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š Four sessions š Research/Teaching experience š Clinical scenario š Leadership/Management Introduction š Q&A š High yield š Delivered by successful SFP applicants š Disclaimer: no content directly relates to any specific individual experiences at interviewClinical Scenario What are What is it? Why? they looking forScenario types General advice Emergency treatments SBARR PrioritisationGeneral advice Trust your It’s ok to not Safety is knowledge know paramount Talk through Don’t work in Clinical your thought isolation - use competency – process the MDT SFP means time out from wardEmergency scenarios 1. Summarise – what are salient points of the scenario Ø Gather info, differentials 2. Be realistic – what would you actually do 3. Bedside assessment Ø A-E as always 4. Initial management Ø BBI (bedside, bloods, imaging) 5. *Limits of competency – when will you escalate, to who and how*SBARR š Situation, Background, Assessment, Recommendation, Response š Salient points – grab attentionEmergency scenarios example “Called to see a 65 year old lady who is 4 days post cholecystectomy who is increasingly SOB” • Gather info: more HX, NEWS + Observations and target sats, PMHX, Clinical concern (NEWS 3, 90% on air, bp stable, tachycardia, temp. HX COPD, worried – says new today) • Summarise salient points: lady post op, desaturated. Possible differentials: respiratory (COPD exacerbation, chest infection, normal sats) cdv (post op MI, PE) • On way – place oxygen, repeat obs, gather notes, re-bleep if further concern • A-E and re-assessment • Initial management – bedside (check probe) bloods and ABG, portable CXR, potential CTPAEmergency scenarios example “Called to see a 65 year old lady who is 4 days post cholecystectomy who is increasingly SOB” • SBAR: Situation - 65 y/o lady 4 days post cholecystectomy desaturated on ward Background - She has bound of COPD, otherwise well, not on abx. Assessment - A-E and stabilized Recommendation/response – main differential is….proposed plan is….what do you thinkprioritisation List of ”bleeps” 1. Summarise – what are main problems 2. Rank problems: what could be sorted quickly, what is important. Takes long, low importance = low priority. Patient safety is number one 3. How will you organise/planPrioritisation example e.g. analgesia, desaturating patient, discharge letter, abdominal pain 1. Desaturating patient – airway takes priority 2. Analgesia – pain is not nice, risk of poor inspiration and chest infections, cause of pain could be of concern 3. Abdominal pain – need more info, could be benign could be serious 4. Discharge letter – lower priority than unwell patient but needs doing to keep flow of ptPrioritisation example e.g. analgesia, desaturating patient, discharge letter, abdominal pain o Things can change – abdominal pain could be perforation, analgesia might be benign/serious o How will you remember what you’re doing and when o How will you ‘juggle’ responsibilities e.g. stabilize, escalate and then see next patientThank you! š Next session: Leadership, management and structuring responses š https://share.medall.org/events/s fp-interview-series-high-yield-3-of- 4