Liverpool Interview Station Prep

Autonomy

Respecting a patients informed voluntary right to make decisions about their own care

Beneficence

Actively act in patients best interest

Non-maleficence

Obligation to avoid causing harm

Justice

Fair and equitable treatment for all patients

Confidentiality

Duty of HCP to keep patient information private unless confidentiality must be broken to prevent harm

Capacity

The ability of a patient to give consent at a particular time

Consent

The voluntary, informed decision of a patient to accept or refuse treatment

7 qualities of teamwork

• Active listening

• Building rapport

• Better conflict resolution

• Communication

• Defining roles

• Respect

• Trust

What are 3 outcomes of good teamwork in a MDT?

• Faster patient outcomes

• Improved patient safety

• Better staff wellbeing and team morale

What 2 qualities of teamwork result in faster patient outcomes in an MDT?

• Early conflict resolution avoids delays in treatment

• Good communication prevents repeated investigations

What 3 qualities of teamwork result in improved patient safety in an MDT?

• Active listening in handovers

• Defined roles avoids gaps/duplication in care

• Trust encourages people to speak up if they notice concerns

What 3 qualities of teamwork result in better staff wellbeing and team morale in an MDT?

• Respect and trust reduces tension and burnout (accept support/advice of colleagues around you)

• Rapport with team members creates more pleasurable working environments (familiar and comfortable with colleagues)

• Early conflict resolution prevents long-term damage to trust and working relationships

Where have you shown good teamwork skills?

Mental health team → Collaboratively working together to make a mental health guidance website for both students and carers

Where have you shown poor teamwork skills?

Lifeguard training → Disagreement on way to secure casualty on PXB board → Lack of active listening and defined roles → Added stress due to situation being time pressured

4 things good communication results in?

• Working better as a team

• Adherence → Involved in patient centered care (shift from compliance)

• Improved diagnostic accuracy

• Build rapport

4 things bad communication results in?

• Anxiety and confusion

• Ethical concerns

• Delays in treatment

• Reduced patient trust

Give an example of a time you have used good communication

Lifeguard training → Recognised limits → Needed to change roles to ensure casualty safety → Communicated this clearly

Give an example of a time you have used bad communication

Lifeguard training → Casualty head moved → Reflection → Due to lack of communication, active listening and definitive roles

6 qualities of leadership

• Fair attitude

• Respect

• Communication

• Delegation

• Supportive

• Self-confidence

Resilience

The ability to adapt, recover and continue to function effectively in the face of stress, challenge or adversity

What are the 3 biggest NHS pressures?

• Increased demand

• Workforce shortages

• Insufficient funding

What are the 2 biggest reasons causing the increased demand in the NHS?

• Ageing population → Increased co-morbities

• Population growth

What are the 2 biggest reasons causing the workforce shortages in the NHS?

• Insufficient specialised training spaces

• Doctors pay has not risen with rate of inflation increase

What are the 3 biggest reasons causing insufficient funding in the NHS?

• Demand increases faster than funding

• New, more expensive technologies

• Government budget is finite (must split this between the NHS and other public services)

What are the 3 changes in the NHS Fit for the Future: 10 year health plan for England?

• Shift to community care

• Digitally transforming NHS

• Shift to preventing illness

What does the medical schools council state the role of a doctor is?

Doctors are clinical scientists who apply medical knowledge to prevent, diagnose and treat illness, while promoting health and leading care teams

When have I witnessed a doctor treat illness?

1. Work experience

2. Watching orthopaedic surgery

3. Saw surgeon carrying out a Fasciectomy to treat Dupuytren’s contracture

4. Improved hand mobility → Improved patient quality of life

What and how have I recently learnt about the role of a doctor?

1. Role of doctor to be empathetic and compassionate to patients

2. Learnt this from mums breast cancer diagnosis

3. Tried to emulate whilst volunteering at a care home

What are 3 essential skills of a doctor?

• Willingness to learn

• Insight

• Communication

What is the 5 step guide on how to act if you see a problem?

1. Assess severity

2. Don’t ignore it

3. Address privately first

4. Escalate is it is serious, repeated or harmful

5. Follow institutional guidance

What must a doctor’s freedom in expression be balanced against?

• Patient safety

• Public confidence in profession

What 2 things must doctors maintain on social media?

• Patient confidentiality

• GMC professional communication

What are the 5 GMC guidelines for professional communication?

• Not present opinion as an established fact

• Not minimise or trivialise risks of harm

• Not leave out relevant information

• Deliver accurate information

• Honest, trustworthy and confidential