed to kick the patient out of hospital? |
| ENT | You are seeing a 45year old school teacher in the head and neck clinic with his wife. He has returned with the results of a PET scan and a FNA of a neck node. It demonstrates T3 SCC of unknown primary. How do you break this news to him? |
| ENT | An experienced ward nurse approaches you during a busy ward round to tell you that she disagrees with how slowly you are weaning a patients tracheostomy. She says that the previous registrars have always been much more quick, and implies that you don’t know what you are doing. Prerehearsed structured answers with a personal example. You are in a rush on the ward round. How do you deal with this situation? |
| ENT | A patient has been referred to your clinic with a three month history of ear pain. Upon taking a further history, you find out that the patient has completely uncontrolled diabetes. You suspect that he may have an early malignant otitis externa. When you start explaining to him the thorough investigations and long term treatment to you, he says that he disagrees and wants a second opinion. How do you convince this skeptical patient? What are your responsibilities? |
| ENT | A patient has deteriorated postop, and had a heart attack. There is now significant neurological decline, and the intensivists consider that the patient is unlikely to survive extubation. How do you discuss the issues with the family? |
| ENT | Your consultant in running late for theatre. He asks you to start the first case wich is a MRM for cholesteatoma.You have opened the ear and started drilling out the mastoid cavity. As he arrives you realise that instead of the left ear you have been operating on the right. Outline your response |
| ENT | Your sister rings you in distress. Her husband has been involved in a motor bike accident and has suffered a moderate brain injury. As you are a doctor she wants you to come and help as she is overwhelmed. You arrive and she tells you what has happened so far, but the story doesn't make sense to you and the doctors seem to be treating the patient for more than a simple moderate head injury. After being there for several hours his condition deteriorates and he arrests. The doctors approach your sister and explain the situation. She then becomes increasingly distressed and turns to you. She reports that they think they should withdraw treatment and what do you think? |
| ENT | Your performing a FESS on an elderly patient for chronic rhinosinusitis. During the procedure you notice a non-polypoidal, dark mass on the infra-orbital margin of the maxillary sinus. You decide that the consent extends to cover this and decide to try and excise it. Unfortunately while trying you puncture the infra-orbital artery. The bleeding is profuse and cannot be stopped except for packing. You are unable to proceed further with the excision nor the FESS on that side. You go to see her in the recovery room, outline your response |
| ENT | A young male is admitted under another team following a fall. He suffered a BOS # and had low GCS and so was intubated. Haemotympanum was noted at the time and there is an obvious fracture through petrous temporal bone on CT. You are called to see him 2 weeks after the event because the family has noted worsening facial droop. Repeat CTB shows a bony spicule in the facial nerve canal. When you review him the family are very upset that his facial palsy is getting worse and nothing is being done. |
| ENT | You sustain a needle stick while operating. The person is elderly and from there past history there is no reason that you would suspect them to be carrying HIV or Hep B,C,D. Your consultant who is supervising tells you not too worry about it and to keep operating. How do you respond. |
| ENT | A patient of yours has newly diagnosed Hep C. He states he thinks he contracted it from an affair that he had that has now finished. He is not planning to tell his wife as their relationship is still rocky but improving. He asks you to keep it quiet and not tell anyone. |
| ENT | You are cheif engineer on a new bridge across a hazardous stretch of water that has claimed several lives before because of boat accidents. You are only a part way though the construction process when one of the labourers dies as a result of an accident. The incident is reviewed by the OHS committee who say there is no way to make it safer. |
| ENT | A general becomes aware that there is some secret information held in a secure compound that will aid them in their current war on terror. The only way to get the information without incriminating the country is for a small group of marines to go in with great stealth. However, there is expected to be significant casualties. You are the commander of the small group briefing them before the mission. |
| ENT | The laser safety officer seems distracted. Several times he has failed to stop the laser when instructed and unfortunately this has caused deeper penetration of the laser to underlying tissue. You are only part way through the operation and the tonsil cancer is still in situ but you are worried as the next several steps are critical. |
| ENT | Your usual anaethetist is unavailable. The replacement anaethetis for your tonsil list insists on using a laryngeal mask and chooses to give high amounts of oxygen. While performing the tonsillectomy you find visualisation difficult and are having to diathermy more than usual. While using the diathermy you cause a small fire in the tissue that fortunately extinguishes almost immediately. How do you proceed |
| ENT | Your secretaries in your rooms complain about a family that have been seeing you for many years. Apparently they have stopped paying your fees and disrupt your waiting room. Several other patients have been so upset that they have complained. Your secretaries want you to send them to someone else. |
| ENT | As you are setting up your new practice you have bought a system of online patient medical records (x). The initial start up costs are massive for the system but you evaluated them and thought it was a good deal compared to the others on offer. You are talking with a senior colleague who states he has just moved away from x as he stated the system sometimes crashed and he was unable to access the records, he also had some concerns that it may have not been secure. |
| ENT | A mother of a 6 year old boy brings her son to see you. She is concerned that there is deformity to her sons ears and wants an operation. When examining them they are slightly asymetrical on close examination but appears normal otherwise. The boy is not fussed by it and does not want to have an operation. |
| ENT | You volunteer to work in a third world country. unfortunately they have limited access to sterile stock and currently there are no sterile gloves. An HIV patient arrives after being stabbed, he requires urgent laparotomy. The colleague who you are working for tells you he is cought up elsewhere and you need to do it. |
| ENT | After several years of trying, you have got on to ENT training. In the few weeks before you have an episode of brief loss of consiousness. No one else notices. It happens again several weeks later but again no one notices. It is a busy term and there is no one to relieve you. How do you proceed? |
| ENT | A young patient presents for a mastoidectomy for extensive cholesteatoma. Unfortunately he does not bring his CT with him. Your consultant elects to go ahead and the patient is put to sleep. A facial nerve monitor is set up but doesn't seem to be working properly and while performing the time out you notice specifically the RFA states in bold that the facial nerve monitor needs to be used. Your consultant tells you to go ahead but then is called away to an emergency elsewhere. |
| ENT | You are a junior registrar. You have noticed that several of the patients you have seen post operatively have had their grommetts already fallen out within several weeks of you placing it. You are seeing a 5 year old girl, who has had 2 previous sets of grommets. Mum asks how the grommet is as she has previously had ones that didn't work. Examination shows the grommet in the canal. |
| ENT | You have been managing a patient with chronic ear discharge for several years. They state that a doctor relative of theirs has recomended a treatment and they want you to provide it. You have had some professional interaction with their relative and do not value his opinion. |
| ENT | Family member has a terminal diagnosis 5yrs. You have access to the medical records. They are being offered an operation that may cure them, but has a 10% mortality rate |
| ENT | A NESB patient has cancer. What are the difficulties in communication and navigating the health system? What are the barriers to communication? What services are available for them? |
| ENT | Journalist comes across private medical information about a public figure who promotes family values has a domestic violence allegation against them. Do you publish the allegation What is your duty of care to the public What about the family |
| ENT | You are the junior leader of a sea rescue plane. You have experienced staff members. You go out to rescue a ship, and unfortunately during the mission two of the ship crew and two of your rescue die. There is a press conference. They want to know who is to blame |
| ENT | Consultant wants you to assist him in a new operation. There is a high risk to the patient, and previous patients have died. The consultant wants you to help anyway. What do you do? |
| ENT | You are a journalist and have obtained information from a private medical record that a celebrity who speaks out about family values is in rehab for domestic violence and drug use. a) What are the issues b) What is your approach to this situation c) Do you publish? |
| ENT | You are a young consultant performing a new surgical procedure in theaters. Midway during the case the device representative tells you that a critical component of the prosthesis is missing, without which you are unable to complete the case. 1) What are the issues? 2) What is your approach? 3) Discuss the ethics of introducing new techniques/technologies to surgery |
| ENT | You are the inexperienced leader of a failed helicopter rescue mission in which 1 crew member and 1 patient die. Upon returning to land the press is waiting. 1. What are the issues at hand? 2. What needs to be done? 3. What do you tell the press? |
| ENT | You are operating with a consultant. He sustains a needle stick injury but continues to operate. 1. What are the immediate issues 2. What are the long-term issues 3. Outline how you would manage the situation |
| ENT | You are a young doctor in a country hospital. A paramedic brings in two sick motor vehicle accident patients, a 15yr year old male with an open tracheal injury and 55yr old female in hypovolemic shock secondary to groin laceration. -What are the issues/problems you face? -who do you treat first and why? -what do you tell the family of the other patient? -what are your thoughts on the ethics of resource allocation? |
| ENT | You are the school principle. Two senior students have reportedly bashed an intellectually disabled child for the amusement of other students. - What is your initial management of the situation? - What are the issues at play? - What do you tell the parents about your decision? |
| ENT | You are operating on a patient and you do not realize than an alcoholic preparation was utilized in the preparation hasn’t dried completely and the diathermy you use causes it to catch fire. - What is your immediate management? - What do you tell the patient? - What do you do for the longer term management? |
| ENT | You are the son/daughter of a parent who does no speak English well, you also have English as a second language. Your parent has been diagnosed with maxillary sinus cancer. - Consider the issues that would arise negotiating the health system. GP-specialist-pathology, radiology, surgery and post op care. - What would you do if you were the son/daughter? - What advice would you give the patient as a doctor? |
| ENT | You are the after-hours surgical registrar. There are three cases on the emergency list; yours, one that was cancelled this morning and one for an elderly lady with comorbidities. They are all of equal urgency. - What factors decides the order? - Your boss puts pressure for your case to go first. What do you do? - You believe the other registrar is lying about the urgency of their operation. What do you do? |
| ENT | A 5yr old boy presents to ED with facial bruises. You note that he has presented with similar injuries in the past. -What are the issues? -how would you handle this situation? |
| ENT | A 35 year old person who is the partner of a friend of yours has recently been diagnosed with a terminal illness and has come to you for advice. They don’t want you to speak to anyone about it including your friend. - What are the issues? - How will you manage this situation? How would you approach this? - What is your role as a mediator? - What situations would change your approach? |
| ENT | You are a consultant that also works in a private hospital. You receive profits from the procedures carried out. - What are the implications for the patients? - What are the implications for you? - Would you tell your patients? |
| ENT | A close friend in your 1st year medical school class tells you that his mother was recently diagnosed with breast cancer. He feels overwhelmed by his studies and is considering dropping out of medical school to spend more time with his mother. How do you counsel your friend? |
| ENT | You are and ENT registrar and you assessed a patient in ED who had otitis externa, you asked your RMO to prescribe the discharge medications. The RMO followed the protocol and prescribed Ciproxin HC. The patient returned to hospital with a rash after using the eardrops. The patient was admitted into the hospital and the same RMO prescribed Ciproxin HC again. The patient developed anaphylaxis and required ICU admission and intubation. - What are the issues? - How would you approach the situation? - Who is responsible? - What can you do to prevent this happening again? - How would you rate your answer as an interviewer? |
| ENT | You are a green grocer/manager of a company for transporting perishable goods. What are the potential issues you can identify that are associated with this job? Give an example of how you deal with a specific issue. What are the similarities that you can see with this role/job and your role as a doctor? |
| ENT | A journal recently published a landmark article regarding trauma patients in large tertiary hospitals. The concluded that patients who they sampled expressed a number of concerns - That they were included as part of their medical management process. - The continuity of care was disjointed. - There was a lack of communication between staff/team and their patients. - They felt their concerns were not listened to. - They lacked privacy. A) How would you address the issues? B) What strategies could you put I place? C) How would you assess these/your actions? |
| ENT | You are making rounds in the hospital one morning and as you arrive on one of the teaching wards, you see one of your senior colleagues and a group of house staff standing in the nursing station. When you get closer you realize that your colleague is berating one of the residents over a mistake made on the ward. Your colleague appears angry, is speaking in a loud voice and is referring to the resident as stupid is making disparaging remarks about his previous education and the fact that someone like him ill never succeed in the discipline. The resident is question is obviously very distressed by what is going on as are all the other students and residents in the group. - What professional and communication issues have been raised in this scenario? - What are your initial thoughts? - How would you describe the attitude of the teacher? - What options could you pursue in this situation? - What would you do? - What would be the personal consequences of your actions? |
| ENT | You are called to see a young child who is a Jehovah’s witness with a severe bleed. The patient is becoming hemodynamically unstable but the parents do not want transfusion of any blood products - What do you do? - What are the issues involved? - How do you face the family? - How do you base your decision? - Will you transfuse? |
| ENT | You have just finished rounds and have an appointment with a resident who has been on your service to go over his end of rotation evaluation. You have discussed the resident performance with other preceptors and you have all concluded that the resident’s performance is unsatisfactory. The resident enters your office and instead of telling him the truth you tell him that although his performance is below average you still grade it satisfactory overall. You are concerned that if you submit an evaluation that is unsatisfactory you may be exposing yourself to an appeal which will be time consuming and likely confrontational. - What professional issues have been raised in this scenario? - What are your initial thoughts / reaction to this situation described? - How would you describe the attitude of the teacher? - What options could you pursue in reacting to this situation? - What would you do? - What would be the personal implication of the action you take? |
| ENT | You are a family physician seeing Jane, a 67 year old woman with a recent history of multiple fragility fractures. You diagnose her with osteoporosis and prescribe some bisphosphonate drugs and other pharmacological treatments. Jane tells you that she has heard some good things over the internet about alternative medicine treatments such as Chinese medicine, and she is adamant on trying these as well. You are concerned about the use of these alternative medicine treatments and the possible negative effects they could have on Jane’s health. - How would you handle the situation and what would you recommend Jane to do? |
| ENT | You are a 1st year registrar doing a clinic with your consultant. You call a patient into your room and he informs you that he always sees the consultant. You look at the note to identify the problem and to see if/why the consultant has seen the patient in each previous occasion. You then talk to the consultant regarding the patient’s request. The consultant says- he just needs his mastoid cavity cleaned-get on with it. - What are the issues? - What would you do? - They still insist on the consultant-what do you do? - What methods would you use to convince the patient to do the mastoid? |
| ENT | You work in a hospital and you are the junior anesthetics registrar. The surgical consultant and registrar are in the scrub bay when time out is commenced. - What do you do? - What is the value of time out - If timeout continued and something went wrong, whose fault would it be? |
| ENT | You are the principal of a school and suspend the son/daughter of the chairman of the board of education. The parent is angry and you lose your job as a result - What do you do and how do you take steps to prevent this? - If you were offered your job back to unsuspend the child, what do you do? - What is the RACS policy on bullying? - What are the parallels for this situation in medicine? |
| ENT | Imagine that a family member calls you and asks to come to help with a major family situation. The oldest member of your family has been diagnosed with a condition that will kill them within the next five years. Alternatively they can have a procedure that will correct the problem with no long term symptoms. However the procedure has at least a 10% mortality rate. The family member wants to have the procedure-others in the family do not want to. As someone with medical training you are expected to be the family mediator. - What are the issues? - How would you address this? - Even after your conversations the parents are adamant about surgery, what else can you do? How should this decision be made? - Do you know if there is a policy on treating family members? |
| ENT | An elderly patient on the ward has advanced lung cancer and doesn’t speak English. The family doesn’t want to tell the patient. - How do you deal with this situation? |
| ENT | You are a 35yr old patient from a NESB who needs an operation for a procedure and the doctor brought in the consent form to sign and you have no family here. - What would you like the doctor to do? - What would you like the doctor to tell you? - How do you expect the doctor to explain the procedure? |
| ENT | You are the registrar on a transplant team. A 50yr old man underwent a renal transplant for ESRF. On a routine post op CT, the transplanted kidney appears to have evidence of metastases within it. - What would you do in the first instance? Would you tell the patient - How would you break the news? Should you talk to anyone first - Who would you inform and involve in this situation - What happens to the patient now - How are you going to prevent this happening again |
| ENT | You want a patient to stay in hospital a few more days. The patient wants to go home as their husband can’t take any more time off work, children are missing her, and her mother is sick. - What would you have been hoping to achieve by your response? - What do you think the patient wants from you? - How could you encourage the patient to stay in hospital? - What would you say to the patient if she decided to go home/stay in hospital? - Would you consider trying to scare the patient into staying in the hospital? - Would you disown the patient for leaving against your advice? |
| ENT | You are a doctor on holidays driving along an isolated country road and you come across an accident. There are two people in critical condition. The first is a 15yr old boy with a laryngeal laceration and second is a 55yr lady with femoral stab wound. - What are the issues in this scenario? - Who would you treat first? - Who will you call for help? |
| ENT | Nursing staff does not want to administer medication to patient - What do you do? - The patient is getting unstable now, what do you do? |
| ENT | You are the coach of an under 11yr old basketball team, with players of different levels entering the national championships. It is an event that has enormous prestige and importance for the school. There is substantial pressure to perform well and win the cup. - How would you manage the team, given that all parents are keen for their child to play? - How would you win the cup? Would you drop the poor players? |
| ENT | You are on call and your consultant comes in to perform procedure. You smell alcohol on their breath. - What do you do? |
| ENT | You are the manager of a warehouse which deals with transport of goods that need to be stored at a cool temperature. - What are the problems you can see associated with this job? - What are the qualities you look for in a person involved in the transport process? - Overnight the truck breaks down and you need to make a delivery for a very important customer. What do you do? - What similarities do you see between this job and yours? |
| ENT | You have just been appointed manager of an underperforming retail store and our brief to turn it around. - What will be your initial approach? - What do you need to know? - How will you decide what to change? - What are the key skills and attributes you need to achieve your goal? |
| ENT | You are the doctor of a football club. A football player approaches you and tells you of problems with drugs and alcohol affecting his play and family. - What do you do? - Who would you tell? - The footballer plays poorly during the match and someone suggest that it is because he is into drugs. What do you say and do? - One night he turns up to practice, staggering and with a black eye. What do you do now? |
| ENT | You are offered a large sum of money to endorse a pair of football boots that you have never worn before. - What do you do? - There is no time to try the boots out as you are at the media conference now and they want you to say one line about how great the boots are. What do you do? - Now they want to offer you a million dollars for a one line statement on TV, what do you do? - When is appropriate to endorse a product? |
| ENT | A 52 yr old lady with lump in the neck, operated last year by another hospital. She was told that it was benign but now it is advanced cancer. - What are the issues in this case? - How do you approach this situation? - How do you explain this to the patient? |
| ENT | A 52yr old lady had previously presented 6month earlier to the department with a hoarse voice but no investigation were performed despite a diagnosis of VC palsy. Cleary a thyroid mass was missed and now the patient has an advanced malignancy. - What are the issues involved in this case? - How do you approach this situation? - How do you explain this to the patient? |
| ENT | You are operating with consultant in a Lap Cholecystectomy and the bile duct is inadvertently incised. The consultant says not to tell the patient. - What are the issues involved in this case? - How do you approach this situation? - Would you tell the patient? |
| ENT | You are the CEO of a large hospital which is looking to fund a very expensive piece of new equipment and are approached by a CEO of a well know pharm company the products of which the hospital uses infrequently because of issues of quality and supply. They offer to donate 50% of the cost and an annual donation for a 3 year period and in return want to be acknowledged in the annual report on the major donors list. You have to make the decision regarding accepting as the board will automatically approve your recommendation. - What will you take into account in making your decision? - Are there ethical issues involved and what are they? - Will you consider community perception? - What will you decide? |
| ENT | You are supervising teacher for the highly successful “breakfast for children” programme, which ensures that all primary school children are getting a good breakfast in a community where malnutrition is commonplace. The school headmaster has decided to withdraw funding of the programme in favour of increasing funds for a library computer programme. - How would you approach the headmaster for the breakfast for children programme? - What would you do if he refused to re instate the funding? |
| ENT | You are asked to see a 50yr old physician’s wife who is hospitalized because of a seizure. During the course of you history taking, the patient informs you that she has been taking very large amounts of transquilizer and analgesics containing narcotics for control of her symptoms of a stress related disorder. These drugs have been prescribed on an ongoing basis by her husband who appears to be acting as her physician. - What are your initial thoughts to the situation described? - What options could you pursue in reacting to a situation like this? - What would you do if you were involved in this situation? - What would be the personnel consequences of your action? |
| ENT | You consent a patient for a skull base procedure and verbally mention the possibility of damage to cranial nerves 7, 9, 11 and 12, but you only record 9, 11 and 12 on the consent form. Post operatively the patient develops 7th nerve palsy. Later you receive a letter from the patients lawyer. - Do you go back and alter the chart entry so that damage to the the 7th nerve now appears on the original consent form? - How do you respond to the letter from the lawyer? |
| ENT | You are having problems getting along with a junior consultant on your unit, who has the reputation for being hard to get along with. - How would you approach the situation? |
| ENT | You are a paediatrics registrar. You have a 16year old patient who has been diagnosed with cancer. She has had multiple treatments already all of which have failed. The disease is rapidly progressing and she has 6 months to live. She does not want any further treatment. Her parents find out about a new expensive drug and ask your consultant to trial it on their daughter, but he declines saying that it has too many side effects and very little supporting evidence. They come to you and ask you to speak to your consultant on their behalf and you agree A) What do you do? B) What do you know about consenting a minor? C) Discuss the balance between medical rationing and providing care? |
| ENT | You are successful in getting on to SET training. A) How do you prepare for the first month of starting a registrar job at a new hospital? B) You have a conference to attend to but you are rostered on call. What do you do? |
| ENT | You are a general surgical registrar about to start your morning ward round. You get a call saying there is an acute abdomen in ED. You're boss calls you saying that one of the patients who you will be operating on today does not have their pathology results back yet. A family member of a patient comes up to you and wants to talk to you about the patient. A) What do you do? B) How do you prioritise these? C) What is the impact of you prioritising one of these over the others? |
| ENT | A Journal article got published about culture of medicine, impeding junior doctors' professional development. A) What are the issues in culture? B) How might you address these? |
| ENT | You are part way through an operation when you become aware that one of the members of the health team is under the influence of a drug which is affecting their capacity to function professionally. What issues have been raised in this scenario? What are your thoughts on the situation? What level of responsibility you are obliged to take, and what options could you pursue in a situation like this? What would you do if you were involved in this situation? What might be the personal consequences of such an action be for you? Have you ever encountered a situation like this and how did you feel about what you did? |
| ENT | You are part of a team doing sign-out rounds at the end of the day. You notice that most of the patients are referred to by their proper names and are dealt with in a respectful manner. There are two patients on the ward who have been particularly difficult to deal with and the team considers them to be demanding, non-compliant and to be taking a tremendous amount of time compared to other patients. In discussion, some of the members of the team refer to these patients pejoratively as ‘the drunken Indian in 618’ and ‘the hysteric in room 625’. - What are you initial thoughts on this situation? - What kind of a learning environment would such a situation create? - What options could you pursue in responding to a situation like this? - What would you do? |
| ENT | You are the director of a drop in youth centre in a community where there is little for teenagers to do after school and on weekends. The centre provides a range of activities and since its opening there has been a reduction in crime in the area. One of your regular attendees had been caught in a break and enters and asks you for a character reference before the court case. - What will you do? - What are the ethical issues? - Is there something you could have done to prevent this situation? - What are the parallels for this situation and Medicine/Surgery? |
| ENT | Identify and prioritise the patient and resource issues that need to be taken into consideration in making a choice about who should be given priority for an expensive operation and or therapeutic treatment when: - One patient is a teenager and the other a middle-aged - One patient is a smoker and the other is obese - One patient is male and the other female - One patient has had previous delays in their treatment and their health is deteriorating and the other is in better health and more likely to benefit |
| General | What can you bring to the department/the role? |
| General | What do you do to relax outside of work? |
| General | How do you appraise your own work? |
| General | What would you do if you saw your boss using Propofol from the same vial for different patients? |
| General | What was the hardest moment in your medical career? |
| General | Questions relating to CV, experience |
| General | Do you have any questions? |
| General | How do you know if you are doing a good or bad job? (asked 3 years in a row) |
| General | How do you deal with stress at work and at home? |
| General | What have you learned over the last 12 months at work? |
| General | What is a negative of the job and how do you overcome it? |
| General | What are the best and worst things about anaesthetics? |
| General | What do you do to unwind? |
| General | Where do you think you will learn the most? |
| General | Impaired colleague. What do you do? |
| General | What is your worst clinical experience? |
| General | What is your best clinical experience? |
| General | What is the most altruistic thing you have ever done? |
| General Practice | What sort of job were you applying for (pick best one)? |
| General Practice | 54yo woman sent to your practice, NESB, with son. Wants a medical certificate for Centrelink. Son helps with interpretation but you don’t think she qualifies for one. She gets angry and thinks you’re disrespectful. She writes a complaint letter. Your GP supervisor asks you what happened how do you deal with this? |
| General Practice | A swab comes back positive for Influenza A. Your patient is a childcare worker. You find she has been at work. Despite your advice. |
| General Practice | Aborgibal women referred gyne for op and your receptionist asked family member about the pt |
| General Practice | Aborginal preventive factors? Resources? |
| General Practice | An Indigenous patient visits you for medication scripts. You notice that the webster pack he has brought along is still full and he hasn't taken any of the medication. How would you proceed? |
| General Practice | Describe a time when you were faced with a challenging diagnostic problem. Why was it so challenging and how did you develop a management plan for the patient? |
| General Practice | Describe your experiences inside and outside medicine that have influenced your commitment to a career in general practice. Follow-up: How did these experiences influence you? Which experiences in particular involved caring for others? Tell me about the type of care you provided. Which aspects of general practice have these experiences guided you towards? What professional activities have you undertaken to realise this commitment? |
| General Practice | Explain a time in or outside of medicine that you observed and acted upon unprofessional behaviours. |
| General Practice | explain about contact tracing with confidentiality? |
| General Practice | Give an example of a clinical situation in which follow up was critical to patient care. How were you involved, and how did you make sure that continuity of care was maintained? |
| General Practice | Give an example of a clinical situation where there was difficulty in communication (not ESL). How did you overcome this/ these barriers? |
| General Practice | Give an example of a clinical situation where you were unhappy with the behaviour of a senior colleague. How did you resolve this? |
| General Practice | Give me an example when your pt did not agree with management |
| General Practice | Given an example of a situation where you had a conflict with a senior staff member of the medical team. What would you do? |
| General Practice | Given an example of a situation where you had to explain a complex scientific topic to a patient. How would you approach this? |
| General Practice | Given us an example where you received feedback from senior staff members of the team, eg. your registrar or consultant and how the feedback led to practice change. |
| General Practice | How did you prepare for entry into GP training? |
| General Practice | How do u explain ashtma, how do you commuinate with different populations |
| General Practice | How do you approach colleagues about misdiagnosis? |
| General Practice | How do you manage if you are uncertain about dx |
| General Practice | How would you manage pathology results in your health system? |
| General Practice | If one of your fellow GPs prefers to recommend complementary medicine to his patients as he thought complementary medicine would not do any harm. How would you respond to this practice? |
| General Practice | Old non english woman with diagnosis of terminal cancer and her family asking you to not reveal to the pt |
| General Practice | Parent comes into a small rural practice with her child. Last night they saw your fellow registrar, they are stressed about how your fellow registrar treated. You see that the fellow registrar missed the diagnosis. How do you deal with the situation? |
| General Practice | Pt doctor boundaries are blurred or at risk. What is your approach? |
| General Practice | Reflect on your medical career. How did you improve on your medical practice? |
| General Practice | Somalia refugee presented with cough for 6 month also complaining of Anxiety after shooting near his house |
| General Practice | Tell me a time when communication was important between health systems. |
| General Practice | Tell me about a patient who had complex health needs, and required follow up by other health professionals after leaving your care. |
| General Practice | Tell me about a time when a patient disagreed with you (team). |
| General Practice | Tell me about a time when you experienced barrier in communication that wasn’t language. |
| General Practice | Tell us why you’ve chose GP training. What are the rewards and challenges? |
| General Practice | This question examines communication and interpersonal skills: You are the only GP on duty for the day at a practice. The practice manager informs you that there is a patient in the waiting room who is complaining loudly about the treatment received at the practice. The practice manager requests your intervention. How would you manage this situation? |
| General Practice | This question looks at personal and professional development: What have you done up to this point to prepare yourself for general practice training. N.B. - Excellent candidates would specifically discuss what personal and professional development they have done to address community needs eg. they are aware Australia has an aging population so specifically picked an aged care or general medicine term, another eg. is they are aware GPs often see a lot of paediatric patients so in their ED term they made the effort to discuss with their team leader to be rostered into paediatric section. |
| General Practice | This question looks at your organisational and management skills: Tell us about a patient you saw who had complex health needs and required follow up by other health professionals after leaving your care. |
| General Practice | What has inspired you to pursue a career in general practice? What have you done to work towards this goal? |
| General Practice | What is proper clinical handover? |
| General Practice | Why do you want to be a GP? What makes you think you’ll be a good GP? |
| General Practice | You and a group of fellow doctors went out for dinner. After a few drinks, one of your friends started talking about a patient’s medical issues in a very disrespectful way. Also he was loud. What would you do? |
| General Practice | You are a GP in a small practice. One day, the practice manager asked you to do general screening for all people over the age of 18 years. How would you respond to this new policy? |
| General Practice | You are a GP registrar in a small country town. A female patient of practice comes in saying she has suffered a sexual assault and that the perpetrator is her husband. Both her husband and 2 children are also patients of the practice. How do you deal with this situation? |
| General Practice | You are a GP Registrar. Son was told by a dermatologist over the phone that his mother had melanoma, and asks you not to tell his mother. What would you do? |
| General Practice | You are a junior doctor working in a ward with another junior doctor. The nursing staff repeatedly ask you to complete tasks that are the responsibility of the other doctor. What would you do and why? |
| General Practice | You are asked to do a clinical audit on diabetic foot ulcers in ATSI. What professional and personal preparations would you do? |
| General Practice | You are presenting to a group of medical students about your preparation for GP entry. How would you say about your motivation and commitment? |
| General Practice | You are the only GP in a small rural town. A local police officer came to see you and revealed that he suffered from depression and stress from work. Also he was having relationship issues with his wife. How would you manage him? |
| General Practice | You are working in a practice as a GP registrar. You have strong suspicions that one of the GPs in the practice has been injecting pethidine. His behavior has been strange for several weeks and he has been late to work and occasionally looks disheveled. You’ve also noticed some (pethidine) stock has gone missing.Today on entering the practice he is behaving erratically, and you think he looks “pinned”or “high”. How do you deal with this situation? |
| General Practice | You are working in a practice as a GP registrar. You have strong suspicions that one of the GPs in the practice has been injecting pethidine. His behaviour has been strange for several weeks and he has been late to work and occasionally looks dishevelled. You’ve also noticed some (pethidine) stock has gone missing.Today on entering the practice he is behaving erratically, and you think he looks “pinned” or “high”. How do you deal with this situation? |
| General RMO/SRMO | 25 year old lady with asthma attack, nurse has given her 3 course of salbutamol, her findings are BP 140/73, Pulse, 125, RR 35, O2 sat 93 percent, ABGS PH 7.30, how would you comment on her findings and how will you mx her? |
| General RMO/SRMO | 45 y/o with chest pain, how will you manage? |
| General RMO/SRMO | Describe a situation where you had to stand up to something |
| General RMO/SRMO | You notice that your colleague is distracted and not performing well lately. How will you approach him and to whom will you escalate this situation in hospital? |
| General RMO/SRMO | How will you manage an old patient presented in ED with history of fall? |
| General RMO/SRMO | What are your career goals? |
| General RMO/SRMO | State a mistake you did previously at your workplace? |
| General RMO/SRMO | Tell us about clinical case that you didn't forget? Why? |
| General RMO/SRMO | 6 weeks pregnant lady presented to ER with abdominal pain and vaginal bleeding , all her vitals are stable, ER registrar told you she can follow up in outpatient clinic , what will you do? |
| General RMO/SRMO | Why do want to join this hospital? |
| General RMO/SRMO | After amc part 1 what sort of job I should be able to apply & how to apply & proceeds?? I really need guidance & support for getting job in medical / hospital related as junior assistant doctor, if I would be able to do that to get experience in Australian hospital set up. |
| General RMO/SRMO | What to do about an under-performing colleague? |
| General RMO/SRMO | Media release on mortality and morbidity data on surgeon’s performance? |
| General RMO/SRMO | Surgeon’s audit process? |
| General RMO/SRMO | Stuck in theatre, trauma call is put out. What do you do? |
| General RMO/SRMO | Two consultants want you to be at their theatre lists, both at the same time. How do you manage? |
| General RMO/SRMO | How does one introduce change? |
| General RMO/SRMO | Called to HOD office. Overhead talking about an M&M case. Critical of care I’ve received. |
| General RMO/SRMO | Asked to set up ERAS programme. How do you go about doing this? |
| General RMO/SRMO | You’re on a ward round. Consultant reduces medical student to tears. What would you do? |
| General RMO/SRMO | Do you think surgery is more hierarchical than other professions and if so why? Is this a good or bad thing? |
| General RMO/SRMO | Have you witnessed any such bullying behaviour? What did you do? Is there more you would have liked to do? What are the barriers to you acting how you wish to? What is the RACS process for reporting a surgeon bully? |
| General RMO/SRMO | Describe a time where you had to deal with an under-performing medical student. What did you do? |
| General RMO/SRMO | What models of feedback are you aware of and how do you incorporate them into your teaching practice? |
| General RMO/SRMO | What teaching have you done? How do you know it’s been any good? Whose responsibility is teaching – consultant, registrar or house officer? |
| General RMO/SRMO | How wold you teach a junior registrar to perform a laparoscopic appendicectomy? Tell us about a time you’ve taught a junior a skill? How do you assess how well they’ve learnt? |
| General RMO/SRMO | A junior reg is performing a lap appendix but part way through, you realize he is not competent to do this? What do you do? |
| General RMO/SRMO | Do you think the hospital environment encourages this behaviour, i.e. attempting to perform a procedure not competent to do? |
| General RMO/SRMO | Can you remember witnessing any similar situations? |
| General RMO/SRMO | Have you ever been encouraged to perform a procedure you were not entirely comfortable doing? What did you do? How did you reflect? |
| General RMO/SRMO | How do you learn? |
| General RMO/SRMO | Are course a good way to learn? What courses have you done? Do you think they should be a pre-requisite to training? |
| General RMO/SRMO | How can you improve surgery? Audit, research, clinical governance, WHO checklist implementation |
| General RMO/SRMO | Demented 80 year old presents to ED with recurrent sigmoid volvulus. Discuss management. |
| General RMO/SRMO | Irreducible. Pt admitted. Consultant on-call suggests surgery. Family decline surgery. Pt doesn’t have mental capacity. Discuss issues. |
| General RMO/SRMO | How do you communicate issues for and against surgery with the family? Are you aware of any communication models you can use? |
| General RMO/SRMO | Can you describe a time you have experienced when the plan of the medical team was at odds with the ideas of the patient/family? |
| General RMO/SRMO | How would you rank the pillars of medical ethics, i.e. respect for autonomy, beneficence, non-maleficence, justice |
| General RMO/SRMO | You are called to theatre as the on-call registrar as a 16 year old boy is on the table, asleep, consented for lap appx. You notice erythematous swollen right hemi-scrotum. Suspect correct diagnosis is epididymo-orchitis. How do you proceed? |
| General RMO/SRMO | You remove normal appx. He is treated for his epididymo-orchitis, develops urinary retention and a wound infection. Family concerned and angry about the incorrect diagnosis and removal of a normal appx. They feel they weren’t appropriately involved in consent process. They want to make a formal complaint against you. Describe how you would deal with this situation? |
| General RMO/SRMO | What is informed consent? |
| General RMO/SRMO | At what age do the parents no longer have to sign the form? |
| General RMO/SRMO | What potential complications would you discuss when describing a laparoscopic appendicectomy to a patient? |
| General RMO/SRMO | What is the accepted rate of urinary retention post-op? |
| General RMO/SRMO | What is the accepted rate of port site infection? |
| General RMO/SRMO | Have you ever had a complication? |
| General RMO/SRMO | What did you do? |
| General RMO/SRMO | Whose responsibility is it to apologise to the family? |
| General RMO/SRMO | What is open disclosure? |
| General RMO/SRMO | What is your hospital’s open disclosure policy? |
| General RMO/SRMO | A 22-year-old man with sickle cell disease is brought to the emergency room for acute onset facial asymmetry and severe pain. He was in school when his teacher noted a drooping of his left face. His temperature is 99.9°F (37.7°C), blood pressure is 122/89 mmHg, pulse is 110/min, respirations are 19/min, and oxygen saturation is 98% on room air. Physical exam is notable for facial asymmetry and 4/5 strength in the patient's upper and lower extremity. A CT scan of the head does not demonstrate an intracranial bleed. Which of the following is the most appropriate treatment for this? 1 Alteplase 2 Exchange transfusion 3 Heparin 4 Hydroxyurea 5 Warfarin |
| General RMO/SRMO | A colleague of yours have done a medication error, which has resulted in harm to the patient, and he is trying to cover up the situation, what you will do? |
| General RMO/SRMO | At times you will be asked to do many things at once. How do you prioritise your tasks? |
| General RMO/SRMO | Can you give an example of how you have been involved in sorting out an error? |
| General RMO/SRMO | Clinical Scenario: Patient with chest pain, short of breath and sweating comes to the ED. How will you manage? What will you look for on the ECG? |
| General RMO/SRMO | How could you demostrate your collaboration in the teamwork? |
| General RMO/SRMO | How do you deal with stressful situations? |
| General RMO/SRMO | How does doing a general year align with your career goals? |
| General RMO/SRMO | How safely do you think you can perform this job? |
| General RMO/SRMO | How to approach technical questions that you might not necessarily know the answer for: "What is Hartmann's solution? Tell me why you should not give Hartmanns to a traumatic brain injury patient" |
| General RMO/SRMO | Tell me about a case that you found interesting and what you learned from it. |
| General RMO/SRMO | Tell me about a difficult situation you managed? |
| General RMO/SRMO | Tell me about a situation where you did a mistake and what you learned from it and what you did afterwards? |
| General RMO/SRMO | Tell me about a situation where you were involved in a team mistake. |
| General RMO/SRMO | Tell me about a time you made a mistake and had to tell a Registrar or Consultant. |
| General RMO/SRMO | Tell me about your experience in medicine and psychiatry? |
| General RMO/SRMO | Tell me about your strengths. |
| General RMO/SRMO | Tell me about yourself? |
| General RMO/SRMO | Tell me how you would you deal with a resident who wasn’t doing his share of the work. |
| General RMO/SRMO | Tell me how your experience is going to help you do this job |
| General RMO/SRMO | Tell me the steps you would take to perform an appendicectomy, from the beginning, where the patient is in the anaesthetic bay. |
| General RMO/SRMO | Tell us about a situation when you had conflict with a colleague and how did you resolve it? |
| General RMO/SRMO | Tell us about your experience in Medicine. |
| General RMO/SRMO | Two things you do not like about the medical profession |
| General RMO/SRMO | What are your hobbies? |
| General RMO/SRMO | What are your weaknesses? |
| General RMO/SRMO | What has been your greatest disappointment? |
| General RMO/SRMO | What kind of clinical skills do you have? |
| General RMO/SRMO | What other positions are you considering? |
| General RMO/SRMO | What skills do you bring with you? |
| General RMO/SRMO | What strengths will you bring in to our team? |
| General RMO/SRMO | What to do if you're asked to perform a procedure you are not comfortable with/don't have the skills for? |
| General RMO/SRMO | What was the last journal article you read and what did you learn from it? |
| General RMO/SRMO | Where are you working currently and where are you working next year? |
| General RMO/SRMO | Where have you worked before? |
| General RMO/SRMO | Which rotation are you most looking forward to? |
| General RMO/SRMO | Why do you want to work in this Hospital? |
| General RMO/SRMO | Tell us about your education before medicine |
| General RMO/SRMO | Best academic achievement |
| General RMO/SRMO | Difficult co-worker situation you’ve encountered |
| General RMO/SRMO | Difficulty ethical situation you’ve encountered |
| General RMO/SRMO | What positive features can you bring |
| General RMO/SRMO | Describe this object (Hammer) to someone over the phone (without saying Hammer) |
| General RMO/SRMO | Tell us about yourself and how you’ve come to this point. |
| General RMO/SRMO | Why do you think you are a good candidate? |
| General RMO/SRMO | 67F, day 3 post op for bilateral TKR, nurse call as concerns about patient deterioration, HR:126, RR:24, BP: 87/56, T:36.9, SpO2:90%.What is your management? |
| General RMO/SRMO | What are you strengths |
| General RMO/SRMO | What do you understand by the term feedback? |
| General Surgery | How to manage situation that consultant behaves oddly and has alcoholic breath? |
| Haematology | What appeals to you about haematology |
| Haematology | What is the role of laboratory haematologist |
| Haematology | Disagreed with a colleague about patient management. |
| Haematology | What research have you done |
| Haematology | How would you explain procedure to patient |
| Haematology | How would you explain procedure to a junior colleague who has never heard of it C |
| Haematology | olleague is withdrawn, turning up late, concerns about patient care how do you approach this. |
| Haematology | How do you approach anaemia in a general medical patient. |
| Haematology | Why do you want to do haematology? |
| Haematology | What prior experience do you have in haematology? |
| Haematology | What are your strengths and weaknesses? |
| Haematology | How do you lead a team? Use AT job as an example |
| Haematology | Why is communication important? |
| Haematology | Discuss any current research projects |
| Haematology | Give us an example of something you have done outside of your rostered hours which shows your interest / commitment to haematology. |
| Haematology | You have been asked to prepare the weekly haematology teaching roster for your unit. How would you go about doing this? |
| Haematology | Your resident has been arriving 20 minutes late to work every day for the past week. How would you approach this situation? |
| Haematology | A patient receiving a blood transfusion becomes febrile to 39C and is rigoring. How would you manage this situation? |
| Haematology | Tell us about your research experience. |
| Haematology | What are you most worried about going to work in the laboratory? |
| Haematology | What appeals to you about haematology |
| Haematology | What is the role of laboratory haematologist? |
| Haematology | Tell us about a time when you disagreed with a colleague about patient management. |
| Haematology | What research have you done |
| Haematology | How would you explain a procedure to patient? |
| Haematology | How would you explain procedure to a junior colleague who has never heard of it? |
| Haematology | Colleague is withdrawn, turning up late, concerns about patient care how do you approach this. |
| Haematology | How do you approach anaemia in a general medical patient? |
| Haematology | What are the indications for a bone marrow biopsy? |
| Haematology | Describe a time when you exceeded expectations. |
| Haematology | How do you communicate with a haematopathologist? |
| Haematology | You suspect A colleague has a drinking problem how would you deal with this? |
| Haematology | Tell us about your teaching experience. |
| Haematology | How do the skills you have learned in teaching help you in your haematology practice? |
| Haematology | How would you explain a complex procedure to somebody who is new to it? |
| Haematology | Why do you want to do haematology? |
| Haematology | What is the role of a laboratory haematologist? |
| Haematology | What is the role of a laboratory haematologist? |
| Haematology | What do you like about laboratory haematology? |
| Haematology | Tell us about a time you had a conflict with your consultant. |
| Haematology | You see a colleague being bullied by a consultant, how would you deal with this? |
| Neurology | What are some of your strengths and how have they been used to improve patient care? |
| Neurology | A surgical JMO comes crying into the resident room stating he has just been bullied by one of the surgeons. How do you handle this situation? |
| Neurology | A 31 year old female with Multiple Sclerosis comes to see you and has new lesions on her MRI since her last visit. She is insisting on exercise and diet and does not want to start any other disease modifying therapies. How do you respond to her in this situation. |
| Non Specific Question | Tell me a bit about yourself. |
| Non Specific Question | [Candidates will be given a warning about this prior to interview] Prepare 2 cases to discuss with the panel.One should be a case you found personally interesting.The other should be a case where something went wrong.In both cases ensure you discuss what you learnt from them. |
| Non Specific Question | [CV Related Question] Can you give us a bit more information on this particular part of your CV: - research paper - skills - training course... |
| Non Specific Question | [CV Related Question] Can you talk us through this gap in your work experience? |
| Non Specific Question | [CV Related Question] Tell me about this issue in your academic record. |
| Non Specific Question | [CV Related Question] You appear to have done quite a bit of research.How has this impacted on clinical duties or learning? |
| Non Specific Question | [CV Related Question] You have spent most of your time in [Sydney*] and you say your family and supports are in [Sydney*].What are your reasons for applying for a position in [Perth**]? *,** exchangeable for other locations |
| Non Specific Question | A catch 22 questions. Eg What would you do to improve this speciality/department? |
| Non Specific Question | Any decision you made in the last 2 years that you regret |
| Non Specific Question | Are you considering pursuing a Fellowship as part of your training? |
| Non Specific Question | Are you interested in academic medicine? |
| Non Specific Question | Can you give an example of how you have contributed to improved clinical governance? |
| Non Specific Question | Can you share with me some constructive feedback you’ve received and how you’ve used that feedback to change the way you work? |
| Non Specific Question | Can you tell us about a time when you accepted responsibility for an error at work? What was happening at the time? What did you do to address the situation? What was the outcome? What did you learn from the situation? |
| Non Specific Question | Describe a situation in which you found that your results were not up to your supervisor’s expectations. What happened? What action did you take? |
| Non Specific Question | Describe a situation in which you were able to use persuasion to successfully convince someone to see things your way? |
| Non Specific Question | Describe a situation when you had to speak up or be assertive in order to get a point across that was important to you. |
| Non Specific Question | Describe a time when a clinical error was you fault. How did you manage it |
| Non Specific Question | Describe a time when you had a disagreement with a nurse? |
| Non Specific Question | Describe a time when you missed the obvious answer to a solution. |
| Non Specific Question | Describe an adverse event in which you have been involved in and what steps you were required to follow. What was the outcome? What did you learn from the event? |
| Non Specific Question | Describe an instance when you had to think on you feet to extricate yourself from a difficult situation |
| Non Specific Question | Describe of a time when you were not satisfied or pleased with your own performance. What did you do about it |
| Non Specific Question | Do you intend to pursue research? |
| Non Specific Question | Give an example of a policy you conformed to with which you did not agree. |
| Non Specific Question | Give me an example of a time you had to make an important/ quick decision. How did you make the decision. How does it affect you today. Tell me about a difficult decision you had to make last year |
| Non Specific Question | Give me an example of an important goal you had to set and tell me about your progress in reaching that goal. |
| Non Specific Question | Given an example when working in a group produced greater result than working alone |
| Non Specific Question | Has any of your personality traits ever created a strain between you and your team? |
| Non Specific Question | How can this hospital help you reach your goals? |
| Non Specific Question | How do you deal with conflict? |
| Non Specific Question | How do you get along with nursing staff/ allied health workers |
| Non Specific Question | How do you handle the balance between work and study and how do you think you will handle the stressors of the training program? |
| Non Specific Question | How do you solve conflict |
| Non Specific Question | How do you stay up to date with the latest information? |
| Non Specific Question | How would you deliver a cost improvement programme |
| Non Specific Question | If you weren't a doctor. What would you have been? |
| Non Specific Question | In ED you found a man who's 2nd language is English and there is no interpreter available in the hospital what will be your approach? |
| Non Specific Question | Medical specialist training is very full on and can affect your personal life/Family etc with long hours and on call. How will you deal with this? |
| Non Specific Question | Please recall a situation where you felt it was appropriated to persist with one task despite the presence of other competing tasks or priorities |
| Non Specific Question | Scenario: an intern calls you, distressed that their registrar is leaving early, turning up late. What do you do? |
| Non Specific Question | Scenario: Conflict with a NUM not wanting to comply with your plan. What do you do? |
| Non Specific Question | Scenario: your intern charts a drug "weekly" instead of "daily". What's your approach? |
| Non Specific Question | Teamwork and leadership are important – how have you contributed to teamwork? |
| Non Specific Question | Tell about your last job |
| Non Specific Question | Tell me a fun fact about yourself |
| Non Specific Question | Tell me about a case where you made a mistake. |
| Non Specific Question | Tell me about a difficult decision you’ve made in the last year. |
| Non Specific Question | Tell me about a family you had trouble dealing with. |
| Non Specific Question | Tell me about a patient you had trouble dealing with. |
| Non Specific Question | Tell me about a project or idea that was implemented or executed upon successfully because of your efforts? |
| Non Specific Question | Tell me about a stressful situation you experienced at workl and how you handled it. |
| Non Specific Question | Tell me about a stressful situation you experienced in medical school or at work and how you handled it. |
| Non Specific Question | Tell me about a time that you had conflict with a team member and how you handled it. |
| Non Specific Question | Tell me about a time that you tried to accomplish something but failed. |
| Non Specific Question | Tell me about a time when you experienced a loss for doing what is right. |
| Non Specific Question | Tell me about a time when you had a difficult task to complete with numerous obstacles, and how you went about completing the task; what steps did you take to prepare for and finish the project; were you happy with the outcome, what step would you do differently (also about following things through to completion and being proactive); ability to prioritize elements of complex project; tell me about a time when you solved a problem in a unique way |
| Non Specific Question | Tell me about a time when you had conflicting deadlines to meet. How did you prioritise your tasks and what did you do |
| Non Specific Question | Tell me about a time when you had to analyze information and make a recommendation |
| Non Specific Question | Tell me about a time when you had to change the way you approached a patient/ situation based on what is important to them |
| Non Specific Question | Tell me about a time when you had to get to the bottom of something at work |
| Non Specific Question | Tell me about a time when you had to learn something new in a short period of time |
| Non Specific Question | Tell me about a time when you had to use written communication skills in order to get a point across. |
| Non Specific Question | Tell me about a time when you had to work outside you prescribed/ usual practice/ breach hospital policy |
| Non Specific Question | Tell me about a time when you involved in a team and what was your specific role and what was the outcome |
| Non Specific Question | Tell me about a time when you made a mistake and had to inform the patient. |
| Non Specific Question | Tell me about a time when you were dependent on others to gain a result |
| Non Specific Question | Tell me about a time when you were disappointed in your performance. |
| Non Specific Question | Tell me about a time when you were upset with the behavior of a team member or faculty and how you dealt with it. |
| Non Specific Question | Tell me about a time when you were upset with the behaviour of a team member and how you dealt with it. |
| Non Specific Question | Tell me about a time when you worked effectively under pressure |
| Non Specific Question | Tell me about a time when you’ve given a team member feedback? How did you approach it and what was the outcome? |
| Non Specific Question | Tell me about a time when your particular knowledge helped others to solve a problem |
| Non Specific Question | Tell me about a time when your performance was criticized. |
| Non Specific Question | Tell me about a time you encountered an unreasonable deadline, what did you do about it |
| Non Specific Question | Tell me about a time you had to build a relationship with someone you did not like. |
| Non Specific Question | Tell me about a time you made a mistake and had to tell someone more senior. |
| Non Specific Question | Tell me about a time you when you tried to accomplish something and failed. |
| Non Specific Question | Tell me about a time you worked effectively under pressure. |
| Non Specific Question | Tell me about a time your performance was criticized. |
| Non Specific Question | Tell me about what irritates you about other people and how you deal with it. |
| Non Specific Question | Tell me how you would deal with a colleague who was not doing their share of work. |
| Non Specific Question | Tell me why you want to work in our hospital/ facility and why do you want to do psychiatry/ medicine etc? |
| Non Specific Question | Tell us about a mistake you’ve made |
| Non Specific Question | Tell us about a time that you've laughed and cried at work |
| Non Specific Question | Tell us about a time when you came up with an ideas that no one else had thought of |
| Non Specific Question | Tell us about a time when you were really stressed |
| Non Specific Question | Tell us about a time you dealt with a difficult patient |
| Non Specific Question | Tell us about a time you needed to make a decision where you didn’t have all the information you needed to make that decision |
| Non Specific Question | Tell us about a time you were dissatisfied or disappointed with an outcome despite all you best efforts to produce good result |
| Non Specific Question | Tell us about the last skill/hobby you learned which is unrelated to Medicine. |
| Non Specific Question | Tell us about yourself |
| Non Specific Question | Tell us how you have professionally improved yourself over the last year |
| Non Specific Question | Tell us something you’ve read that changed your practice? |
| Non Specific Question | This program includes secondments and rural rotations. Do you foresee any problems in participating in any of these arrangements? |
| Non Specific Question | What accomplishment are you most proud of? |
| Non Specific Question | What are the biggest challenges to the Australian federal health budget on the next 10 years |
| Non Specific Question | What are the differences between audit and research? |
| Non Specific Question | What are the traits of a bad leader and can you give examples from your work place? |
| Non Specific Question | What are you looking for in a training program? |
| Non Specific Question | What are your career goals? |
| Non Specific Question | What are your goals? |
| Non Specific Question | What do you like to do in your free time? |
| Non Specific Question | What do you see as the positive aspects of this specialty? What do you see as the negative aspects of this specialty? |
| Non Specific Question | What do you see as your strengths? |
| Non Specific Question | What do you see as your weaknesses? |
| Non Specific Question | What do you think is the most difficult part of the speciality |
| Non Specific Question | What have you done to prepare for this role? |
| Non Specific Question | What is clinical governance? Can you provide examples of how it affects your daily practice. |
| Non Specific Question | What is involved in organising an audit? |
| Non Specific Question | What is something that you are proud of outside of medicine and how have you applied it to your work? |
| Non Specific Question | What is the most difficult medical situation you encountered. How did you deal with it. What was the outcome |
| Non Specific Question | What is your approach to failure? Give us an example of a time that you have dealt with failure. |
| Non Specific Question | What makes you a good doctor? (Use the PACE format) |
| Non Specific Question | What problems do you think this specialty may face in the future? |
| Non Specific Question | What techniques to improve patients compliance |
| Non Specific Question | What type of patients do you find difficult? |
| Non Specific Question | What type of patients do you find most frustrating to deal with |
| Non Specific Question | What was the last book you read? |
| Non Specific Question | What would your referees say about you? |
| Non Specific Question | When did you have to make a critical decision in your life? |
| Non Specific Question | Where do you see yourself in five years? In ten years? |
| Non Specific Question | Where do you see yourself practicing? |
| Non Specific Question | Why are you interested in our program? Why did you apply to our program? |
| Non Specific Question | Why are you interested in this specialty? |
| Non Specific Question | Why did you become a doctor? |
| Non Specific Question | Why do you want to be a [insert specialty]? |
| Non Specific Question | Why psychiatry training? What other specialties have you considered? Do you feel it would be better for you to gain more medical experience first? |
| Non Specific Question | Why should we choose you? (How do you see yourself contributing to our program?) |
| Non Specific Question | Why should we hire you |
| Non Specific Question | Why you want to join us |
| Non Specific Question | You are at a rural location on night shifts, and the intern calls in sick. The on-call intern does not want to come in. What is your approach to this situation? |
| Non Specific Question | You have been offered a position in a drug company sponsored clinical trial. What do you do? |
| Non Specific Question | You have been offered by a drug company an all expense paid trip to a conference overseas. What do you do? |
| Non Specific Question | Your colleague confesses to using recreational drugs when not working. How would you manage this situation? |
| Non Specific Question | Why should we choose you? |
| Non Specific Question | What makes you unique? |
| Non Specific Question | Why are you the best person for this position? |
| Non Specific Question | What are your strengths? |
| Non Specific Question | How would others describe you? |
| Non Specific Question | What are your major achievements in your current position? |
| Non Specific Question | What do you want to achieve in the next year? |
| Non Specific Question | Where do you see yourself in 5 years? 10 years? |
| Non Specific Question | Why do you want to work here specifically? (i.e. why this country/state/city/hospital?) |
| Non Specific Question | What is a professional, specifically related to the field of medicine? |
| Non Specific Question | What are the qualities of a good mentor? Do you have a mentor (or role model)? Who/why? |
| Non Specific Question | How do you achieve a health balance between work and life outside of work? |
| Non Specific Question | How do you deal with stress? |
| Non Specific Question | What do you do outside of work? |
| Non Specific Question | What things do you not like to do? |
| Non Specific Question | What is something that you are proud of outside of medicine and how have you applied it to your work? |
| Non Specific Question | What would you consider to be your biggest achievement in life? |
| Non Specific Question | What are the pressures involved in training and how will you deal with them? |
| Non Specific Question | How do you debrief after a stressful situation? |
| Non Specific Question | What are the important steps to follow after a critical incident (or patient death)? |
| Non Specific Question | How do you contribute to your ongoing education and that of your peers and colleagues? |
| Non Specific Question | What is an audit? Why is it important? Have you been involved in any audits? |
| Non Specific Question | Discuss a project you’ve been involved with or a paper that has changed your practice. |
| Non Specific Question | Tell us about an innovative idea that you have come up with to improve something in your workplace. |
| Non Specific Question | What makes a good working environment? What makes a bad working environment? |
| Non Specific Question | What do you think about training in a rural/peripheral centre? |
| Non Specific Question | What do you understand by the term CME/CPD? |
| Non Specific Question | How do you keep up to date with the latest medical knowledge? |
| Non Specific Question | What are the biggest challenges facing healthcare now and into the future? |
| Non Specific Question | What do you think could be done to contain costs within a limited health budget? |
| Non Specific Question | What is the role of social media in health? |
| Non Specific Question | Define excellence. |
| Non Specific Question | Define leadership / what are the qualities of a good leader? |
| Non Specific Question | Describe your ideal residency environment and opportunity. |
| Non Specific Question | What is important to you in selecting a residency program? |
| Non Specific Question | What attracts you to this program? |
| Non Specific Question | How would your patients describe you? What do you do to achieve that? |
| Non Specific Question | What kinds of patients give you the most difficulty? How do you handle that? |
| Non Specific Question | What individuals have most influenced your physician style? |
| Non Specific Question | What are your values? How do you apply them in your actions? Describe situations where you have applied these values. |
| Non Specific Question | How do you cope with stress? |
| Non Specific Question | What sort of patients do you enjoy working with? |
| Non Specific Question | What type of patients are the most challenging for you? |
| Non Specific Question | What sort of things frustrates you the most? |
| Non Specific Question | What is most important in your job to be happy and successful? |
| Non Specific Question | What are the life/work balance issues that are important to you? How do you maintain this balance? |
| Non Specific Question | On a daily basis, what motivates you? What discourages you? |
| Non Specific Question | Give me an example of a patient encounter where your relationship with the patient was the most important tool you used. |
| Non Specific Question | What kinds of people do you work best with? Worst with? |
| Non Specific Question | What areas has your medical school training best prepared you for residency training? |
| Non Specific Question | How do you like to be evaluated? Who do you want feedback from? |
| Non Specific Question | How do you think this can best be accomplished? |
| Non Specific Question | What electives have you chosen in your training and why? |
| Non Specific Question | What were your strongest clinical rotations? How did you know that? |
| Non Specific Question | What clinical rotations gave you the most difficulty? |
| Non Specific Question | How satisfied are you with your medical school training program? |
| Non Specific Question | What would you have changed about your medical school experience if you could? |
| Non Specific Question | What leadership roles have you taken? |
| Non Specific Question | What community activities have you participated in? |
| Non Specific Question | What personal considerations or needs do you have? |
| Non Specific Question | What do you do for fun? |
| Non Specific Question | What do you want us to remember about you? |
| Non Specific Question | Why would you be a better family physician than any other kind of physician? |
| Observership | Why did you choose this program? |
| Observership | What challenges do you think you would face as an observer? |
| Observership | How would you overcome challenges as an observer? |
| Obstetrics & Gynaecology | Called that a lady post partum lost 500 mls of blood . What will you do? |
| Obstetrics & Gynaecology | Weakness and strengths |
| Obstetrics & Gynaecology | Can you describe the research requirements for ITP trainees, and what are your thoughts on these requirements? |
| Obstetrics & Gynaecology | You are on a night shift. A women with preeclampcia was admited to your hospital. You call to a consultant and he says that if a patient is stable you should not write CTG. What would you do in this situation? |
| Obstetrics & Gynaecology | You overhear a group of midwives discussing their concerns about your recent interactions with several different patients. Specifically, they appear worried about your communication with patients during emergencies. How would you address this situation? |
| Obstetrics & Gynaecology | Operating theatre efficacy is key to decrease ever expanding elective surgery wait-lists. Discuss one process/area/practice that you believe could be improved to facilitate a more efficient operating theatre, and how you would go about addressing it. |
| Obstetrics & Gynaecology | Maternal sepsis, associated with pregnancy, is a leading cause of mortality throughout the developed and developing world. |
| Obstetrics & Gynaecology | Discuss one method for reducing the rate of sepsis from EACH OF: |
| Obstetrics & Gynaecology | Primary prevention (preventing infection) |
| Obstetrics & Gynaecology | Secondary prevention (early detection and treatment) |
| Obstetrics & Gynaecology | Tertiary prevention (limit consequences of sepsis). |
| Obstetrics & Gynaecology | One of RANZCOG’s main roles is the training of future specialists. There are many hurdles faced by the organisation, and training facilities, in developing a well-rounded physician. Please discuss one training problem that you expect to face as a future trainee and what you could do to improve it? |
| Obstetrics & Gynaecology | You have started on a new team as their registrar. You note after your first few weeks that your new resident, a very experienced SHO, has been very rude and unprofessional towards you during this time. They regularly don’t complete, or openly refuse, plans and directions given to them by you. You have discussed these plans with other colleagues and consultants and know them to be safe and reasonable. You believe this resident is bullying you. Please discuss how you would handle this situation. |
| Obstetrics & Gynaecology | You are seeing a patient in antenatal clinic for her 2nd pregnancy. After you review her notes, you realise that you were heavily involved in her uncomplicated first pregnancy, including her discharge. In the GP referral letter, you note that the patient now has Anti-D antibodies and is Rhesus negative. After searching extensively through her notes, you realise that she was not given Anti-D last pregnancy and that this was her sensitising event. After explaining the Anti-D diagnosis to the patient, she is upset and wanting to know why she is now positive to Anti-D. Please discuss how you would handle this situation. |
| Obstetrics & Gynaecology | As part of the RANZCOG training program you will have to do a communication course. Give an example of a situation you have been involved in where good communication was important and why. |
| Obstetrics & Gynaecology | There is a suggestion by midwives that the primary PPH rate at your hospital has increased in the last 3 months. How would you approach this and improve the rate? |
| Obstetrics & Gynaecology | Why do you want to be an obstetrician and gynaecologist? |
| Obstetrics & Gynaecology | You are the Registrar in clinic. A low risk 30-year-old primip is declining induction of labour at 40+10 which is your unit’s policy. How do you approach this? |
| Obstetrics & Gynaecology | O&G is a very demanding specialty. How do you see yourself managing your work-life balance? |
| Obstetrics & Gynaecology | You are seeing a patient in clinic for her 6 weeks postnatal check as she had a 3rd degree tear at her forceps delivery. During the consultation, she asks for a copy of her medical records. How do you approach this? |
| Obstetrics & Gynaecology | Women’s health issues have been widely publicised. Describe a women’s health issue and why is it important. |
| Obstetrics & Gynaecology | Describe a critical event and what did you learn from it? |
| Obstetrics & Gynaecology | You have a primip who has been in labour and has been 8cm for 5 hours. The midwife says she’s not concerned and wants her to continue without intervention. What are the issues at hand and how would you approach this situation? |
| Obstetrics & Gynaecology | What are some health challenges Indigenous Australian face and what are some ideas within O&G to combat this? |
| Obstetrics & Gynaecology | Termination of pregnancy has been widely publicized. What are the benefits, and describe the barriers at a hospital such as yours? |
| Obstetrics & Gynaecology | In this COVID-19 pandemic, O&G units are doing more telehealth consultation in antenatal clinic. What are some advantages and disadvantages? |
| Obstetrics & Gynaecology | You are about to enter specialist training. What are the attributes (not technical skills) that you would consider important in an O&G? And how will you seek to gain these throughout your training? |
| Obstetrics & Gynaecology | Whooping cough vaccination is offered to all pregnant women from 20-32 weeks in every pregnancy regardless of immune status. Please explain the critical elements in counselling women to undertake the whooping cough vaccination. |
| Obstetrics & Gynaecology | You are reviewing a 17-year-old in the emergency department who has attended the emergency department for abdominal pain, PV discharge and temperature. Her ultrasound scan has indicated a small amount of free fluid with a possible right hydrosalpinx, but otherwise normal. She has attended with her mother, who is constantly at her side and has been aggressive to the emergency staff after the doctor suggested that the cause for her symptoms was a sexually acquired infection. |
| Obstetrics & Gynaecology | Depression and anxiety are increasingly evident in women within the reproductive age group, with 10-20% prevalence at any one point in time. There is a good deal of evidence to show significant adverse obstetrics and social outcomes are associated with unrecognized depression and anxiety in the peripartum period, and as such we are encouraged to screen throughout pregnancy. |
| Obstetrics & Gynaecology | Explain what is the Edinburg Postnatal Depression Score and Antenatal Risk Questionnaire in screening mental health in pregnant women? And how effective are they at indicating the need for further evaluation? |
| Obstetrics & Gynaecology | You were asked to see a patient after her procedure. She was upset that a salpingectomy was performed instead of a salpingotomy for an ectopic pregnancy. How would you approach this situation? |
| Obstetrics & Gynaecology | Endometriosis is a significant women’s health issue and more can be done about it and for the patients. Comment. |
| Obstetrics & Gynaecology | What attributes do you possess that sets you apart from other RANZCOG ITP hopefuls? |
| Obstetrics & Gynaecology | Caesarean section rate is rising around the world and in Australia. It is about 30% in Australia. WHO sets an ideal section rate of 10-15%. What can we do to reduce the C-section rates? |
| Obstetrics & Gynaecology | Employment opportunities for FRANZCOGs are increasingly limited and competitive. Where do you see yourself in 10 years which would carve a niche for you in the industry? |
| Obstetrics & Gynaecology | Climate change is a public health emergency. What are the impacts of climate change on health and what can be done about it? |
| Obstetrics & Gynaecology | Blood is a precious resource. Describe 3 strategies to ensure effective use and reduce wastage of blood and blood products in your facility. |
| Obstetrics & Gynaecology | What factors contribute to good maternity care? What can be done to improve maternity care at your facility. |
| Obstetrics & Gynaecology | First post op day after c section.Patient got seizures and now collapsed.Nurse calls you.How will you manage the patient? |
| Obstetrics & Gynaecology | A CTG shown to me.I was asked to describe this CTG in technical terms.Along with this a scenario was given to me .A primigravida patient 7 cm dilated, Head at ischial spine but in LOT position.How would you manage the patient considering this CTG? |
| Obstetrics & Gynaecology | What OBGYN procedures can you do unsupervised? |
| Obstetrics & Gynaecology | What are your long term plans regarding your career? |
| Ophthalmology | 14-year-old girl has chlamydial conjunctivitis. What ethical issues are involved? What do you tell her mother? |
| Ophthalmology | 5 patients in ED with viral conjunctivitis – they have recently been seen in the Ophthal Dept- what do you do? |
| Ophthalmology | 5) Surgical equipment is being damaged in theatre (possibly by a colleague) to the point where it is interfering with the flow of surgical lists each week. What do you do? |
| Ophthalmology | A colleague is not following preferred practice patterns. What do you do? |
| Ophthalmology | After surgery your patient has decreased VA. How do you deal with the patient? How do you deal with an angry family? Clinical risk management- how would you decrease risk in your practice? |
| Ophthalmology | Attributes of a team leader – good and bad; discuss your experience as being a team leader. |
| Ophthalmology | Bad patient outcomes- give personal example/s- how did you manage them/ |
| Ophthalmology | Complication in surgery- how do you discuss it with the family? |
| Ophthalmology | Conflict. How do you handle ongoing conflict with another person? |
| Ophthalmology | Consultant from Dalby sends patient down with retinal detachment, there is no detachment. What do you do? What do you tell the patient? |
| Ophthalmology | Consultant tells you to proceed with operation you are not competent with. What would you do? |
| Ophthalmology | Describe a time when you had to work with someone who you dislike or who dislike you. |
| Ophthalmology | Describe a time when you went above and beyond your normal duty in the performance of your job. |
| Ophthalmology | Describe a time when you were in a position of authority and had to tell someone something they did not want to hear. |
| Ophthalmology | Describe a time when your supervisor was not happy with the quality of your work. |
| Ophthalmology | Describe a very stressful event. How did you handle it? |
| Ophthalmology | Discuss advantages and disadvantages of being an ophthalmologist. |
| Ophthalmology | Discuss the main public health issues facing the community. |
| Ophthalmology | Do you find busy outpatient clinics good or bad? How do you cope with them? |
| Ophthalmology | Ethics- you are a new consultant- old patient wants to go public for her cataract surgery – how do you advise her? |
| Ophthalmology | Example of patient refusing treatment- how did you handle it? |
| Ophthalmology | Example of when dissension in a team you were part of- how did you handle it/ |
| Ophthalmology | Give us an example of when you have been particularly persistant to achieve something other than the primary? |
| Ophthalmology | Give your opinion on the stem cell research debate. Discuss the applications of stem cell research to ophthalmology. |
| Ophthalmology | Given the current environment of medical litigation, discuss how this will affect a registrar’s work and the flow of information from consultants to registrars (they were talking about surgical training) |
| Ophthalmology | How can you contribute to SHE and training program? |
| Ophthalmology | How did doing the psychometric testing benefit you? What did you learn from it? |
| Ophthalmology | How do you approach patients with complex medical problems? |
| Ophthalmology | How do you balance your personal life with your career? |
| Ophthalmology | How do you communicate with patients of different culture- give example. |
| Ophthalmology | How do you get extra information out of a patient? Give example? |
| Ophthalmology | How do you handle patients with rare conditions? (they were looking for reading up on case later, literature search etc) |
| Ophthalmology | How do you intend to handle work and studying? |
| Ophthalmology | How do you make clinical decisions? |
| Ophthalmology | How do you plan to work a busy registrar job and study at the same time. How do you study for exams? |
| Ophthalmology | How does the research you’ve done benefit patients? |
| Ophthalmology | How would you consent a 43yo male for focal laser treatment? |
| Ophthalmology | Just before midnight (end of your on call shift) – PEI comes in – you ring boss for help- he tells you to do it yourself and hangs up – then takes phone off hook etc – what do you do? |
| Ophthalmology | Language difficulties with a patient- how do you handle it? |
| Ophthalmology | Nurses are using carcinogenic stuff to sterilize instruments putting themselves at risk. What do you do? |
| Ophthalmology | Operating theatre constantly running late- what do you do about it? |
| Ophthalmology | Peer is compromising patient safety. What would you do? |
| Ophthalmology | Pick one of your publications- reason for the topic- how did you research it/ publich it? |
| Ophthalmology | Question from HR person on panel – in what period of your work career were your happiest? |
| Ophthalmology | Something they make up on the spot as determined by your CV: eg ”how had you modified teaching techniques to deal with patients” for an ex-teacher. |
| Ophthalmology | Surgical error and what you did about it? What about consultant surgical error? |
| Ophthalmology | Tell about a time when patient you are consenting didn’t understand what you were consenting them for and what you did about it. |
| Ophthalmology | Tell us about a medical mistake you have made? |
| Ophthalmology | Tell us about a time that you had a patient who didn’t understand their diagnosis and what you did about it. |
| Ophthalmology | Tell us about a time that you treated an emergency and what you did? |
| Ophthalmology | Tell us about a time when you achieved above the norm? |
| Ophthalmology | Tell us about one of your publications? |
| Ophthalmology | Tell us how your research has helped you? |
| Ophthalmology | There is a yearly golf day for RVEEH consultant paid for by a drug company. What are the ethical issues involved? |
| Ophthalmology | Time in clinic when seeing pt and thought previous colleague made wrong decision. What do you do? |
| Ophthalmology | Time when you went above and beyond what was expected for a patient? |
| Ophthalmology | Time when you’ve bought about change where you were working? |
| Ophthalmology | What are the characteristics of a good ophthalmology registrar training program? |
| Ophthalmology | What did you learn about yourself from doing the psychometric test? |
| Ophthalmology | What have you done or been involved in that would make you a better ophthalmologist? |
| Ophthalmology | What ophthalmic research have you done, and what have you learnt from it? |
| Ophthalmology | What surgical experience have you had? |
| Ophthalmology | When did you go above and beyond the call of duty to communicate with a patient? |
| Ophthalmology | When have you had to lead a team? |
| Ophthalmology | Which of your publications are you proudest of and why? |
| Ophthalmology | You are head of a surgical unit and you have a run of 5 endophthalmitis cases. What would you do? |
| Ophthalmology | You are running behind in a busy clinic and a patient needs a cataract operation. You explain the risks and she says “I’ll do whatever you recommend doctor”. What do you say/do? + 2 other questions similar to others above. |
| Ophthalmology | You discover a colleague is critical of your management. What do you do? |
| Ophthalmology | You remember the case of the Afghan twins joined at the head who died in a separation procedure in Singapore. Discuss the ethics. |
| Oral Maxillo Facial Training | Bleeding during extraction 28. How would you manage it (with no consultant)? |
| Oral Maxillo Facial Training | Personal conflict between other staff. How do you approach it? |
| Oral Maxillo Facial Training | New biomaterial. How would you design the study? |
| Oral Maxillo Facial Training | What do you bring to the OMS profession? |
| Oral Maxillo Facial Training | What effects does poverty have on OMS practice and healthcare? |
| Oral Maxillo Facial Training | The consultant is about to transect the lingual nerve. How do you manage this situation? |
| Oral Maxillo Facial Training | Poor procedure choice for a patient. How would you approach boss about alternatives? |
| Oral Maxillo Facial Training | Research into paediatric facial trauma. How would you design the study? |
| Oral Maxillo Facial Training | Colleague is performing poorly. How would you deal with it? |
| Oral Maxillo Facial Training | Drunk consultant. How would you deal with it? |
| Oral Maxillo Facial Training | How is a patient prepared for surgery? |
| Oral Maxillo Facial Training | What are your strengths and personal qualities that you bring to the OMS profession? |
| Oral Maxillo Facial Training | What do you think of research? What would you do as part of your programme? |
| Oral Maxillo Facial Training | How would you go about achieving life-work balance? |
| Oral Maxillo Facial Training | What challenges are you aware of in the OMS program? |
| Oral Maxillo Facial Training | Do you think the curriculum is appropriate for the OMS training program? |
| Oral Maxillo Facial Training | Periodontist argues with you that they are better at placing implants and that maxfacs can only fix fractures. How do you approach this situation? |
| Oral Maxillo Facial Training | Do you think medicine is an appropriate inclusion in the OMS program and why? |
| Oral Maxillo Facial Training | Why OMS? Have you considered other specialities - medical and dental? |
| Oral Maxillo Facial Training | Tell me a time you made a mistake. |
| Oral Maxillo Facial Training | What is ethics? |
| Oral Maxillo Facial Training | What is an audit, and why is it important? |
| Oral Maxillo Facial Training | Is research important, and should it compulsory? |
| Oral Maxillo Facial Training | Training is going to be stressful - how do you plan to deal with it? |
| Oral Maxillo Facial Training | Where does OMS fit in with universities - funding for research etc? |
| Oral Maxillo Facial Training | You take a 14 yr old to theatre for removal of 48. During extraction, you fracture 47, prognosis appears poor. What do you do? |
| Oral Maxillo Facial Training | A patient has to be taken to theatre urgently. You cannot get hold of your boss. What do you do? |
| Oral Maxillo Facial Training | You are assisting your boss privately on a Friday. There is still one more case on the list. Your boss needs to fly interstate, and asks you to finish the list. What do you do? |
| Oral Maxillo Facial Training | What is your opinion on asking trainees to rotate interstate during their training? |
| Oral Maxillo Facial Training | How do you introduce a new procedure or material in the hospital? What protocol do you follow? |
| Oral Maxillo Facial Training | Journalist comes to your hospital, and would like to know incidence of trauma due to alcohol. What do you say? |
| Oral Maxillo Facial Training | Orthognathic surgery – should it be public considering the waiting list for trauma and head and neck cancer? |
| Oral Maxillo Facial Training | Senior reg wants to do surgery not indicated – what do you do? |
| Oral Maxillo Facial Training | Tell me about one of your weaknesses (or your weaknesses). |
| Oral Maxillo Facial Training | Why OMS? Have you considered other specialities - medical and dental? |
| Oral Maxillo Facial Training | You are assisting your boss privately on a Friday. There is still one more case on the list. Your boss needs to fly interstate, and asks you to finish the list. What do you do? |
| Oral Maxillo Facial Training | You take a 14 yr old to theatre for removal of 48. During extraction, you fracture 47, prognosis appears poor. What do you do? |
| Orthopaedics | [Presented with a knee model]. Explain the anatomical structures. Where does the ACL attach? Where does the PCL attach? |
| Orthopaedics | 15yo female multitrauma, unconscious patient with patients who are Jehovah witness refuse transfusion/auto salvage, what do you do. When she awakens she agrees with transfusion, does that change your management? |
| Orthopaedics | 40yo aboriginal woman with severe learning difficulties has a 4 year old distal radius malunion. Her carer says it is causing her pain. An orthopaedic surgeon says she needs the operation. What do you do? |
| Orthopaedics | 45yp male with midshaft femur # needs IMN. The patient refuses because his mother died in the same hospital a few years ago. What could you do? |
| Orthopaedics | 80yo NOF# who is competent and current plan is to go to rehab post surgery. Her daughter wants her to go to a nursing home. How would you manage this situation? |
| Orthopaedics | A 12yo female presents to your clinic with her mother. Referral is for a 1 week history of arm pain, xray showed a mid-humerus tumour lesion. What do you say to the patient and her mother? What next investigation will you do? |
| Orthopaedics | A 45yo diabetic patient with schizophrenia presents with a gangrenous foot. You want to do possible investigations for possible amputation. She tries to leave hospital. What do you do? |
| Orthopaedics | A 45yo male presents with multitrauma post-MBA - head injury, check injury, pelvic fracture and long bone fractures. How do you manage this patient? |
| Orthopaedics | A 76yo woman with dementia presents with a periprosthetic femur fracture on Friday. The oncall VMO (Dr A) asks you to book the patient on Monday under another VMO (Dr B) who is specialised in Hips/Knees, adn to organise the equipment for Monday. Dr B is uncontactable/away until Monday (although he does have a list on Monday). What issues are presented in this case. |
| Orthopaedics | A child with a femoral fracture is under your care. Both parents, whom a separated, disagree on decision for further treatment (operative v non-operative). How would you approach this situation. |
| Orthopaedics | A friend has finished his training and has produced leaflets advertising his services with patient testimonials on them. They ask you to distribute them in ED - what do you do? |
| Orthopaedics | A patient attends 6 months postoperatively with a drain retained in wound on XR, no clinical issues however. How would you manage this? |
| Orthopaedics | An inexperienced scrub nurse is constantly allocated to your theatre, impacting your ability to do complex cases — how would you manage? |
| Orthopaedics | An RN caring for your patient has not followed the treatment plan, resulting in adverse outcomes, reflecting poorly on yourself. How would you manage this situation. |
| Orthopaedics | Barriers to discharge and how to improve |
| Orthopaedics | D3PO L3-4 decompression, went well post operatively until now and is complaining of bilateral limb numbness/weakness. How will you manage this situation? What investigation do you arrange? Anaethetist informs you they need an ECHO before surgery, what will you do? |
| Orthopaedics | Department head wants to use a new prosthesis that is bottom 25% in joint industry and high revision rate, and he got a royalty, what do you do. |
| Orthopaedics | Describe the anatomy of the hip. a. osteology of the pelvis and hip b. osteology of the femur c. classification of femoral head fractures |
| Orthopaedics | Describe the process of applying a below knee cast for a stable ankle injury. What are the complications of plasters. What are the precautions for a patient in a full cast. A patient returns to the outpatient department with an inadequate cast application, what do you do? |
| Orthopaedics | Discuss the anatomy of the knee |
| Orthopaedics | Example of being a good leader: - inside work - outside work |
| Orthopaedics | Explain the management of ankle dislocation |
| Orthopaedics | Give an example of a bad leader |
| Orthopaedics | Give an example of a leader and what qualities made them a leader? |
| Orthopaedics | Give an example of a leader you admire (preferably non-medical).What makes them a good leader? |
| Orthopaedics | Give an example of good teamwork and what made it succesful |
| Orthopaedics | Give an example of when teamwork failed |
| Orthopaedics | Give an example of when you were part of a team that wasn't working.How did you improve it? |
| Orthopaedics | How do you go about managing a wrist fracture in a patient under the influence of illicit substances? |
| Orthopaedics | How do you go about reducing a congenital hip dislocation? |
| Orthopaedics | How do you go about setting up a research facility as a consultant? |
| Orthopaedics | How do you manage a dislocated ankle? |
| Orthopaedics | How do you put on a cast? |
| Orthopaedics | How do you set up a research facility with no funding available? |
| Orthopaedics | How would you change theatre efficiency in a three month period, what resources do you use? |
| Orthopaedics | Outline the different members of theatre staff and their roles |
| Orthopaedics | Outline your approach and considerations in the management of a patient with a wrist fracture who is under the influence of drugs |
| Orthopaedics | Prioritise the following cases and justify your answer. a. 20yo with displaced subcapital neck of femur b. compound tibia fracture c. 80yo with NOF # d. dislocation of prosthetic hip e. young male with finger fracture |
| Orthopaedics | Run the panel through how you would consent for NOF # management. |
| Orthopaedics | What are the attributes of a senior registrar that your junior expects? |
| Orthopaedics | What are the biggest non-surgical influences on orthopaedics in the last 50 years? |
| Orthopaedics | What are the red flags of low back pain? Define a red flag. How would you manage a patient with acute low back pain and saddle anaesthesia. |
| Orthopaedics | What are your key challenges in and outside of work? |
| Orthopaedics | What if a device company approaches you and offers to fund research? |
| Orthopaedics | What is the mechanism of action of Plavix? |
| Orthopaedics | What is the process of surgical time out and why is it important. |
| Orthopaedics | What is your most outstanding professional achievement? What is your most outstanding personal achievement? |
| Orthopaedics | What reasons would you not operate on a NOF# |
| Orthopaedics | While assisting your consultant with a supracondylar fracture you notice he is about to cut the ulnar nerve, what do you do? |
| Orthopaedics | You are a junior consultant, in theatre you witness the Head of Department being verbally aggressive and abusive to a trainee. What do you do? Do you report it? |
| Orthopaedics | You are asked to organise the transfer of a patient from another country to have surgery at your hospital, how do you go about doing this? |
| Orthopaedics | You are called to ED to see a 23yo footballer who twists his knee, heard a pop and knee swells immediately. What is the diagnosis? What are the differential diagnoses? How would you manage this patient? |
| Orthopaedics | You are called to ED to see a 35yo who fell off a ladder and sustained an ankle injury. How wold you approach this situation? (sustains bimalleolar fracture) |
| Orthopaedics | You are called to see a 92 NOF# with mild dementia, how would you approach, how would you consent? |
| Orthopaedics | You are called to see a patient who is waiting for surgery. They want to complain, go to the local newspaper, and press litigation. How do you handle the situation? |
| Orthopaedics | You are provided a picture of a 45yo man post MVA (midshaft femur fracture). He was sent from ED to the ward. You received no handover from ED or the evening registrar. He is 92% O2 on 6L. What is the likely diagnosis? What investigations will you perform? What are the treatment options? |
| Orthopaedics | You area junior consultant. In theatre, you witness the Head of Department being verbally aggressive and abusive to a trainee. What do you do? Do you report it? |
| Orthopaedics | You go to assist a junior registrar with hemiarthroplasty, get down to the bone and there is no fracture (i.e. the wrong side) what do you do? |
| Orthopaedics | You have a patient with an isolated lesion in their femur. They are in pain with a 12 month prognosis. They decline surgery, asking instead for euthanasia. How would you approach this situation? |
| Orthopaedics | You notice a consultant asks you to put multiple item numbers on THR op note that others do not. How would you approach this? |
| Orthopaedics | You notice on a ward round that one particular consultant seems to have a higher infection rate than the others. What do you do? |
| Orthopaedics | You observe bullying behaviour by a Consultant towards two Registrars.One of the Registrars is struggling.How would you handle this? |
| Orthopaedics | You private assist who surgeon, however he is not present and you finish the case a few times. The surgeon wants you to write his name on the op-report. What do you do? |
| Orthopaedics | You see a 24yo woman with olecranon bursitis in the ED. Following appropriate management she is discharged from the ED. 3 days later there is a letter of complaint that you sexually assaulted her, what do you do? |
| Orthopaedics | You have a 7 year old patient who presents with a supracondylar humeral fracture. What do you know about this injury, the classification, the risks of this. And how would you manage this patient? How would you reduce and splint them? (Bonus: if the patient is in a rural town, how would you arrange to manage them and for their transfer?) |
| Orthopaedics | You are a registrar in a peripheral hospital and there is a child with a deformed elbow who undergoes a closed reduction and K wire fixation. You note that the intraoperative XR and post op XR are less than the standard that you have seen accepted in other hospitals. What do you do? |
| Orthopaedics | Orthopaedic surgeons have a role in being a leader in preventing surgical harm. Give an example of a time you have prevented surgical harm. |
| Orthopaedics | What qualities of an orthopaedic surgeon make them an ineffective leader? What aspect of your leadership do you need to improve? What is your leadership experience? (I was asked this at the end but it wasn’t written as an actual question on the sheet we were given and I don’t believe anyone else was asked) |
| Orthopaedics | You are called to see a 23 year old male with a football injury. (XR of anteriorly dislocated shoulder) What is the arrow pointing to? (Acromion) What attaches at the circled structure? (coracoid) What is your ED management of this patient? |
| Orthopaedics | (XR of proximal both bone forearm fractures in an adult) What do you tell theatre is your plan for this patient? What is your surgical approach to this injury, specifically the radius? What are your post operative orders for the ward? |
| Orthopaedics | You are a senior registrar and one of the junior registrars feels they are being victimized and bullied by a number of consultants on the unit. How do you handle this? |
| Orthopaedics | You are a junior consultant in clinic and you see a 19 year old female who has injured their knee on a background of previous ACL surgery by another surgeon. They are upset at the surgeon as they will be missing the rest of their netball season. What do you do? |
| Orthopaedics | What is the greatest ethical challenge facing orthopaedic surgery in the next 10 years? |
| Orthopaedics | You are the senior registrar in a busy fracture clinic with 80 patients to be seen. You are called by a consultant who has a case in private but their assistant is unavailable so they have asked you to assist and they’re very insistent. What do you do? |
| Orthopaedics | You learn that another registrar is hiding cases from the weekly trauma case meeting, what do you do? |
| Orthopaedics | You are a registrar and there is a patient with a displaced neck of femur fracture. The patient’s family doesn’t want the consultant on call to treat the patient as they know someone who has had a bad outcome with that particular surgeon. What do you do? |
| Orthopaedics | You are the registrar in an elective arthroplasty list with the consultant. After the distal femur is cut, a fly lands on the cut bone. The consultant waves the fly away. What do you do? |
| Orthopaedics | There is a meeting between theatre staff. What can you do to prevent flies in theatre? |
| Orthopaedics | What does advocacy mean to you? Describe a time you’ve seen advocacy in healthcare. |
| Orthopaedics | You are the on call registrar in a public hospital and the consultant on call asks you to send the referred patients to them in private, where you will assist them and get assistant fees. What do you do? |
| Orthopaedics | You are an orthopaedic registrar and it is Friday. There is an ad-hoc trauma list on the Monday which has a complex orthopaedic case first as the consultant who can do the case needs to leave at 10am to fly to Las Vegas for AAOS. You find out you have been bumped by another case. What do you do? |
| Orthopaedics | Inexperienced scrub nurse is constantly allocated to your theatre, you want to complex cases — how would you manage |
| Orthopaedics | 15y female, MVA, needs surgery for her injuries, is 18 weeks pregnant and doesn't want her parents to know what would you do |
| Orthopaedics | In theatre your not familiar with the instruments provided-what to do |
| Orthopaedics | What makes a good surgical team |
| Orthopaedics | What is ethics |
| Orthopaedics | How were my non-technical skills assessed |
| Orthopaedics | The evening theatre coordinator says they are about to send for a previously booked 4-hour orthopaedic operation and your patient will have to wait. The orthopaedic registrar has told them their case must be done tonight. What are the issues and what do you do now? |
| Other | A succinct way to shut down (highly inappropriate and not allowed) interview questions or informal chatter before or after the formal aspect of the sit down regarding parenting plans and existing children |
| Paediatrics | A new born screening test results comes back as positive for congenital hypothyroidism (I think but could be any of them), the patient requires review, but you cannot get in contact with the patient’s usual paediatrician, how do you manage this situation? |
| Paediatrics | Can you give an example of how clinical governance impacts upon paediatric medicine? |
| Paediatrics | Discuss a recent journal article and how it changed your approach |
| Paediatrics | Family of infant with complex metabolic syndrome disorder requiring lots of intervention and multiple specialist appointments. Overwhelmed by carer burden. How do you assist as the Registrar? |
| Paediatrics | How will you manage a situation if a nursing staff refuses to follow your order on the pretext of wrong calculation done by you for a drug infusion |
| Paediatrics | Please restate (as prior stated in application) your first preference of site for the panel and describe why |
| Paediatrics | Please tell us about a previous experience with clinical governance and how your actions improved patient safety |
| Paediatrics | Please tell us about a time where you were involved in a patient’s care that was compromised. How would you improve the situation for next time? |
| Paediatrics | Please tell us about why we should choose you? |
| Paediatrics | Please tell us about your 5 year career path and goals and how this position will help? |
| Paediatrics | Please tell us about your research interest and previous experience |
| Paediatrics | Specifically states as the ‘formal’ section of the interview has concluded. For departmental planning purposes, are you planning any leave next year?(Note: this is an illegal question) |
| Paediatrics | The Fellow is also responsible for the education program for RMOs, please describe the attributes that make a good clinical educator |
| Paediatrics | The role involves significant responsibilities for patient care along with staff support. It can be stressful, please describe what resilience measures you have in place in your own life to manage these challenges. |
| Paediatrics | You are asked by an RMO to review an inpatient, an infant who was admitted 3 days prior with failure to thrive and bronchiolitis as they are requiring increased respiratory support. During your review you notice signs suggestive of neglect and physical abuse including bruising. How do you approach this patient? Follow-up: What about the fact that they were admitted 3 days prior without anyone noticing the signs of abuse? |
| Paediatrics | You are the paeds rehab fellow, a nurse on the ward contacts you regarding a conversation she had had with the mother of an inpatient. The mother has reported that she is feeling overwhelmed but the patient’s routine, all the medications, OPDs and other requirements. How do you manage this situation? |
| Paediatrics | You request a consultation from a clinical colleague you have previously had a good relationship with. Unfortunately they are refusing to see your patient and have become verbally aggressive with you, how do you manage this situation? |
| Pathology | If you can invite 3 people for dinner, who would they be? Can't name family. |
| Psychiatry | A patient presented after attempted suicide. What will you base on to discharge this patient? |
| Psychiatry | Any incident of a problem with any other member of team and how you solved it. |
| Psychiatry | Can you give an example of where you have applied recovery centred care for a patient and their family? |
| Psychiatry | Can you give an example of where you have had to resolve a conflict with a member of the nursing or allied health staff over the diagnosis or care plan of a patient? |
| Psychiatry | How do you cope with stress of psychiatry job? |
| Psychiatry | Medications used for PRN |
| Psychiatry | Presented with a case of a patient acutely aggressive in the Emergency Department.Outline your process for sorting out this situation. |
| Psychiatry | Scenario: A young girl came with self harm in emerency, she has been medically cleared. She wants to go home and standing outside ED and not willing to stay. At the same time you get a call from the ward that a patient is becoming aggressive. How you approach? |
| Psychiatry | Scenario: An elderly man/woman found bizzare etc and brought to you. |
| Psychiatry | Scenario: An old aged man brought after overdose of pills but patient denies. |
| Psychiatry | Scenario: Common scenario of aggressive abusive patient and nurses call you and want to give him PRN. |
| Psychiatry | Scenario: Some one brought from a pub, no past psych history. Now abusive, aggressive, agitated, confused etc. |
| Psychiatry | Scenario: Someone of whatever age found bizzare and disorganized in street with no mental history. You are asked to assess patient from psychiatry. How do you approach? |
| Psychiatry | Some incident where you made a mistake and how it impacted the situation. The main thing to tell is that you have learnt some thing from this issue. |
| Psychiatry | Tell any time when you used your medical knowledge or skills or being a manager, advocate, professional. |
| Psychiatry | Tell us about a clinical scenario when you experienced significant anxiety |
| Psychiatry | What are your interpersonal weaknesses? |
| Psychiatry | What do you see as the pros and cons of the biopsychosocial model? |
| Psychiatry | What if you disagree with your consultant. I always say that I just tell my opinion once and then whatever he decide I go with him as he is in a more senior position and he may be able to see what I cant see and at the end of day he is legally more responsible for the patient. |
| Psychiatry | What is your understanding of the term countertransference? Can you give an example of countertransference in your current or previous work? |
| Psychiatry | What is your understanding of the training requirements for the RANZCP Fellowship? |
| Psychiatry | Your Consultant has called you this morning to tell you they will be arriving late (in order to sort out an acute problem with a community patient).They were scheduled to give a tutorial to medical students.You are now asked to give the tutorial.Its a quiet day on the wards and you have an hour to prepare.Outline your approach. |
| Radiation Oncology | Why do you wish to pursue a career in radiation oncology? |
| Radiation Oncology | Clinical question - spinal cord compression management? |
| Radiation Oncology | Tell us about a time when you've exercised integrity |
| Radiation Oncology | How do you handle stress? |
| Radiation Oncology | Describe a situation where you have had to handle conflict |
| Radiation Oncology | When have you made a mistake and what did you learn? |
| Radiation Oncology | What strengths do you bring to the team? |
| Radiation Oncology | Tell me about a scenario which has made you emotional |
| Radiation Oncology | What would you do if your other registrar is taking time off to study for exams and you are swamped with work? |
| Radiation Oncology | What makes a good Radiation Oncologist? |
| Radiation Oncology | Describe a scenario where you have demonstrated teamwork? |
| Radiation Oncology | What does the term 'patient centred' care mean to you? Can you provide an example of when you personally contributed to excellent patient centred care? |
| Radiation Oncology | Can you give us an example of when it has been difficult to work with someone and how you dealt with those issues? |
| Radiation Oncology | If we were to solicit feedback from your colleagues , family and friends, what would be the common themes? |
| Radiation Oncology | Could you tell us about a time when you lacked skills or knowledge to complete a task? What did you do? |
| Radiation Oncology | Tell us about a new skill you have taught yourself recently? |
| Radiation Oncology | In choosing a training site what are your top 3 factors that you consider and can you list them in descending order? |
| Radiation Oncology | What have you done to explore your interest in radiation oncology? and what clinical experience do you have in radiation oncology? |
| Radiation Oncology | Tell us about a time when you demonstrated excellent clinical skills? |
| Radiation Oncology | If you were selected, what would be your priorities for the first 6 months of training? |
| Radiation Oncology | Scenario - lady with breast cancer wants to stop treatment half way through because she is worried about getting covid19 from other patients - how do you manage this situation? |
| Radiation Oncology | Tell us about a project you have ben a part of - what was your role, what was the outcome, how has it led to change/impact and what did you learn? |
| Radiation Oncology | 66yo metastatic lung ca with back pain in emergency - how do you manage this? |
| Radiation Oncology | You disagree with the consultant’s management plan for a patient - what do you do? |
| Radiation Oncology | What are 3 personality traits that make you a good candidate for the job |
| Radiation Oncology | Tell us about a journal article you read recently and how has it changed your practice? |
| Radiation Oncology | What kind of questions does the college asks in order to recognise u r overseas degree |
| Radiology | Tell us about a time you worked effectively under pressure |
| Radiology | What skills have you accumulated so far that will help in critical care? |
| Radiology | What critical care procedures do you consider yourself proficient in? How have you determined this? |
| Radiology | emergency medicine - what do you see as the big issues relating to emergency medicine in the next 5 year? |
| Radiology | emergency medicine - what do you see as the big issues relating to this department in the next 5 year? |
| Radiology | emergency medicine - tell me about a paper or presentation that has changed your clinical practice |
| Radiology | What is best startup pathway for IMG radiologist ? We have to apply directly to AON or specialist pathway? |
| Radiology | achievements before graduating medicine? |
| Radiology | tell us about an ethical dilema you experienced? |
| Radiology | why radiology? |
| Radiology | strengths you can bring to the job? |
| Radiology | thoughts on going rural/tville? |
| Radiology | what research activities have you done? |
| Radiology | Cases: pneumoperitoneum , misplaced NG tube in hiatus hernia CXR, lunate dislocation + where is |
| Radiology | what are your achievements? |
| Radiology | tell us about the best and worst senior colleague you have worked with and why |
| Radiology | scenario: consultant asks you to interpret an MRI (as 1st yr reg) |
| Radiology | why radiology? |
| Radiology | describe this object (hammer) without using the word hammer |
| Radiology | what research project would you do/create if you had unlimited funds? |
| Radiology | when is the part 1 exams? |
| Radiology | what will you do next yr if you get on? |
| Radiology | Cases: #, CXR NG tube in R main + PTX, diffuse SAH CT head |
| Radiology | Describe some important qualities of a radiology registrar. |
| Radiology | A patient receives the incorrect scan, what do you do? |
| Radiology | You feel a colleague isn't completing as much work as you and you are overwhelmed with tasks. What do you do? |
| Radiology | Patient on CT scanner thinks they will die from contrast. What do you do? |
| Radiology | A nurse comes to you and says she has an issue with a colleague and wants to tell you about it. What do you do? |
| Radiology | Describe an interesting CT or X-ray and three major learning points from it. |
| Radiology | Describe some occasions where you have been involved in MDTs, and what you hope to contribute as a radiology registrar? |
| Radiology | What are some of the negative aspects of radiology? |
| Radiology | Describe this cxr - ngt down bronchus with collapse |
| Radiology | Why are you the right person for the role? What experiences lead you to believe that you are the right person for the role? |
| Radiology | Describe the RANZCR training program framework. |
| Radiology | What is your understanding of teamwork? |
| Radiology | What is your greatest medical error and what did you learn from it? |
| Radiology | A patient received an incorrect scan. What do you do? |
| Radiology | What clinical skills do radiology registrars require and what skills do you have? |
| Radiology | You receive an inappropriate request for imaging. What do you do? |
| Radiology | When have you shown initiative? |
| Radiology | Explain a time when a patient had an adverse outcome and what you would do differently. |
| Radiology | Tell us about yourself and why you want to do radiology. |
| Radiology | Describe your experiences with research and why it is important |
| Radiology | Tell us what you thing about other specialists performing imaging and procedures e.g. cardiology. |
| Radiology | Tell us about reporting an incident using PRIME, and how you would set it up for radiology. |
| Radiology | Describe how you would interpret a CT abdomen. |
| Radiology | Are you the right person for the job? What do you think you have over other candidates? What do you bring to the radiology department? What do you think are the key attributes of a radiologist and have you demonstrated them? |
| Radiology | Describe a situation when you have been accused of having done something wrong when it wasn’t your fault? |
| Radiology | Describe a time where you had to work with a difficult colleague and how you dealt with that situation |
| Radiology | Describe an ethical dilemma you’ve been faced with at work and how you dealt with it |
| Radiology | Describe the role of the radiology request form |
| Radiology | Describe workplace health and safety issues in radiology |
| Radiology | Detail the skills you have acquired since graduation – particularly decision making skills, surgical skills, three dimensional thinking, and observational skills |
| Radiology | Do you have any examples of your management ability, and your ability to work with a team to solve management problems? |
| Radiology | Give an example of when you have directly disagreed with your team/consultant/senior doctor and how did you manage this situation? |
| Radiology | Give us examples of your management and leadership ability, and your ability to work with a team to solve management problems |
| Radiology | How can you apply the knowledge you have gained as a radiology registrar? |
| Radiology | How have you demonstrated a commitment to ensuring patient safety and quality/how have you participated in organisational improvement? |
| Radiology | How have you handled situations with clinical mismanagement related to you or others you are working with? |
| Radiology | How have you prepared to sit the challenging part one examinations? |
| Radiology | How long have you been interested in radiology? |
| Radiology | How would you manage contrast reactions? |
| Radiology | On reviewing a chest XRAY you notice the film and report are a complete mismatch, how do you approach the situation? |
| Radiology | Quality improvement and audit – what do you know about measuring and improving the work processes in the health system? |
| Radiology | Tell us about a time you’ve displayed interpersonal skills. / You have three minutes to tell us of your ability to develop rapport with staff and patients, and to think clearly and communicate ideas under pressure |
| Radiology | Tell us about OH&S issues associated with MRI |
| Radiology | Tell us about the clinical knowledge you’ve accumulated and how you can apply that as a radiology registrar? |
| Radiology | Tell us about your educational experience, particularly prior to medicine, and tell us about your greatest achievement |
| Radiology | Tell us about your level of knowledge in key areas that will be useful for you as a radiology registrar; exams you have passed, courses completed, computer skills required. |
| Radiology | Tell us about your research as well as any teaching you have been involved in |
| Radiology | What are some ethical/cultural/workplace issues you’re aware of or have encountered and how do you ensure that patients and staff are treated fairly? |
| Radiology | What are the important skills of a radiologist? |
| Radiology | What do you see as been your strengths? Give examples |
| Radiology | What do you see as being your weaknesses and what have you done to improve these weaknesses? |
| Radiology | What do you understand about communication with clinical teams? |
| Radiology | What is your opinion on Artificial intelligence and how do you see if affecting radiology in the future? |
| Radiology | What is your understanding of the role of a radiologist? |
| Radiology | What positive actions have you taken to give effect to this? |
| Radiology | What qualities do you think would make you a good radiologist? |
| Radiology | What would you do if a consultant blatantly made a mistake which led to an adverse patient outcome? |
| Radiology | What’s involved in the part 1 exam? What have you done to prepare for it and do you know when the next sitting of it is? |
| Radiology | Why do you want to do radiology and what attributes could you bring to the role? |
| Radiology | Why do you wish to pursue a career in radiology? |
| Radiology | You are acting as the reporting radiology registrar. You have several trauma CT studies to report. A surgical registrar wants you to report on a abdominal CT scan for their patient and to decide to take them to theatre later that night. What do you do? |
| Radiology | You are in the first week of radiology training. A neurosurgeon asks you to report on an MRI brain of one of their patients as they need to decide as soon as possible whether to take them to theatre. What do you do? |
| Radiology | You are on call, ED want to scan an 8yr old boy with abdo pain, what would you do? |
| Radiology | You have 120 scans to report, how would you approach this? |
| Radiology | You have three minutes to tell us of your ability to achieve rapport with staff and patients, and to think clearly and communicate ideas under pressure |
| Radiology | Why would you like to pursue a career in diagnostic imaging? |
| Radiology | If you could design any research project (unlimited funds and resources) what would you do? |
| Radiology | Why are you interested in Radiology? For how long? Inspirations? |
| Radiology | What have research projects have you done? |
| Radiology | What conferences and workshops have you attended? |
| Radiology | What procedural skills do you have? |
| Radiology | What clinical terms have you done so far in your internship and residency? |
| Radiology | Describe your previous radiology terms and who you've worked with. |
| Radiology | What do you hope to contribute to the department? |
| Radiology | What are your best assets as an employee? |
| Radiology | Where do you see yourself in 10 years? |
| Radiology | What area of radiology are you interested in? |
| Radiology | Are you ready to sit your part ones? Know the dates and the sections. |
| Radiology | If you are not successful, what will you do? |
| Radiology | Give an example of when you have encountered conflict in the workplace, and how you resolved the situation. |
| Radiology | Give an example of your teamwork and management skills. |
| Radiology | A senior clinician has ordered some inappropriate tests, what do you do? |
| Radiology | How do you get along with people in the workplace? |
| Radiology | How can radiologists cause harm? |
| Radiology | You are performing an OPD barium swallow, results come back as having a stricture. What do you do? |
| Radiology | You are asked to perform a doppler at 4:45pm to exclude DVT. Your child is waiting at child care to be picked up at 5pm. What do you do? |
| Radiology | Describe a time when you’ve influenced a positive change in the workplace. |
| Radiology | Discuss some important aspects of radiation safety and OH&S. |
| Radiology | What is the role of the radiologist? |
| Radiology | Comment on the increasing use of CT as an ED triage tool. |
| Radiology | Tell us about some more negative aspects of radiology. |
| Radiology | Why do you want to be a radiologist? |
| Radiology | What will you do next year if you don’t get in? |
| Radiology | What do you think about teleradiology? |
| Radiology | Tell me a time you disagreed with a senior |
| Radiology | What qualities make a good radiologist? |
| Radiology | What have you been doing in your job or department to improve it? |
| Radiology | Tell me about an interesting case |
| Radiology | What do you do to manage stress/maintain a work-life balance? |
| Radiology | What do you think about teaching and how should it be delivered? |
| Radiology | Do you have any questions for us about the interview process? |
| Radiology | What do you think are some problems facing radiology in the next 5 years? |
| Radiology | Have you spoken to registrars in the training programme outside of Auckland to get an understanding of how other departments work? |
| Radiology | How do you think the 6 hour rule affects radiology? |
| Radiology | Do you think radiology is different to other specialities? |
| Radiology | Do you think radiologists get the respect they deserve? |
| Radiology | Tell me about an achievement you are proud of, and conversely something that you failed at or regret |
| Radiology | What are your frustrations? |
| Radiology | Why do you think radiologists are perceived as bullies to house officers and what should we do to foster the relationship? |
| Radiology | What would you do if you disagreed with a consultant regarding a scan you are signing off to them? |
| Radiology | What should a good radiology request have? |
| Radiology | What would you do if a colleague requested a scan that you thought was inappropriate? |
| Radiology | Some football teams have been undertaking unethical practices in the football world cup due to the immense pressure that they are under – what is your take on that? |
| Radiology | How do you think AI/machine learning is going to affect radiology? |
| Radiology | CV based question regarding recent orchestra. Why do you think so many doctors are involved in music? |
| Radiology | Radiology can be a stressful job. How do you handle stress? |
| Radiology | How do you know radiology is for you? |
| Radiology | Tell me a time you worked in a team and what your role was |
| Radiology | What’s the funniest thing that happened to you? |
| Radiology | What do you think are the challenges facing radiology? |
| Radiology | Where do you see yourself in 5/10 years? |
| Radiology | How do you feel about research? |
| Radiology | Will you miss the patient interaction? |
| Radiology | What do you want to get out of the training programme? |
| Radiology | How does the Treaty of Waitangi play a role in Radiology? |
| Radiology | What exposure have you had to radiology? |
| Radiology | What do you bring to radiology? |
| Radiology | What would your juniors/seniors/colleagues say about you? |
| Radiology | What qualities make a good radiologist? |
| Radiology | What are the biggest challenges as a radiologist registrar? |
| Radiology | Do you have any questions for us? |
| Radiology | What interests do you have outside medicine? |
| Radiology | What do you think about the change in pace, going from busy clinical work to becoming a radiology registrar? |
| Radiology | What’s your view on alternative medicine? |
| Radiology | Current events question (in the past: Brexit, Hillary Vs Trump, RDA strikes, social media in politics, vaccinations) |
| Radiology | What do you know about the radiology training programme? |
| Radiology | What do you think are the main reason for complaints in radiology? |
| Radiology | Tell me about an interesting case you have encountered |
| Radiology | Who do you think has the responsibility for your learning/training as a registrar? |
| Radiology | What social support would you have in a remote area? |
| Radiology | What are your frustrations in life? |
| Radiology | What would you do if you disagreed with your senior regarding a report? |
| Radiology | What do you think are the differences between a large and small centre? |
| Radiology | What do you think about teaching and how it should be delivered? |
| Radiology | Who do you think you are? (WTF question) |
| Radiology | If you could do it all again (i.e. career choices), what would you do? If you are going to say medicine and radiology, why? |
| Radiology | What are the recent advances in neuroradiology? |
| Radiology | What do you think about artificial intelligence and computers reporting images? |
| Radiology | What are you most proud about on your CV? |
| Radiology | We (the panel) find radiology a stressful job unlike what most people say that it is a good lifestyle choice. What do you think are the stresses of being a radiologist? |
| Radiology | What would you do if the person you are verbally communicating to about an image said “speak English”. |
| Radiology | What do you think is most important about a radiology request? |
| Radiology | What would you do if a patient wanted a copy of their report? |
| Radiology | What would you do if you felt a scan wasn’t indicated? |
| Radiology | We are encountering more and more incidental findings on scans. How do you think these should be managed? |
| Radiology | There was one question where I was directed to a poster with pictures of different chocolates and one with XRays of those chocolates. I was asked which one was the KitKat and which was Flakes. |
| Radiology | You are currently in X (city), correct? What do you enjoy about X outside medicine? |
| Vascular Surgery | Scenario: Patient with lots of medical problems including gangrene of his foot. You are working on call as the registrar. During the day he underwent a fem-distal bypass operation. It was agreed pre-op by team + patient + family that if it didn’t work the patient would be kept comfortable and palliated. During the night you see the patient because the pulse is no longer present. You cannot get a hold of the consultant who did the operation, but you manage to get through to the on-call consultant. You guys agree that the graft is down and you should palliate the patient. You speak with the family and the patient and everyone agrees with the plan. After all of this happens – the original consultant who did the operation calls you back and says to book the patient for theatre. What do you do? |
| Vascular Surgery | Scenario: The nephrology team refer a patient to you who has kidney failure and diabetes and presents with a foot ulcer. They have promised the patient he will have hyperbaric oxygen treatment. The family are angry with you when you say this isn’t really a service of treatment that would be offered. They asked what I would do. And how I would address the conflict between the departments, how would I make it so that didn’t happen in the future |
| Vascular Surgery | Scenario: You hear from a nurse that one of your fellow registrars is rumoured to have been drinking alcohol while doing on call shifts. Who would you tell? What would you do? Who is at risk here of harm? (I said patient, the person himself, the colleagues incl me) What support services do you know of to help him? |
| Vascular Surgery | Scenario: You’re helping your senior colleague do a procedure and you think he may have put a wire through the renal artery. You confront him and he says he didn’t. He doesn’t mention anything in the notes about it after the procedure. Later that night the patient dies. How do you handle this, who do you tell. What do you tell the family. |
| Vascular Surgery | Scenario: One of your colleague’s performance has dropped off. How do you stay motivated? How would you help your colleague stay motivated. |
| Vascular Surgery | IMG has lots of experience and is a competent worker. His family is away in the home country and he has recently failed the fellowship exam. You have been notified that he wasn't reachable on call. He tells you that he is going to complain to the head of unit about unsafe working hours in the unit which you don't think are actually unsafe. What are the issues How would you look after your colleague? |
| Vascular Surgery | Long summary of 75/M with multiple comorbidities RA/IHD/COAD is seen by you in clinic for pain in calves and buttocks which has been worsening over the last year or so. Pain on standing as well. On exam unable to lie flat due to breathlessness and has difficulty mobilising. Has a wife who is demented and a daughter. Legs are slightly cool and absent pedal pulses but palpable femoral and popliteal pulses. Skin is thin. Summarise the case 2 x pictures 1) dry gangrene 2) ulcer over lateral aspect of leg |
| Vascular Surgery | You have started as a registrar in a new hospital. Your unaccredited registrar and jmo dont tell you about investigations and their results but seem to know all the results when consultant comes for a ward round shortly after. You share good rapport with one of the nurses but frosty rapport with another nurse. How will you deal with this situation? |
| Vascular Surgery | You are working as the SET registrar in a new hospital. Your junior SET trainee tells you about his experiences from the previous employer. Incidents where he didn’t get consultants support and/or supervision and was left fending for himself and on some instances had to call General surgeons for help. He has sound clinical and technical skills but you find him always wanting ‘’someone to watch over’’ What is the problem and How would you deal with the situation? How would you deal with the bed experiences about the previous employer that your colleague has shared with you? |
| Vascular Surgery | You are the junior SET trainee in the hospital working with a senior female SET trainee who always ‘’takes over’’ your operating list. You evaluate a patient in the ED who is likely to need theatres. Your senior colleague (who is meant to attend Outpatient clinics) decides to ‘’check on you’’ but you tell her ‘’I am fine here, everything is under control and you should go sort out the clinic’’. A week later you are asked by HR to reply to a formal complain lodged against you by your senior colleague. How do you deal with the situation? |
| Vascular Surgery | 1) Media star is admitted to your hospital with a mental break down, drugs and self harm. You notice colleague looking up her information that are not directly involved in her care. Your fellow registrar who has a cousin journalism, has taken a particular interest and you are worried she is leaking info to the media/ her course. You later see a text on her phone when answering for her in theatre saying “thanks for the info cuz” What are the ethical and legal issues surrounding this scenario How would you address this Implication to the unit, your colleague, hospital Do you disclose to the patient? |
| Vascular Surgery | 2) A patient had a (last stitch effort) revascularisation procedure and the graft has gone down. The operating surgeon wants to take the patient back (for the 3rd time). The On-call consultant wants to palliate the patient. The family don’t know what to do, but there has been discussion in the past that the patient would not want further attempts nor a major amputation (not formally documented). - how do you handle this situation? - what is the conversation that you will have with the consultants specifically? - why do you think that there may be a disagreement in management between the 2 consultants? |
| Vascular Surgery | 3) Three equally important cases need to go to theatre and you need to come in and decide w which one goes first. Equal acute listing ( 6 to 24 hours. ) First one is your own department and hybrid approach will be needing interventional radiology but if you need to proceed further the table and appropriate theatre is not available Second case is a general surgical case with multiple comorbidities, but a generally simple case Third on is a case added onto the end of the list on the general surgical list but no way would fit on and overflowed onto the acute list. You consultant is pissed as this team always does this which is inappropriate How do you deal with this? What are the issues in the case? What obstacle may you encounter? Who else can you discuss this with? Is there anyone else you can escalate this to? You need to provide an order How do you deal with the issues in the third case? |
| Vascular Surgery | 4) Clinical station – critical ischemia - summarise Photo of large ulcer on antero lateral aspect of leg Photo of gangrene with line of demarcation |
| Vascular Surgery | 5) You are called to theatres to assist the fellow for a carotid endarterectomy. You reach at the time out and surgery is uneventful. While the patient is waking up you realise that surgery was performed on the wrong side. Consent was correct side. He had bilateral carotid disease and you did the asymptomatic one Family were already frosty and pissed off with the unit previously when you met them in clinic, your senior says he’ll speak to the patient, but can you sort out the family Discuss the ethical issues in this scenario and how you would deal with this situation What would you tell the family? What would the consequences to the unit, the colleague and hospital be, and what should be done to address this situation? |
| Vascular Surgery | 6) You have started as a registrar in a new hospital. Your unaccredited registrar and jmo dont tell you about investigations and their results but seem to know all the results when consultant comes for a ward round shortly after. You share good rapport with one of the nurses but frosty rapport with another nurse. How will you deal with this situation? |
| Vascular Surgery | Media star is admitted to your hospital with a mental break down, drugs and self harm. You notice colleuage looking up her information that are not directly involved in her care. Your fellow registrar who has a cousin journalism, has taken a particular interest and you are worried she is leaking info to the media/ her course. You later see a text on her phone when answering for her in theatre saying “thanks for the info cuz” a- What are the ethical and legal issues surrounding this scenario b- How would you address this c- Implication to the unit, your colleague, hospital d- Do you disclose to the patient? |
| Vascular Surgery | Three equally importnt cases need to go to theatre and you need to come in and decide w which one goes first. Equal acute listing ( 6 to 24 hours. ) First one is your own department and hybrid approach will be needing interventional radiology but if you need to proceed further the table and appropriate theatre is not available Second case is a general surgical case with multiple comorbidities, but a generally simple case Third on is a case added onto the end of the list on the general surgical list but no way would fit on and overflowed onto the acute list. You consultant is pissed as this team always does this which is inappropriate i) How do you deal with this? What are the issues in the case? What obstacle may you encounter? Who else can you discuss this with? Is there anyone else you can escalate this to? ii) You need to provide an order iii) How do you deal with the issues in the third case? |
| Vascular Surgery | You don’t get along with two juniors at your new hospital that you are a trainee at. You feel that they undermine you on the ward rounds, withhold information from you but the information is always available when the consultant is around. You get on with one charge nurse but not the other one. Consultant said you theatre performance is great but your failing on the ward management stuff. a- What issues are there b- What can you do c- How do you go about addressing these issues d- How do you go about implementing the changes Ie 360 assessments, peer feedback. |
| Vascular Surgery | Summarise a clinical scenario A 75 male with comorbidities Rest main and IM distance at 20m -issues about management, why would the groins be an issue? Second part was to describe a wound ISBAR ( they seem to be wanting summaries in this standard, you run out of time outside the station but they reassure you beforehand that that’s okay and to take your time) |
| Vascular Surgery | Bullying. The senior registrar is inappropriate and rude to two female juniors on the team. Although you get along with him fine, he constantly criticises them in front of nurses and the other members of the staff. Excludes them from ward rounds. They start to call in sick. a. What are your options? What do you do? b. How do you address the situation c. How would you actions affect you |
| Vascular Surgery | You work in an understaffed overstretched unit where everyone has been shattered from overworking. You and your senior reg, who will be a consultant next year do a hernia repair on a man. It is technically uneventful however you have operated on the wrong side. Consent was correct side. He had bilateral hernias and you did the asymptomatic one Family were already frosty and pissed off with the unit previously when you met them in clinic, your senior says he’ll speak to the patient but can you sort out the family a- Discuss the ethical issues in this scenario and how you would deal with this situation b- What would you tell the family? c- What would the consequences to the unit, the colleague and hospital be, and what should be done to address this situation? |
| Vascular Surgery | Patient asks you about a carotid stent that isn’t indicated but says his cardiologist said he should get one. What would be your response and reasoning. a) Before proceeding in order to obtain an accurate understanding of the patient’s clinical status I think, although it may seem mundane, a full history and examination of the patient is essential in order to appreciate the central issue here and that is the patient’s health. That is ultimately the central issue here. b) After being comfortable with the clinical condition of the patient from a specialist’s point of view, I would then try and address the other concerns that the patient and his or her referrer may have had. I would also try and collaborate the understanding of the patient and the message from the referral letter to see if everyone is on the same page. If there were any concerns of misinformation or a misunderstanding then I would call the other specialist and confirm the understanding. c) Education and informing the patient should be the main objective of this discussion. The patient needs to not only hear and listen to the information, but he needs to be able to full understand and appreciate the issue. Allowing questions and repetition if necessary in order to get the full message across is vital. The reality is that the patients you deal with is of many different educational and cultural backgrounds and you need to be able to appreciate and adapt in the instance for that. There are ways in which you can indirectly have them repeat back to you their understanding and body language plays a huge role but ultimately making sure they understand the issue is important. There is a Consensus on the Capacity to Consent regarding the following: 1) understanding information relating to the specific decision (2) using the information to make a choice (3) communicating that choice. d) The patient needs to know their role in the decision making process. They may not need to know every aspect or detail of the operation or the condition but they do need to know basically what is involved, and they definitely need to know the risks and the benefits of no intervention and also of intervention and the different types of intervention. Ideally the relay of information back to you would indicate their understanding. Their choice to consult another person or doctor again is entirely their right. Time may be required for the decision making process as well. e) If there is a lack of clarity or hesitance on the specialist’s behalf to perform or manage the situation then its important to appreciate the support that you have and that there is adequate help available for you. Also there is an article in the BMJ about assessing 100 medico-legal cases in the UK and Ireland which concluded in the instance of difficult cases the consultation of medico-legal specialist reduces the incidence of claims. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1679477/ |
| Vascular Surgery | The Cardiologist then calls you a day later and asks about a dissection after inserting a carotid stent in the same patient during the procedure. What would be your response and reasoning? a) Patient-safety comes first, prioritizing the issue here is necessary. b) How can you help and how can you ensure the best next step is undertaken c) How to avoid a similar situation? Approach the individual and understand their reasoning behind the decision d) Bring up the issue with colleagues and ask their advice, MM meetings for that case. Consult the other specialist’s head of department and ask about their involvement in the situation. e) Refer to the college if you are at ends and can’t find a solution. Ultimately patient safety is the primary issue and although it may just be a misunderstanding its still important to address the issue entirely to the end. |
| Vascular Surgery | Your consultant left a suture needle in the chest wall after closing and asks you not to report it in the operation report. How would you handle this situation? a) Full assessment of the patient is the first step. Maintaining a level of assessment for the status of the patient. b) Address the consultant and ask why they don’t want you to include it in the operation report. Maybe he would like to address this issue and mention it himself to the patient. c) Mention your concern for a lack of honesty, beneficence and justice for the patient. d) There is a concern also for non-maleficence for this patient. e) Documentation is not only important for ongoing patient care and follow up but its also a legal issue to document everything in the peri and post operative period. f) I believe the themes that are involved in this scenario include transparency and honesty, patient safety, and professionalism. g) Nine RACS Competences, 1. Collaboration: work with the other departments to maintain patient safety 2. Communication: Why is this the case, how can you solve it and how can we avoid it? 3. Health Advocacy 4. Judgment. CDM 5. Medical Expertise 6. Management and leadership 7. Scholar and Teacher 8. Professionalism 9. Technical Skills Clinical Governance. 1. Patient Safety 2. Audit 3. Research and Development 4. Risk Management 5. Transparency 6. Clinical effectiveness 7. Education and teaching |
| Vascular Surgery | Describe the importance of collabortation and team work in Vascular Surgery. Your Consultant is performing operations that are not well known and slightly questionable, how do you go about the situation? The main issue is maintaining integrity with patient safety and advocating for that safety, which may include approaching the consultant, approaching the department or approaching the college if necessary. There are avenues and channels throughout our careers there for us to deal with these situations and its important to voice and communicate those concerns. The alternative is potentially a threat to patient safety being that one would keep silent. In the first instance however I would conduct a semi Audit involving assessing the situation or treatment, setting the standards and criteria, research the literature and the situation, assessing the current situation and comparing the two. Conclude with a situation that either can be put to rest or if further issues need addressing then one must pursue that. Collaborating with other departments or specialists, communicating those concerns. Be aware that this attitude must be genuine and come from within your health advocacy. Clinical Judgment isn’t always clear-cut and there are factors that may not be fully clear to you at the time. A specialists’ medical and technical expertise are continuously evolving and developing. Help should be accepted and offered in the lag period of development. Professionalism includes being consistent and ethical in your commitment. Your actions you have to appreciate are being observed and are on display as a learning example for trainees and other health professionals and junior doctors and students as well. People will learn from that and so the responsibility is huge. |
| Vascular Surgery | You have been up all night operating and the consultant the next day says there are three carotid endarterectomy cases for you to do and that he has generously lined them up for you so you can fill out your logbook. What would be your response? |
| Vascular Surgery | The effective education of undergraduate and postgraduate students is a priority for the medical profession. Can you describe your teaching experience to date and outline your approach to surgical teaching? |
| Vascular Surgery | You have an under performing resident and you are concerned that there are things missing in the day to day operations of the hospital that he is involved in. How would you deal with this situation? |
| Vascular Surgery | You are concerned that your colleague is drunk and at work. How do you react? |
| Vascular Surgery | You are concerned your boss is drunk at work and wants to operate. What do you do? |
| Vascular Surgery | You are in the operating room doing a case and the emergency department calls you and the nurse takes the call and tells you there’s an emergency downstairs, a rupture. Your consultant is at home which is approximately 30 minutes away. How would you handle the situation? |
| Vascular Surgery | Describe the process of audit and how it is important for clinical. How have you self audited your own clinical practice, give an example for such? |
| Vascular Surgery | You are in an operation and you need to perform an amputation but after checking the consent form ‘amputation’ is not on the form and the person who filled it out is not contactable. What do you do? |
| Vascular Surgery | How does a Surgeon behave under stress? |
| Vascular Surgery | How does your professionalism play in to your practice? Working in our clinical environment involves an appreciation of varying cultural norms. Give an example of how you behaved with a patient with an unfamiliar cultural background and how that influenced your professional behavior. |
| Vascular Surgery | What is the importance of leadership as a surgeon? Give an example of a time that leadership played an important role in your clinical practice. |
| Vascular Surgery | How does self-audit influence a departments performance. Give an example of a clinical error that you made and how you responded |
| Vascular Surgery | Vascular fellow is doing a renal artery stent and you think he has dissected the renal artery. You ask him about this and he mentions not to tell it to the patient. He finishes the operation and does not type this complication into the operative notes. Overnight, the patient has an MET call for hypotension which was managed by the stressed resident overnight. This was followed by a cardiac arrest where the patient died the next day. - how do you handle this scenario when your senior is lying about a complication? - how do you handle the distressed Resident? - what are the hospital policies regarding surgical deaths and who specifically gets involved? |
| Vascular Surgery | There is a patient under the renal team with a gangrenous foot. Orthopaedics have been involved with the care and have performed multiple debridements. You as the Vascular registrar are aware that due to this patients PAD – the only reasonable solution is major amputation. The family don’t want an amputation and are unhappy with the management of this case. None of your consultants want to get involved either and have asked for you to sort out the management with the other teams. - How do you handle this situation? - How do you manage the family? - How do you interact with your colleagues on this matter? - how do you treat conflict in the workforce? - how do you prevent conflict in the workforce? |
| Vascular Surgery | A patient had a (last stitch effort) revascularisation procedure and the graft has gone down. The operating surgeon wants to take the patient back (for the 3rd time). The On-call consultant wants to palliate the patient. The family don’t know what to do, but there has been discussion in the past that the patient would not want further attempts nor a major amputation (not formally documented). - how do you handle this situation? - what is the conversation that you will have with the consultants specifically? - why do you think that there may be a disagreement in management between the 2 consultants? |
| Vascular Surgery | You are 1 of 3 registrars on a rural/regional term and one of your colleagues is stressed and underperforming. They have made the decision to leave surgical training for radiology and have decided to start drinking to cope. You have noticed that they are drinking at work and when they are on call. - how do you manage this situation? - what are the dangers? - what specific conversations do you have with your colleague? - how will you manage the rest of the year? - is this a case of mandatory reporting? What is mandatory reporting? - how do you help your friend? What can you specifically do? |
| Vascular Surgery | Underperforming colleague (surgical registrar) who was on the top of their game and now has retreated, become isolated, non-conversational, clearly stressed. Now instead of it being your surgical registrar colleague – it’s a junior doctor. - how do you manage this? - what steps can you take? - what options are available at the hospital? Beyond the hospital? |
| Vascular Surgery | Outpatient scenario; you see patient in the outpatient clinic. You have taken a history (given to you) and have seen an ulcer (photo provided) - how would you present this case effectively to your consultant? - describe the ulcer - what do you think is going on clinically (although they stopped be from answering this; its mainly focused on the way you present not the diagnosis) – then they just wanted me to discuss some salient concerns for this patient overall... |
| General Surgery | What do you do about an underperforming colleague? |
| General Surgery | There is a media release about mortality and morbidity data on a particular surgeon's performance with publication of the surgeon's post-op complication rates. What do you do? |
| General Surgery | How do you approach a family member not wanting surgical treatment? |
| General Surgery | What is the surgeon's audit process? |
| General Surgery | You are stuck in theatre and a trauma call is put out. What do you do? |
| General Surgery | Two consultants want you to be at their theatre lists, both at the same time. How do you manage? |
| General Surgery | How do you go about introducing change? |
| General Surgery | You admit a patient who has a bladder injury following a surgical procedure. Your supervisor indicates that the surgeon is a poor operator. What do you do? |
| General Surgery | You have a patient sick with pancreatitis. Family want to withdraw care. What do you do? |
| General Surgery | You’re on a ward round. Consultant reduces medical student to tears. What would you do? |
| General Surgery | Do you think surgery is more hierarchical than other professions and if so why? Is this a good or bad thing? |
| General Surgery | Describe a time where you had to deal with an under-performing medical student. What did you do? |
| General Surgery | What models of feedback are you aware of and how do you incorporate them into your teaching practice? |
| General Surgery | What teaching have you done? How do you know it’s been any good? Whose responsibility is teaching – consultant, registrar or house officer? |
| General Surgery | How would you teach a junior registrar to perform a laparoscopic appendicectomy? Tell us about a time you’ve taught a junior a skill? How do you assess how well they’ve learnt? |
| General Surgery | Have you ever been encouraged to perform a procedure you were not entirely comfortable doing? What did you do? How did you reflect? |
| General Surgery | Are courses a good way to learn? What courses have you done? Do you think they should be a pre-requisite to training? |
| General Surgery | An 80 year old woman with dementia presents to ED with recurrent sigmoid volvulus. Discuss management. |
| General Surgery | You are called to theatre as the on-call registrar where a 16 year old boy is on the table, asleep, consented for lap appx. You notice an erythematous swollen right hemi-scrotum. You suspect correct diagnosis is epididymo-orchitis. How do you proceed? You remove a normal appx. The boy is treated for his epididymo-orchitis, develops urinary retention and a wound infection. Family are concerned and angry about the incorrect diagnosis and removal of a normal appx. They feel they weren’t appropriately involved in consent process. They want to make a formal complaint against you. Describe how you would deal with this situation? |
| General Surgery | You commence operating on a patient and realis you have started on the wrong side for an inguinal hernia surgery. You are waiting for the consultant to arrive. What do you do? |
| General Surgery | What is the purpose of a surgical checklist |
| General Surgery | How do you handle needlestick injuries in OT |
| General Surgery | You are asked to review a patient post laparotomy for SBO, they have low urine output, how do you proceed? |
| General Surgery | You are working long hours and the director of surgery is regularly requesting your assistance in private, and you are starting to feel tired at your primary place of work. What do you do? |
| General Surgery | You are asked to review a patient who is post total thyroidectomy bleeding on the ward with respiratory distress. |
| General Surgery | You are shown an axial CT scan from someone returning from Bali showing PV gas and liver abscess. What is your differential diagnosis and plan of management? |
| Psychiatry | why do you choose psychiatry ? |