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Okay, so we're back with the next lecture, which is on non clinical scenarios. So, um, we are privileged to be joined by Mr Mike Flateman, a German orthopedic registrar in the Mersey region. I'll let him introduce himself, flow in more detail, but, uh, if you have any questions, same as before, we just placed it on the chat, and we'll come to them at the end, But without further a do, I'll pass over to Mike. Thank you. Hi, everyone. Uh, thanks, Ambassador Evan Asset for inviting me to talk to you today. Um, I'm going to talk to you about as vast ever said how to answer non clinical questions as part of your s t three interviews. Uh, just wanted to get started with a quick disclaimer. Everything I'm going to be talking about is based upon my opinion. It's intended, uh, to give you the best chance in your s d three interviews. But I can't guarantee I'm going to be able to give you the best advice that you're gonna be suited to you and to your, uh, consultant panel. Okay. What I'm going to talk to you about, I'm going to talk to you about the why you question, which tends to open most of these interviews, Move on to talking about some managements and ethical scenarios. Uh, I then thought of some quite common questions which are asked to really do well to prepare for in advance. Got some general into you tips, and I'll open up to any questions at the end. Okay, so the Y you question, there's various different ways of asking this question. Um, it can be, uh you can say, Why do you want to be a trauma orthopedic registrar? What have you done to prepare yourself to be a trauma? An orthopedic registrar. Uh, I realize I'm talking to people from other training specialties as well. So I try to include some other examples as you go along. Uh, or they might say to you, uh, what are your strengths, or why should we give you a job? And there are different approaches to this. I've seen from doing different courses that some people like to keep it quite brief. Just keep it to a few key points. However, the approach that I took was two visualize the people on the other side of the interview panel as not having read my portfolio. They've only seen the score, which I think, given that the interviews are mostly virtual now that I think that's quite likely. They've only seen your score. They're not been able to look through your actual evidence. So this is your chance now to show off your evidence, showcase your portfolio. But most importantly, you want to make sure you're matching to your person specification, and I can't stress that strongly enough. Now. Of course, you can wax lyrical about this and go on and on and on talk about every audit you've done and every presentation or conference that you've been to. However, it's important to be succinct and specific. You've got to share examples of what you're talking about and make you got to remember that you've probably going to want to talk for only about two minutes for this, but making sure you're hitting order the domains now. I don't think this should be new to many of you, but the camp structure for C for clinical A for academic M, for management and P for personal is a brilliant way of getting all of this across. In the release ast inked timeframe in terms of the clinical aspects, looking at, uh, discussing what's in your log book the highlights, for example, in my specialty for orthopedics it was talking about my DHs is my hip hemiarthroplasty is by this the radius is and my manipulations looking at the PBS talk about the ones that you're really proud of, the ones where you could perhaps show you some reflection. When you're talking about this, the progression that you've made on them highlight that you're getting level for a three B whatever it is. Talk about things that happen in both in theater and the clinic. You want to reference your MSF you want, particularly if they're outstanding, and then go on to talk about any of the courses particularly bearing in mind those which are desirable in your person specification. Moving on to the academic part papers, presentations. Your audits talk about teaching, and you want to mention clearly that you're talking about reflecting upon your feedback as you've done that. When you come into the management part, you want to talk about those leadership roles that you've had to think about them all the way back to medical school. if you've got them, Think about not just saying Oh, I was President's of X, y and z Society. But say what you did while you were there and also what it taught you. And then you're going to be wanted to bring that back again within that a few sentences to say how it's going to make you a good S t three from the personal book side of things. Don't tell them about how many cats you got and that sort of thing. We want to be talking about sort of achievements. So you need your life outside of medicine. And you can use this to talk about how you strive to strike a work life balance and how important that is. And then also to mention a bit of stress management, which is an important skill Zahar vision working as a registrar. Okay, so I'll just move on and we'll do questions at the end. Uh, looking at the management and the ethical scenarios, one of the sort of themes that comes up in these questions, you're looking at equity diversity and inclusion or bullying. Um, we'll have a look at this scenario and we'll work through using a framework in the next slides. So one that was given to me in a mock interview last year was something along the lines of this, uh, you're in the coffee room at lunchtime, and you over here a conversation between two colleagues. You think that you over here, the senior male colleagues say something that derogatory. It's in a more junior female colleague. The senior colleague leaves, and the junior colleague appears visibly upset. How do you proceed? Okay, so again, this probably won't be brand new to a lot of you. But the spies framework is the one you want to be using to address these questions, at least to hang your question around. So situation, patient safety or prioritization intervention escalate and then support. Um, looking. You can look at the slide down and see the explanation for those steps. Um, and there won't be. It won't be that every single scenario that you get asked is going to be relevant to each of these. And you may find that perhaps, for example, your intervention and your escalation is the same step. But it's still a good framework to think about when you're working your way. through these questions. So going back to the example scenario that I just gave you you wanna establish with the panel what it was that you heard And whether any other witnesses they may say you're still not sure. Uh, and no, there were not any other witnesses, so that's sort of lead you to them. Move straight on without any further discussion. You want to state early that discrimination is not tolerated. And that's something that they're looking for. You separately very clear on. You wanna then talk about the potential patient safety issues Has that, uh, derogatory comments affected the ability of your junior colleague to work? Is the patient safety issue there? Does this call into question the judgment and the professional behavior of your senior colleague? You could even add any patient's over here, the exchange, and that may undermine the confidence that they would have within the profession. You don't want to move on to your intervention or your Axion, uh, suggest that you'd move on to gently and carefully ask how the junior colleague is. Ask if they want to discuss what just happened. And if they disclosed you that in fact, it was a derogatory comment and it really upset them. Then you would encourage them to go to their supervisor. Uh, if that was their supervisor, you could discuss it with the apartment lead. Or there's also the guardian for safe working there, too. One thing that they could throw at you as a curveball would be. What if the junior colleague didn't want to make a fuss? Uh, that put you in a bit of a difficult situation. I think you would struggle to say a definite answer for that, but you could pose the two answers or two different scenarios. One is you could say you would support them in that and make sure they felt supported throughout, uh, making sure that they they knew that they could come to you if something was to change in future. Or you could say that, Yeah, I'll have happily support you with this. And I saw this to, and I'll be a witness. Okay, so he's trying to be flexible with this. Got a separate one. Uh, another one that was given another course was talking about remote supervision in theater. Uh, you can say a situation where you're performing an operation uh, there's a consultant supervising you remotely from the office. Uh, for example, in this one here. So you're performing a DHS. Uh, and you're struggling to maintain a stable reduction. Uh, yeast, this is informing that patient is becoming unstable. How do you proceed? Okay, so we can use that spies framework again. Um, you can to gain some more information about the situation. Ask how are they unstable? How long are they unstable for? How long have you been trying to persist with What is the urgency, Uh, of the degree of the instability? Is the resurgence cause for it? Or is it, uh, an anesthetic cause that they're going to be able to cope with and give you more time, then one state, very clearly that learning to cope with different cases part of your training. But it's got to be not come at the expense of patient safety. And that's the priority that shows that you're you've got awareness of the fact that training is difficult and you will be put in some difficult situations. However, that's not to come at the expense of the quality of care that you're giving to your patient's. So you want to. Then think about your intervention. The one I thought of in the situation was to politely ask one of the circulating screw up staff to, uh, find a consultant. Ask them to attend theater. As I mentioned earlier, that sort of overlaps of the escalation part, uh and then they can throw you a curveball or something. Like what if that consult is not available? Uh, which would probably fair game that say that they would, uh, they they were unable to find them in the coffee. And perhaps they nipped off somewhere else. Yes. Your options There, I suppose, are You could find the encore consultants, or you could find more senior registrar. But so long as you've got a good rationale for your escalation in your chain of thought is sound, then I think you'll do well with that question at the end. For the supporting spit, you want to have a debrief with the fears of staff and those who are involved in the case. Uh, and then you want to discuss the case? If your supervisor to they, they will want to hear you think about things like reflecting in your portfolio too. Okay, So in terms of answers to prepare, these are questions which came up time and time again when I've been doing mock interviews and also remember the real thing. You want to have a bit of an understanding of your own portfolio, so you want to know what your best audit is. You want to have a quick and succinct int direct way of describing this audit and no one around two sentences, and you want to make sure that you're highlighting your role in that what it did for you in terms of a clinician and also what it did for your department. You can also do this with your a paper that you've written to, uh, it's fair game to ask you what? What is the most particularly if your if your listing a number of papers that you've been a part of their going to ask you what you think was the most important and which I'm most proud of? There's also a very similar question, which is looking at what paper have you read that's had the most impact upon your practice? Um, that's obviously gonna be very different for different specialties, but I would aim to find one, which is quite well known. And I would say that it had to be related to something that you would be doing either as a senior S h O or as an S t three, for example, an orthopedic, something about the D. H s or working in a trauma resuscitation scenario. Okay. And you want to have again a succinct answer as to why that was useful for you and what you've done with that, perhaps showing some reflection, too. One of the most common questions that you're going to want to prepare is tell me about the time where you made a mistake. Uh, that's obviously quite a tricky question to think about because you don't want to come across as someone who's made of people under. However, you do need to be to be genuine with this, uh, and be providing a answer which feels authentic, and it needs to be showing that you are again reflecting upon what's happened. You've shown duty of candor, and you perhaps, if it's been an institutional problem that you've fallen part of that you've you've highlighted this in perhaps mortality and morbidity meeting or gone to produce a quality improvement project, and that's a brilliant way of segue into something else about your portfolio. In terms of leadership questions, they can ask you something like Tell us about the time when you show leadership and that, as I mentioned, you can go all the way back to when you're in medical school. But as I've said before, make sure you're being specific. Talk about something you did while you're a leader or something you're particularly proud of. Talk about what that taught you and what what you learned. And then also talk about how that's going to make you a good S t. Three, your weakness. Similarly, I want you to make that an authentic one. It needs to be a genuine weakness. Uh, it can be one that you've had in the past and one that you've since remedied. I think that's a good way of doing things because it's showing that you've reflected on it, and you put Axion in to make yourself much better. Okay, if you can bring that across in the interview by showing that your a mature candidate another good one to prepare, not guaranteed to come up by any means of course, is what challenges facial specialty in the coming years. I think one of the universal themes is elective recovery and perhaps even elective numbers in terms of training to think about how you can address that. I've got one of those questions in a mock interview, Uh, and I spoke about some of the elective recovery, the difficulties there, and I was able to put a positive spin on the end, saying how I was looking forward to the back challenge, being part of the recovery process and trying to leave the end of the answer with a positive note, which tried to reflect well upon what I did. Okay, so in summary, I want you to go away and look at your person specifications, and you want to know them inside out and making sure that your answers are ticking those boxes off. I want you to treat the interview like an exam. It's Take it, take it seriously. And when it's practice, practice practice. The best way I found practicing was making a group of colleagues who were doing the same interview around around the same date, uh, getting together once or twice a week and doing, particularly if it's virtual interviews like this. Just like this, just on your on your laptop with your Webcams and talking, asking each other questions. Sometimes that can be difficult. If you're on nights or on call, for example, then one thing we found was quite good was doing voice notes to each other, particularly you got a long walk from war toward you can be really listening to and doing your voice notes to your colleagues. As you're walking across. You want to make sure that you're answering the question if you're not 100% sure, and it's really easy to do this in the heat of the moment to get panicked and think of what an answer. Before you've really understood the question, you can always ask them to repeat the question. But I would I would try and train yourself to take a breath and then go because you want to show that you've organized your thoughts. It comes across much better with an organized, structured answer rather than just a massive, uh, stream of consciousness. And you want to always try and find a way to to tweak every question back to your portfolio. your or your suitability. It's next to me. One of the important things as well for the virtual interview format is making eye contact with the camera. Um, it's really difficult to not to, particularly when you got three faces in front of you to look at when that's how you would normally be talking. But try and train yourself to look at your camera when you're talking to people on in the virtual setting, I found putting a post it next to my camera is really useful, Uh, just to remind me to look here. Uh, I think that came across well, so Oh, and all that's the end of my talk. Thank you very much for listening. Uh, I'll happily answer any questions. Thank you so much, Mike. Um, that was a very, very informative, um, brilliant content content in their presentation. So thank you so much. I'm sure there are some questions that will come through, but for now, we've got one question. Any particular method slash order for answering these questions. For example, most informative paper. Um, as I mentioned, I think the best way of doing make sure it's relevant to your current practice. So don't do some don't read something that's really esoteric or advanced about a niche bit of your specialty, which you're going to be training in. Try and go for someone, which is quite basic. Uh, don't dig in too much into the paper itself. Don't sort of through a mini literature review and talk about the pros and cons of the paper. I would talk about how you've read that when you and it helps you overcome a previous challenge. Uh, for example, with DHS, you could talk about the bound gardener paper, which is talking about the distance between the wire that goes into the femoral head for a hip fracture and the tip of the femoral head, uh, being within a certain distance. And you could say how you received the feedback during one of your observed sessions in the PBA on this, and you were advised to go away and read about this and you found this paper and you found the next time you're able to come back, you were able to perform it so much better and you had a greater level of understanding. That's just an example that come across top of my head I can't recall the example that I used for my interview prep, but I didn't actually get asked it. Brilliant. Thank you. We still have about about eight minutes until our next lecture. And so if you do have any more questions for Mike where Mike, are you happy to hold on for a few minutes? Got hang on. This question is brilliant. Um, so yeah, just keep them coming. But we'll be here for the next few minutes. Thank you. If there are any questions and you don't want to put them in the chat, please feel free to email me and put my email on the bottom there. Kay. April Mike, we've just got one question from Shazza. Mike, can you please talk about how to answer the mistake? Question again? Of course. Of course. Um so, uh, I can ask you a question. Like tell us about the time where you've made a mistake and that's one that we should definitely prepare for with this situation, because it's a It's quite a good way of making a candidate feel uncomfortable and to perform under stress and also show your in the ability to reflect on an event talk about duty, of candor and also, and ultimately patient safety. So I'll give you an example of the one which, which I did that were It was Of course, there was a real one. Because you want to find something where you can talk about something authentically, Should they ask you anymore for any more details about it? Uh, I was on the elective war, and there was a lady going Know she was a POSTOP total shoulder replacement. Uh, and she had interruptive blood loss, and she did below the threshold for transfusion. She'd had one group and safe sample taken before the operation. And I was to take another one so that we could cross match here for the two units, I Because because obviously the labels hand written I Unfortunately, I wrote the wrong number on the on the bottle, so the sample was rejected. I spoke about how that was potential patient, huh? I spoke about how that was, uh, easy to go and tell the patient and apologize. That was my duty of candor. Uh, explained it about the process of of the blood transfusion. Why? It was important that we had to get it right and that she knew. And I knew that I had taken the blood from them. But the people who had the blood didn't know that it was definitely safe. I asked the commission against it. A blood sample and a sensor across. I put a reflection in my portfolio, and that could be, uh, an incident form for that as well. And that's something which the panel seem quite happy with the it's so it's it seems, to satisfy the the authenticity, the duty of candor, patient safety and the reflection on there, too. Um, does that answer your question? Does that give you enough of an idea as to how you can go about making your answer? Or would you like me to speak about anything in particular? Okay, I think it seems okay. Um brilliant. Thanks, Mike. Yeah. Yeah. So the question was answered. Well, thanks. Um, there's another question. Um, which is it says? Unrelated to the current topic, please. What is your current rotation and how do you manage with the geography overseas and family slash accommodation? That's a very good question. Um, I was living in Manchester for my core training and Then I moved to wiggle, which is near Liverpool, because I got a job in mercy. It's actually Mersey and Cheshire as a dean Ary and I've been placed in a hospital called Macclesfield, which you may or may not know is the other side of Manchester. So I've I've turned what would have been a 25 minute commuting, something like an hour and 10 on a good day. Um, I've also just had a baby daughter. Uh, so it's been tricky to manage those things. Uh, I've been off on paternity leave, actually, uh, for the last five months, so I'm not exactly sure how I'm going to balance all of that. Um, uh, yeah, it's gonna be difficult. It is. We've got a nurse, we sorted out, and it's going to be starting at only six months. Um, and it's going to require a lot of sort of the heavy planning, I think, to make sure that it's going to be people to, um thanks will, um, to to help out, particularly with drop off some pickups and that sort of thing. Um, but yeah, it can be very difficult. Mercy is one of the smaller Dean Aries. Uh, I know there are some a lot larger, but I believe they're subdivided to keep you within a sort of an area or that, Um, yeah. Thanks, everybody. I don't know where anything more I can give you on that. Brilliant. Um, that was amazing. We're gonna We're gonna have to call time there and bring on Mr Cenovus. Sure you do for the next talk, But thanks so much, Mike. Thank you for your time. And that was an absolutely fantastic