ST1 Obstetrics and Gynaecology Interview Format & Experience

¬ 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

http://www.oxforddeanery.nhs.uk/pdf/Obstetrics%20and%20Gynaecology%20ST1.pdf

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.

Station 1:

Portfolio station:

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.

Station 2:

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.

Scenario:

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?

Station 3:

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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.

 

NHS Junior Doctor Working hours – What TCS 2016 bring

Lately there has been a reshuffle of terms and conditions as TCS 2002 have moved to TCS 2016 and got implemented across England by mid 2017 (yeah we envy you lot in Wales, Ireland and Scotland!) , though, new contract has been applicable to new junior doctors  joining NHS  and those who were already in NHS by mid 2016, have been given protection till 2nd August 2022 , then new TCS will be implemented across the board.

Some bullet points about TCS 2016 , in addition, to the requirement for all trusts, to have an assigned role of guardian of working hours for junior doctor, are following:

  • Max average of 48 hours work per week  –  Max weekly average across a rota reference period (up to 26 weeks).
  • Max 72 hours work in any 7 consecutive calendar
    days
  • 30 minute break for 5 hours work & a second 30 minute break for more than 9 hours (taken
    individually, or combined as close to the middle of
    the shift)

When it comes to Shifts duration and Rest:

  • Max 13 hour shift length Maximum individual shift length
  • Max 5 consecutive long shifts, at least 48 hours rest on conclusion of the fifth shift ( a shift means longer than 10 hours here) when you finish before 11:00 PM
  • Max 4 consecutive long daytime/evening shifts,at least 48 hours rest on conclusion of the fourth shift (thats when you finish after 11:00 PM but before 2:00 AM)
  • Max 4 consecutive night shifts, at least 46 hours rest on conclusion of the third or fourth shift
  • Max 8 consecutive shifts , NOT CALLS i.e less than 10 hours i.e normal working day length   (except low intensity on-call), at least 48 hours rest on conclusion of the final shift
  • If your on-call on a Saturday & Sunday contains less than 3 hours of work and no more than 3 episodes of work per day, up to 12 consecutive shifts can be worked
  • At least 11 hours continuous rest betweenrostered shifts

When it comes to weekend work, please note following:

  • Max frequency of 1 in 2 weekends can be worked across the rota cycle (thing of note here is ACROSS ROTA CYCLE meaning upto 26 weeks block, so you can be asked to do conscecutive weekends as long as its 1 in 2 across your rotation when averaged)

Please refer to following links for details and exception report violations and get to know who is the guardian of safe working hours in your trust. hope this helps

References:

 

https://www.bma.org.uk/-/media/files/pdfs/employment%20advice/contracts/junior%20doctor%20contract/junior-doctor-rota-rules-ataglance-guide-feb2017.pdf?la=en

https://www.bma.org.uk/-/media/files/pdfs/practical%20advice%20at%20work/contracts/jdrestreqs.pdf?la=en

http://www.nhsemployers.org/~/media/Employers/Documents/Need%20to%20know/TCS%202016_June%202016.pdf

International Medical Graduates in NHS & why there are so many ?

Looking at the way the world works nowadays, we are moving towards “quick-fix” trend, whereby , the old school style of doing things the proper way has given way in favour of getting stuff done quickly.

That’s how it has been for the medical education and training, western countries have long realised that, bringing in a fully trained doctor from a slightly underprivileged country incurs a fraction of the time, effort, resources and money needed to properly train a medical doctor at home.

All this has created a scenario where there is huge , continuous demand of qualified doctors all over the world in advanced economies or wealthier countries be it Middle eastern countries like Qatar or Emirates or western countries like United States, United Kingdom, Canada, Australia or Ireland.

Once medical graduates come out of their medical schools in countries such as Egypt, Sudan, Malaysia, china, India or Pakistan, many have an Ideal, a teacher or a well respected consultant they know, who has honed their skills and progressed their career in Europe or Americas, publishes in international journals, tells stories about how advanced west is in healthcare innovations etc and, hence they want to come here for advanced degree as well. The prime drivers are quest of career progression, international exposure, better life style and financial well being .

In addition to being a general advice to all the junior doctors in NHS , this blog is also going to be about how this journey looks and feels like from inside, stage by stage , step by step . Since author’s first hand experience is pertaining to HSE Ireland and NHS UK that’s where most of the focus of this blog is going to be. Goal is to not only share experiences and offer advice about lessons learnt, but also to interact with the readers about their personal experiences and thoughts. So here it begins …..