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At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf | |
At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf | |
The Situational Judgement Test at a Glance | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
This title is also available as an e-book. For more details, please see www. wiley. com/buy/9781118490983 or scan this QR code: | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
The Situational Judgement Test at a Glance Frances Varian Frances Varian is a final year medical student at Warwick University and was seconded by Warwick Medical School to help develop situational judgement educational material and practice questions designed to enhance students' non-technical skills. Lara Cartwright ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
This edition first published 2013 © 2013 John Wiley & Sons, Ltd Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley's global Scientific, Technical and Medical business with Blackwell Publishing. Registered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Contents 5Contents Preface 6 Acknowledgements 7 List of contributors 8 List of abbreviations 9 1 Introduction 11 Personality 11 Professionalism 11 Pressures and prioritisation 12 Effective communication and patient focus 12 Teamwork 13 2 Professionalism 14 What is integrity? 14 Social networking ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
6 Preface Preface What are Situational Judgement Tests? Exactly what they say on the tin! A way of assessing how you judge a situation encountered within the workplace. They are not designed to test your clinical knowledge and skills; they are designed to test your attitudes and ethical values. With this in mind, the I... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Acknowledgements 7Acknowledgements We would like to thank all those people who gave their time and expertise to advise us in writing this book. We would par-ticularly like to thank the medical students who reviewed the material-especially James Coe, James Webster, Ayrton Goddard, Jennifer Goddard, Graeme Mattison, Ja... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
8 List of Contributors List of Contributors Maggie Allen Consultant Rheumatologist, Associate Medical Director of Education and Foundation Programme Clinical Tutor University Hospital Coventry and Warwickshire, Coventry Nicholas Ashley Foundation Year 1 West Midlands Michael Baker General Practitioner and Educationa... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
List of Abbreviations 9List of Abbreviations ABG Arterial Blood Gas BMA British Medical Association BNF British National Formulary BSL British Sign Language CAB Citizens Advice Bureau CAE Clinically Adverse Event CRP C-Reactive Protein CS Caesarean Section CT Computerised Tomography DDA Disa... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf | |
The Situational Judgement Test at a Glance, First Edition. Frances Varian and Lara Cartwright. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 111Introduction Mike, GP “Recognise where your personality is and try to understand what you are like and how you get job satisfaction; in the end wor... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
12 Introduction Pressures and prioritisation Being highly conscientious and only mildly neurotic will make it easier to work under pressure and remain calm and in control. If you are highly open to new experiences, you will have an advantage when it comes to managing rapidly changing situations. Conversely, when fol... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Introduction 13Teamwork If you tend to “think outside the box” when problems occur, your openness to experience may puzzle or even frustrate your more cautious colleagues. If you are high in agreeableness, you may find your priority is to promote harmony within your team. This may also mean that you find it more diff... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
14 The Situational Judgement Test at a Glance, First Edition. Frances Varian and Lara Cartwright. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 2Professionalism Mithun, Consultant Psychiatrist “Take pride in being a professional... there are only a few professions which carry such a lot of tr... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Professionalism 15Understanding confidentiality There is a wealth of information regarding confidentiality and generally it is very well taught at medical school. Basically, you need to understand the principles of informationsharing, and, if you know those, you should know what to do regardless of the scenario. If ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
16 Professionalism Figure 2. 1 Always think about patient confidentiality... wherever you are You should have seen it! Alcohol and drug abuse: especially if you suspect they may drive whilst intoxicated. Some common conditions where you would advise a period of time off from driving, but they don't need to formally ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Professionalism 17Figure 2. 2 Tell your patient when their condition may affect their ability to drive Mr Th ompson WAIT!!! 1. The history-you need to find out if this was selfharm or an attack. The police need not be informed for the former. 2. In the case of the latter, inform a senior colleague. Advise them you... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
18 Professionalism51-56). Again, it is important to reiterate that, whilst you should be aware of what to do in difficult situations concerning confidentiality, you should always seek senior advice. Confidentiality and the under eighteens If a child is having an operation, it is best practice to have consent from both... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Professionalism 19Figure 2. 4 Be wary of inappropriate age differences No! My boyfrien d This must be your father? It is preferable that you gain consent from the parent when disclosing information to social services. Agree with the parent the information that you will share with social services. The information yo... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
20 Professionalismand this would not be your decision to make. It is most appro priate to get your consultant to review any records, for which you would need the permission of the individual concerned. With any case, you should be aware that information can be disclosed if it is in the public interest. Although this... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Professionalism 21Mithun, Consultant Psychiatrist “As a doctor, you have to be proud of being a professional, and part of being a professional is being good at what you do-that is of the utmost importance. As a junior doctor, learn the importance of not taking short cuts... taking an extensive history... having an in... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
22 The Situational Judgement Test at a Glance, First Edition. Frances Varian and Lara Cartwright. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 3Pressures and prioritising Carl, FY2 “I really cannot stress the importance of organisation enough. You may think a lot of what you do goes unnotice... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Pressures and prioritising 23 TIPS FOR A SUCCESSFUL WARD ROUND: Get to the ward at least 30 minutes before the round starts to prepare the notes. Know where your patients are. Ask the nurses whether there were any problems overnight. Have a system for writing the notes: date, time, wa... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
24 Pressures and prioritising What if a patient wants to self-discharge? This would typically be against medical advice. In that case you should contact the patient's GP in person as the patient is at high risk of further illness. The GP can also set about trying to get in touch with the patient. If the patient is a c... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Pressures and prioritising 25enough and wanted to leave. I still wanted the registrar to review him though so I asked her to sign a self-discharge as I wasn't happy. I then pleaded that she at least wait for a new inhaler, but she left before even getting the medicine. If I was concerned about the child' s asthma sta... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
26 Pressures and prioritisingfrequency and patient details were all correct, and I entered the correct drug name in the patient records, but I just wrote the wrong drug name on the prescription. Thankfully I had written “No Alcohol”, and this alerted the pharmacist to the error so the patient received the correct medi... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Pressures and prioritising 27however, complicates the matter-particularly regarding the disclosure of information to relatives. The informal nature of a phone call or a family member approaching you at the ward desk can be challenging. Take stock of the situation first, and then make your judgement call. Carl, FY2 “A... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
28 Pressures and prioritising Learning and career development Samyami, FY2 “Never forget you are there to learn- not just to complete jobs and discharge patients-that way, you'll really enjoy your foundation training. ” Training whilst doing a job means that pressures in terms of learn-ing and career development are c... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Pressures and prioritising 29Procedural Take every opportunity to learn new skills. Get as much practical experience as you can: go and see lumbar punctures, chest drains etc. If you have a quiet job and a lull in the day, remember that you are a trainee, so try to develop your skills in that time. Don't just chill o... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
30 Pressures and prioritising Excuse me Doct or, I've been waiting hours!Look out fo r that water!!Aaagh! cough... cough... cough... Doct or, doctor Figure 3. 6 Try to prioritise your workload to avoid overload Covey (2004) describes a grid formation of tasks divided with respect to urgency and importance. This syst... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Pressures and prioritising 31Bleeps At any one time on the wards you could potentially have two bleeps: Your personal bleep An on-call bleep This should NOT be SOMEONE ELSE'S bleep! On-call bleeps are notoriously difficult to prioritise-espe-cially in medicine where, in smaller localities, you may be the only doctor ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
32 Pressures and prioritising-demonstrating that you are giving them your undivided atten-tion. Hence, not silencing your bleep can be a positive thing and should be judged specific to the situation. Your personal bleep should be with you at all times and answered in a timely manner. The exception to this is during pr... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
The Situational Judgement Test at a Glance, First Edition. Frances Varian and Lara Cartwright. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 334Effective communication Mary, patient “A good doctor is able to communicate well: be comprehensible, direct, and sensitive to my responses and my n... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
34 Effective communication Regarding communication as a low priority. Often all patients need is to feel listened to, and they will feel well cared for. Not having the confidence to communicate effectively. Lack of clinical knowledge about a condition. If you find yourself in this position, be honest with the patient ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective communication 35summarise things from perception. Verbatim is more powerful in psychiatry and carries more weight than summarising find-ings. Writing should be legible, and each entry dated with the patient' s name and date of birth on every page. If it' s not, and the continuation sheet is lost, you don't ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
36 Effective communication Know the circumstances in which a death needs to be dis-cussed with the coroner (procurator fiscal in Scotland). Their duty is to decide whether to issue the certificate, order a post-mortem or start an inquest into the cause of death (Patel and Morrissey 2011). Be accurate about the cause o... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective communication 37Figure 4. 3 You should seek a professional interpreter where possible to avoid miscommunication Mr P etrucci, you'r e going to be okay, but y ou will need to change y our diet and start exer cising I'm sorry Mrs P atel, ther e's nothing mor e we can do f or you They're exploring other angl... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
38 Effective communicationunable to walk for more than fifty metres without resting, resulting in mobility restrictions. This impairment would extend to a disability if the effects meant the individual was unable to work or carry out their daily functions as usual for at least 12 months (ODI 2010). Disability is there... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective communication 39Communicating personal views Communicating with relatives Alice, FY2 “Patients will have no idea where you are in the cycle of being a doctor. They won't be interested if it' s your first day or tenth year as a doctor, they still expect a certain standard of you. Talking to patients and ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
40 Effective communication Sympathetico : state empathy obviously “ I can see that you are very angry ”, offer an apology but don't impart blame “ I'm very sorry that this has happened ”. Whatever you do DO NOT TELL THEM TO CALM DOWN, it will blow up in your face. These situations are precisely the ones you should ref... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective communication 41is nothing more we can do for you”, as there is always some-thing you can do: the whole palliative care pathway is designed to facilitate this. Emotions and empathy: this is the hardest part as it is often difficult to predict a patient's emotional reaction to bad news. There could be silenc... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
42 The Situational Judgement Test at a Glance, First Edition. Frances Varian and Lara Cartwright. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 5Patient focus Sarah, FY1 “Part of patients getting better is them knowing and feeling they are are being well cared for and looked after. ” Patient ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Patient focus 43Erm..... So, what seems to be the problem?... cough... cough... splu/t_ter... Figure 5. 1 As a doctor you have a responsibility to look after your own health practice. Basically, it means fighting someone else's corner using your own unique knowledge base and skill set. Whilst there are external ser... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
44 Patient focus For serious incidents or repeated adverse events that are not being adequately addressed: Raise the issue with your consultant. Then raise it with your educational supervisor or foundation director. Keep a record of your concerns and the steps taken to deal with the situation. Make sure the patient re... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Patient focus 45Tricky decisions involving treatment: consent without capacity All patients with capacity are assumed able to consent to treat-ment. Patients also have the right to refuse medical care (if over 18 years), even if it means they may die. This premise is compli-cated whenever a patient lacks the ability ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
46 Patient focuswith something or feel uncomfortable, seek support from your colleagues rather than burying your head in the sand. Sophie, FY1 “Putting a patient onto the EOL pathway is something I've had to do... and was very uncomfort-able doing. My registrar made the decision, and I completed the paperwork. I asked... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Patient focus 47demanding IV Morphine. I told him that the pain team had reviewed his case and that I could only give him Oromorph. At which point he got up and started remonstrating... threaten-ing to go to the papers. I repeated that I couldn't offer him anything more overnight, and the pain team would see him in t... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
48 The Situational Judgement Test at a Glance, First Edition. Frances Varian and Lara Cartwright. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 6Effective teamwork Nicola, FY1 “Make it known you are keen to be a team member.... Don't just turn up, do your job and go home. If you want to have ... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective teamwork 49 7. Teamworker: Cooperative and diplomatic, the Team-worker brings people together harmoniously, but can be swayed too much by others' opinions: advice from the nursing staff is invaluable, but remember, at the end of the day, the buck stops with your decision. 8. Shaper: Enjoys the pressure of d... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
50 Effective teamwork Effective handovers Fraz, FY1 “If you request bloods, X-rays, scans and then go home and forget to check them or hand them over, you will find yourself waking up at 2 a. m. But you have to ring the on-call and get them to check: regardless of the time. Always be aware that if you request them, th... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective teamwork 51we didn't know'. If you have ten patients you know aren't very well, you are not going to concentrate your time on the one you don't know anything about!” A colleague phones to say they are running late. They cannot give you a definite time they will be there and you have made dinner plans. How s... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
52 Effective teamwork Figure 6. 1 Listen to the nurses: they also have the patients' best interests at heart have eyes in the back of your head. When there are a lot of people in a critical environment like that, there is added pres-sure on us to safeguard the patient and watch what everyone else is doing-particular... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective teamwork 53It is also worth noting that the radiologist may not neces-sarily communicate your conversation to the radiographer. It is therefore vital that you write down your reasons for the request (i. e. the patient history and examination findings) and the reasons for the scan (i. e. the differential you... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
54 Effective teamworkbut they never helped one another out. It' s not an ideal situa-tion, but we found a practical way for them to work side by side. We did our best to resolve the problem amongst ourselves, and I don't think it went any higher than our immediate seniors, so I don't think the consultants or registrar... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
Effective teamwork 55 TOP 5 TIPS ON TEAMWORK: 1. Understand your role as part of a team. 2. Facilitate teamwork with good communication between the team players. 3. Help out your colleagues - it's about give and take. 4. Try to sort out conflicts amongst yourselves before you escalate.... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
56 The Situational Judgement Test at a Glance, First Edition. Frances Varian and Lara Cartwright. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 7SJT practice material How do I approach the SJT questions? Having read this book you should have valuable insight into the types of scenarios you wi... | At a Glance Varian - Situational Judgement Test at At a Glance-John Wiley Sons 2013.pdf |
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