¬ by Abeera Khan
This is an anonymous Interview experience from a colleague of mine who applied for ST1 Obstetrics and Gynaecology in Round 1- re advert 2018. Please note it won’t be perfect as it is not my own first-hand experience. Just an outline to let you know how it works.
Kindly go through the Person specifications 2018 for Obstetrics and Gynaecology- ST1
The person specifications for each specialty comes out every year. Its worthwhile to have a detailed account of it as the interview is based on every section marked in it. And you can find it easily by typing it on google.
Interview consisted of 3 stations.
Questions asked related to
- Commitment to specialty
- Audit and QIP
- Understanding and importance of Research
- Teaching (Any teaching you have delivered, feedback, Importance of teaching in training)
- Understanding of structured training programme of ObG, exams and curriculum
You will be marked on all of these things by the panel. So make the best use of it.
Interaction with patient (simulator)
You are given a scenario before entering the room. You have 5 minutes to understand the scenario, make up your mind what you want to ask and prepare yourself.
Day 2 Post uncomplicated vaginal delivery. Routine bloods in the patient show Hb of 71. Take relevant history, ask for relevant examination if you want to do and what would you like to do further.
Remember you must be quick in this, take relevant history (if anaemia is symptomatic or asymptomatic), any significant past medical history- pre-existing anaemia. If you say, I would like to do relevant clinical examination, the examiners will let you know that its normal.
You would then need to address Blood transfusion, how it is done and intended benefits. Ask the patient about this and gain consent. Patient may not be willing then you may have to address the side effects of not having a transfusion.
Finally, the patient agrees to have blood transfusion.
Second part of the station 2:
The examiner then hands you a paper.
Day 1 Post blood transfusion in the same patient. Patient has received wrong blood. She is clinically stable but is very angry and upset about it. She would like to make a complaint. How would you address this?
Prioritization of tasks with reasoning.
You are SHO on call in a ward having surgical, gynaecology and orthopaedic patients. You have one FY1 for help. You have Medical registrar, surgical registrar and orthopaedic registrar on call in the hospital.
- 80-year-old lady #NOF post-surgery. She was receiving 2nd unit of blood transfusion. Nurse calls you saying patient has spiked temperature 38 degrees. Heart rate 100bpm. Blood pressure, respiratory rate and saturations normal.
- Patient has been admitted to the ward for investigation of abdominal mass. She has had hematemesis. She is now hypotensive with blood pressure of 80/50 mmHg, HR 100 bpm. She feels unwell and is sweaty.
- Young patient admitted to ward with incomplete miscarriage and alcohol intoxication. Nurse calls you to tell that she her GCS is 13 and has now had complete miscarriage. Her observations including blood pressure, heart rate, RR are all normal.
- Phone call from a man asking about Patient 3 (Intoxicated patient) and wants to know what’s happening with her.
P.S: The scenarios may not be complete, but I hope you understand it gives a fair idea that which task should be addressed first and foremost.