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Interview knowledge

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Unless you’re a ‘naturally gifted’ interviewee or have a supervisor who sees your career guidance as their top-priority/pet-project, go on an interview course.

Excellent section on consultant interviews on anaesthesiauk.

Interview itself

ST3

All

How to prepare a presentation in 10 minutes – some (fairly generic) suggestions

  • Structure (write down points in brief)
    • Intro – punchy statement(s) about why this topic matters, and matters to you.
    • Main points – usually 3
    • Summary – this is what they’ll remember most (recency)
  • Use one diagram/picture/graph phrase if you can. Maximum of 3.
  • Keep an eye on time – ideally a clock in the room rather than your watch
  • It does not have to be comprehensive. Covering the whole topic is clearly impossible and wrong. Focus on one story/patient/incident which illustrates the one or some of the key features of the topic. 
  • If you’re worried about your hands put them behind your back.
  • If you know your audience try and include their specialty/location/pet in the talk.
  • Prior to the day, practice, even if just to the mirror/phone. Read ‘Talk like TED” and watch some TED talks. Speak to colleague whose talks you find outstanding. 

Non-clinical syllabus

NHS background knowledge

Core ICU documents (UK)

Comprehensive critical care (2000)

  • White paper.  objectives were to develop a competency framework for adult critical care teams, to integrate clinical competencies currently existing and to develop indicators of
    team effectiveness.

ICU without walls (Hillman 2002)

  • Critical care specialists are expanding their roles beyond the four walls of their ICUs and becoming involved with strategies such as the medical emergency team, a concept designed to recognize critical illness early and to respond rapidly to resuscitate patients wherever they are in the hospital.

Quality critical care (2005)

  • National Adult Critical Care Stakeholder Forum document, “Beyond Comprehensive Critical Care”  –  “critical care networks should be retained, strengthened and fully developed in line with localpriorities and needs”.
  • reinforced in the “Evaluation of modernisation of adult critical care services in England: time series and cost effectiveness analysis

Acutely ill patients in hospital (NICE 2007)

  •  recommendations for the measurement and recording of a set of physiological observations, linked to a ‘track and trigger’ system
  • emphasised the importance of a full clinical assessment, and of tailoring the written monitoring and management plans to the individual patient’s clinical circumstances.

Rehabilitation after critical care (NICE 2009)

High quality care for all – emergency and urgent care (2013)

FICM Core standards 2013

NHS England Emergency Preparedness, Resilience and Response Framework (2015)

  • The NHS needs to be able to plan for and respond to a wide range of incidents and emergencies that could affect health or patient care. These could be anything from extreme weather conditions to an infectious disease outbreak or a major transport accident or a terrorist act. This is underpinned by legislation contained in the CCA 2004 and the NHS Act 2006.
  • Outlines and details types of event, anticipation, structure of collaboration and communication, decision making at low level supported by higher level organisation etc.

GPICS 2015

Never events (2018)

 

 

 

Training

Shape of training review (2015)

Hot topics

Adult safeguarding (NHS site)

Duty of candour

Medical error – what to do if things go wrong 

Reasonably detailed knowledge of some key “governance” or “quality” items is essential for day to day survival as a consultant:

  • Concept of governance or quality itself
  • Patient experience and complaints
  • Patient safety: adverse healthcare events and risk, mortality and morbidity, infection control
  • Clinical effectiveness, including creation of policies, clinical audit, the role of the National Institute for Health and Clinical Excellence, specific clinical models such as Hospital at Night
  • Capacity and other legal and ethical issues
  • Finance, including Payment by Results; awareness of the trust’s basic financial duties; division and directorate; and your department
  • Appraisal, revalidation, performance management (including job planning), disciplinary processes
  • Medical education, including Modernising Medical Careers, role of clinical and educational supervision, risks of negative deanery feedback, continuing medical education for consultants
  • Staff welfare, including the European Working Time Directive, diary cards
  • Research and research governance.

Be aware of the key people and trust committees who deal with these topics.

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