* Describe a specialized medical circumstance you have witnessed where there has been a multi-disciplinary approach to release planning. Describe the way the interactions between your multi-disciplinary team impacted on the quality of the patient's attention. What perhaps you have learned out of this experience about effective multi-disciplinary team working and exactly how do you want to put this into practice as a groundwork doctor?
Answer 1)During a multi-disciplinary assembly in the mental health ward, several people including the psychiatrist, pharmacist, personnel nurse, occupational therapist, community psychiatric nurse and communal worker were involved. They were speaking about about the release plan of a patient with bipolar disorder.
Each member added their opinions on different facets of the individual. This consists of the medication, disposition, behaviour, social setting and the capability to cope. The associates then discussed about the weekend go away and possibility of discharge. This multi-disciplinary way ensures patients receive the best value of care, reduction of life-threatening part effects of medication and likelihood of the individual getting discharged faster to adjust to the life outside the hospital.
From this, I learned that effective multi-disciplinary team working entails appreciation of the abilities, knowledge and opinions of others. It needs clear understanding and looking at the individual all together.
As a foundation doctor, I'd be able to work in teams and value the ideas of my colleagues when providing treatment and management. It's important to consider the physical and communal aspects of the patients when planning treatment and discharge. I'd ensure accurate tracking in patients' data files and clear understanding within and beyond your team.
Answer 2)During a breast tumor multi-disciplinary team assembly, several people like the breast cosmetic surgeons, the pathologist, the radiologist and the oncologist were included.
There was a brief introduction of the patient, including the get older, co morbidities, site, size and class of tumour. During the meeting, all users contributed their viewpoints to the treatment plan looking at different aspects of the patient. The plan includes the kind of surgery, the need for chemotherapy and release. This approach ensures the individual to receive the best quality of care as all people contributed to create an individualised treatment solution. That is important as the patients will vary in terms of the condition itself and their physiological fitness.
I learned that effective multi-disciplinary team working entails appreciation of the abilities, knowledge and thoughts of others. It also requires clear understanding and looking at the individual as a whole.
As a basis doctor, I'd have the ability to work in teams and value the thoughts of my colleagues when providing treatment. It is also important to consider the physical and interpersonal aspects of the patients when providing treatment. I would ensure accurate saving in patients' documents and clear understanding in and beyond your team.
3) Learning happens in a number of contexts, some of that happen to be opportunistic and some of which are prepared.
* Describe a clinical situation which provided you with an opportunistic learning experience. What way did you try consolidate and prolong this learning? Compare this process to how you may follow up a well planned learning experience. How will you use these experiences of learning to improve the quality of educating others?
I was in the neurology medical center and the consultant used a vertebrae model to describe the anatomy of the neck of the guitar and the device resulting in spondylolisthesis.
I was very enthusiastic and the specialist encouraged me to teach my acquaintances several topics during the next training. I analyzed the subject areas well and made notes in an organised way so that my co-workers would understand my coaching better. I provided my co-workers information in small chunks and summarised when i went along, responding to queries at the end. Aside from consolidating my knowledge, it has boosted my assurance level.
In a well planned learning experience, I'd ask questions about things that i had not understood previously. Then I would read further details to complete my learning.
In the near future, I'd ensure my knowledge and skills are up to date to maintain competency before teaching others. I would supervise the medical students during background and examination of patients. I'd cause them to become think of the differential diagnoses and management. It is important to evaluate their performances and give feedback. Then, I will check their understanding and answer any concerns. This is followed by tasks to learn up on to enhance their knowledge.
4) Having the ability to prioritise tasks can be an integral competence of the practising doctor and may be challenged by many factors.
* You are the only foundation doctor over a busy surgical ward, and you are feeling under pressure to complete the jobs expected of you. A base doctor from another medical team asks if you will keep their bleep for the next time this week as they would like to go to theater to observe an operation. What would your initial response be to your colleague? What factors would effect this response? In the event that you had to hold the bleep, how would you prioritise the jobs? What additional learning needs will this situation high light for you?
I would be genuine and simply tell him i am feeling under the pressure and may not be fit enough to manage the amount of workload.
I would further describe that stress can lead to mistakes which compromise patient's basic safety which is my first priority. Furthermore, the patients will not receive the ideal care they have earned in such situation.
If I were to carry the bleep, I'd make employment list and prioritise duties in the region of urgency. I'd make sure I get enough information about the patient and the procedure they need as this can help me anticipate and become well prepared for the likely events to happen. The investigations and treatments depends on scientific needs and you will be carefully saved in the patients' data. I'd also ask for senior's help if it's not in my capabilities. I'd also ensure proper handover and effective communication before I leave.
This situation outlined the importance of your energy management as there's a need to ignore unnecessary distractions to save lots of time. The other learning point is to recognise early symptoms of fatigue and stress to prevent mistakes being made.
5) Communicating information to patients can be a complex undertaking.
* Describe a scientific consultation you have observed where in fact the specific cultural, public or family circumstances of the patient posed additional problems. Identify the techniques used within this consultation that added to this patient's experience. How many other approaches might have been used in this example? What do you study from this which you can apply to your own future professional medical practice?
In the car accident and emergency office, I clerked an individual who was sent to the hospital after developing a seizure. The individual demanded to leave the hospital immediately as her disabled daughter is at home alone. I was very sensitive towards her situation and called for a senior medical staff's help.
During the appointment, the physician listened and taken care of immediately her matter in a very sensitive manner. The doctor described about her situation and the necessity of investigations and possible treatments before she makes a decision. Finally, the individual agreed to stay.
The other procedure in this situation is to ask if there is anyone open to manage her disabled girl while she is in a healthcare facility. It is also appropriate to get immediate outpatient follow up and encourage patient to get help from interpersonal workers. If the individual insists to leave, then your healthcare professionals must value the patient's decision.
In future medical practice, I'd ensure good communication giving information in a way the patients can understand. It is important to explore patients' concerns and views before deciding. The management must be customized by considering the disease, patients' views and their personal circumstances.
6) Essential attributes of a groundwork doctor will be the ability to offer effectively with pressure and the ability to prioritise duties.
* Explain two different personal accomplishments to show that you have got both these attributes, relating each achievements to a single attribute. For each attribute, give one specific example of how your achievements can contribute towards increasing your performance as a base doctor.
During an exam week, I made several outings to the hospital due to belly pain. I used to be under immense pressure when i spent the majority of my amount of time in the hospital and being in discomfort. I needed small steps and revised by going through the key points in a checklist. Despite all the pressure, I ensured I had fashioned enough sleep and remained relaxed. I sat for the exam and finally passed.
Next, my father's employee fell sick and tired and I had to take over her job. I went to lectures each day and attained up with my father's clients in my free time to go over business matters. At night, I'd revise materials to keep monitor with my learning targets. Despite all that, I did well in assessments and even were able to boost the company's sales.
My potential to deal effectively with pressure and prioritise allows me to perform at my best as a base doctor. This ensures I would not jeopardise my patients' safe practices.
I learn how to prioritise my patients based on needs. I've excellent time management skills which enables me to get careers done without impacting my performance.