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Clinical Emergency Scenarios - AFP Interview preparation · Academic Foundation Programme

2018-08-27 · Podcast or interview · Ali, Ankur Khajuria · recording, 11:38 · watch on YouTube

Topic: Medicine and his doctor years · mode: Conversation and interview · tags: Aimed at students

In the second part of Ali's Medical Mondays series on the Academic Foundation Programme, surgeon Ankur Khajuria explains how to prepare for the clinical emergency interview station: structure every answer around a systematic A to E assessment, prioritise and escalate with safety first, know emergency doses, and practise until the A to E comes out on autopilot.

What is said

The parts of the video and what is said in each (★ — how much it matters to the video).

00:00:00 — Medical Mondays, video two of the AFP mini-series; who it is for; the interview with Ankur Khajuria

00:01:04 — Ali's AFP interviews in EBH and London and their two stations

00:01:34 — Structuring answers, how the station works, prioritising and escalating, safety first

  • ★★ Ankur Khajuria says applying for the Academic Foundation Programme is a good stepping stone to finals preparation: at Imperial his finals matched the techniques he used to prepare for the AFP. — 00:01:34 · Academic Foundation Programme, Imperial College London, Foundation Programme
  • ★★★ Ankur Khajuria advises structuring clinical answers (chest pain: central or peripheral, cardiac or pulmonary causes): it gives credibility and shows the examiner you will not have a scrambled mind as an FY1. — 00:02:23
  • ★★ Ankur Khajuria says the Academic Foundation Programme clinical emergency station usually gives a couple of scenarios to prioritise with an ABCDE approach: one or two quite unwell patients and one who is not unwell but may have an angry relative, to test communication. — 00:02:23 · Academic Foundation Programme, Foundation Programme
  • ★★★ Ankur Khajuria advises first justifying which patient you would see first and why, telling the examiner you are never alone and showing you know the team structure, such as the senior house officer and the registrar. — 00:03:10
  • ★★★ Ankur Khajuria advises saying you would escalate to the registrar when two patients may be unwell, so someone else sees the other one: safety is the absolute priority and should come across in the interview. — 00:03:51
  • ★★ Ankur Khajuria says Academic Foundation Programme interviewers need you to be clinically sound, because an academic trainee has four fewer clinical months in which to build competencies. — 00:04:18 · Academic Foundation Programme, Foundation Programme

00:04:47 — Awareness of the team, a systematic A to E for every patient, talking with confidence

  • ★★ Ankur Khajuria says a student who is unsure about the clinical management of patients would do better not to enter the integrated academic pathway. — 00:04:47 · Academic Foundation Programme
  • ★★ The feedback sheet from Ali's London Academic Foundation Programme interview had a mark (good, satisfactory or excellent) for awareness of the team structure. — 00:04:47 · Academic Foundation Programme, London, Foundation Programme
  • ★★ Ankur Khajuria says interviewers want to know beyond book work that candidates have actually been in hospital and seen the team dynamic. — 00:04:47
  • ★★★ Ankur Khajuria says the key to the clinical emergency station, or any clinical station, is a very systematic A to E assessment, which he did for every patient as an FY1. — 00:05:16
  • ★★★ Ankur Khajuria advises keeping the A to E short and snappy, showing the examiner you have a structure for approaching patients, and carrying on talking with confidence. — 00:06:19
  • ★★ Ankur Khajuria says that in his own interview he spoke for eight minutes of a ten-minute station, so confidently that he covered the questions they would have asked anyway. — 00:06:19 · Academic Foundation Programme

00:07:01 — Resources, knowing emergency doses, an anaphylaxis case as an FY1

  • ★★ Ankur Khajuria points to plentiful A to E material online and says ATLS has example questions that are quite similar, though ATLS scenarios are unlikely in the interview itself. (hedged) — 00:07:01
  • ★★★ Ankur Khajuria advises knowing emergency doses, such as the adrenaline dose for anaphylaxis: it looks great in the interview and is paramount for an FY1. — 00:07:30
  • ★★ Ankur Khajuria: As an FY1, Ankur Khajuria was called by a nurse to a patient on an iron transfusion with swollen lips and a systolic of 70; he recognised full-blown anaphylaxis, brought the crash trolley and did a quick systematic A to E. — 00:08:22
  • ★★★ Ali sums up the clinical emergency station as a structured ABCDE approach plus knowing at your fingertips the management of important conditions such as sepsis and anaphylaxis. — 00:08:52

00:09:00 — Summary, evidence-based scores, the Oxford Handbooks, practice in front of the mirror

  • ★★ Ankur Khajuria advises bringing evidence into answers, such as the Blatchford and Rockall scores for GI bleeds, to show you are academically inclined. — 00:09:27
  • ★★ Ali says friends who got into the Academic Foundation Programme found the Oxford Handbook for the Foundation Programme really good on managing emergencies. — 00:09:27 · Academic Foundation Programme, Foundation Programme
  • ★★ Ankur Khajuria recommends two sources: the Oxford Handbook for the Foundation Programme and the emergency section of the Oxford Handbook of Clinical Medicine, which he advises memorising. — 00:09:56
  • ★★★ Ankur Khajuria says practice is absolutely key to the interview and people underestimate how important it is. — 00:09:56
  • ★★ Ankur Khajuria: For a month or two before his interview Ankur Khajuria practised in front of the mirror and recorded himself, until his A to E came out on autopilot. — 00:10:25
  • ★★ Ali says he was not at that level of practice for his Academic Foundation Programme interview, and for his next interview he wants to practise in front of the mirror and the camera. — 00:10:25 · Academic Foundation Programme, Foundation Programme

00:10:55 — Links, more AFP videos to come, sign-off

Threads in this video

Where the stories that moved here went next

Mentioned

Central: ABCDE approach · Academic Foundation Programme · Ankur Khajuria

Also: AFP Secrets · Foundation Programme · Imperial College London · London · Medical Mondays · Oxford Handbook for the Foundation Programme · Oxford Handbook of Clinical Medicine

Also centred on Ankur Khajuria: Academic Foundation Programme (AFP) - Why should you apply? · Critical Appraisal for medical interviews - Preparing for AFP (Academic Foundation Programme) · AFP Interview Preparation - The personal interview · Academic Foundation Programme

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