UCAT SJT 2024-25 EXAM SCORED A+., Exams of Advanced Education

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UCAT SJT

2024/25 EXAM

SCORED A+

UCAT SJT

Evatee 10/13/24 UCAT SJT

UCAT SJT 2024/25 EXAM SCORED A+ what to do- breach of confidentiality Answer - -stop breach ASAP -be discreet -prevent recurrence make sure person understands it is a breach reporting it to VERY higher ups is app if they have done it repeatedly not important if youve witnessed it or not appropriate vs important Answer - appropriate

• do not compare an action to other possibilities that aren't included in the options. Don't weigh if its important, just if its a good action to take alongside other actions. e.g. yes it is most urgent to go back to hospital and fix mistake, but its also very appropriate to contact pharmacy even if its not most urgent thing importance
• can knowing this change the decision you want to make e.g. knowing he didnt tell you in advance is bad, but will it have an impact on whether or not you give him a holiday for his wedding? fact that he didnt book a holiday for his wedding in advance is of minor importance. Always think in terms of decision making for importance

e.g. if uve finished ur presentation then you can help with his babysitting, but u cant write his presentation for him as thats plagiarism, its not constructively helping him. helping him with unconstructive things, e.g. with his babysitting, is fine. but doing constructive things for him like group work is NOT ALLOWED VERY INAPP. speak to him about his situation, find out more about how he is feeling, OFFER TO HELP IN ANY WAY SHE CAN WITHOUT ACTUALLY DOING THE WORK FOR HIM giving classnotes to friend is not doing work. giving notes is allowed bc its not a group project its just ur notes. but its app not ideal, it doesnt solve the problem. patient confidentiality CAN be broken if someone is at risk of serious harm Answer - e.g. if patient doesn't tell wife he has HIV, you are allowed to tell wife only if: -youve encouraged patient to inform wife -youve told patient before telling wife that youre about to gmc says u can disclose info abt a patient who has a communicable disease if the person in close contact is at risk of harm AND if the patient cannot be persuaded to inform them discussing patient details with doctors Answer - you are allowed to talk about patients if its a fellow FY1 in the same ward as you in a private place

most important tips Answer - -never undermine public confidence in medicine -address problems immediately -seek LOCAL help first (de-escalate) -seek advice from seniors -recognise your limits/competence -informed consent -patient welfare comes first patient welfare Answer - is ALWAYS important, the most important thing -if at risk, allowed to escalate the matter confidentiality Answer - -don't assume family/friends are allowed to know -patients have the right to be informed of any breaches -always do things in PRIVATE confidentiality app but not ideal Answer - when you stop the breach but the person doesn't know why confidentiality inapp Answer - not stopping the breach ASAP (e.g waiting to see if they do it again or making any delays) apologising on someone elses behalf Answer - usually app but not ideal (bcs the person doesn't understand their mistake) but it DEPENDS on context confidentiality unimportant factors Answer - -the breachers intention

if a patient is at risk Answer - allowed to escalate the matter (raise concern w seniors only- to not spread rumours and tell unnecessary people) dealing w unprofessional behaviour Answer - -stop situation -prevent recurrence -make sure person understands why and they realise their mistake be discreet -IMP that supervisors are made aware of this teamwork Answer - -treat colleagues fairly + w respect -work in collaboration teamwork tips Answer - -make sure no one is left out -avoid conflict/de-escalate -fairness -meeting deadlines are super important -do stuff discretely -confrontation is app but not ideal- unless it is useless -always suggest they tell team leader if they're struggling, but inapp if you tell the leader teamwork inap Answer - -reassigning work w/o prior agreement, not ur job to delegate teamwork important factors Answer - -patient safety -deadline being met

-team member has concerns/hasn't had a chance to share their opinion unimportant factors Answer - -your (lack of) experience in doing something (E.g reporting a matter) -reputation is not important at all -someone else can do it -any other routine work you are doing e.g ward rounds (prioritise) -how long left on a contract (either unimportant or minor importance) considerations that do not play a role or do not detract from your ability to contribute are not important REPUTATION of person making a mistake is not important at all But if its ur mistake, then work relationships with colleagues and patient-doctor relationship are VERY VERY IMP if u meet a patient out of hospital then be very nice because patient-doctor relationship is very imp, but importance of it u have to compare to the issue, e.g. if shes sad that u wont give her test results in a public place thats minor important, but if shes sad u wont say hi to her in a cafe then thats very imp drug misuse tips Answer - if you have concerns about a colleagues fitness to practice, report it (even if they don't want you to) -if patients are at risk, ask for advice (from relevant people) allowed to escalate the matter (DISCREET)

med students are expected to Answer - take prompt action if patients are at risk doctors accepting gifts (bias) Answer - -don't accept anything which could affect the way patients are treated (financial...) doctors conflict of interest Answer - -be open and declare this -be prepared to become excluded in the decision making process sponsored doctors Answer - be honest in financial and commercial dealing w patients doctors accepting things Answer - -you can accept them if they have no impact on treatment of patients/relationship always appropriate to explain why you cant accept the gift but thank them bluntly refusing is inapp unimportant abt gifts Answer - -cost ????? but value is imp CONTEXT -past gifts patient autonomy Answer - make sure it is informed consent -provide the correct info they will need to make decisions abt their care patient appears confused Answer - don't assume things

-not appropriate to send them to the help desk if you don't actually know if they are lost or not -but you can always ask dealing w patients app Answer - -AVOID BLAME w/o sufficient evidence -listen to concerns -give all info you can and try to find out more -recognise your limits -be respectful -keep policy in mind dealing w patients inapp Answer - -making false promises -doing more than you can -ignoring -being rude/unprofesh -wasting time -pressuring distressed patient factors that are always important Answer - -patient safety -the wishes of a patient (their autonomy) -hospital/university policy -patient trust in doctor considerations that enable you to act professionally and resolve the situation are important

-refuse offers to cheat -report cheating if you learn of cheating Answer - -responsible to do something (report to med school) -dont report to GMC just med school, but med school HAS to know

• not ur job to decide if they should be punished or not, just report it, not ur job to decide how deep it is if placed in position to cheat Answer - -dont -warn med school abt security risk (report) cheating inapp Answer - not doing anything/ignoring cheating unimportant Answer - -reputation -when it happened if your health could negatively impact patients Answer - -you must consult a suitably qualified colleague in the case where you cant even focus on patients, stop, let a senior colleague know important considerations ... Answer - affect the decision making process whereas unimportant are irrelevant to this process

if others are being affected by someones behaviour Answer - it is unimportant if they don't want to talk bcs others are being impacted coping w pressure Answer - -look after your own and your colleagues health -seek help if in trouble -support others in trouble -not acceptable to excuse ppls behaviour bcs of pressure they are feeling coping w pressure unimp Answer - -rep -what supervisors/others will think ur health comes first! in team settings where ur health is at risk then who cares what others think coping w pressure app Answer - -recognising the problem -offering/seeking help -talking about it -help where you can (for others) -compromise -arrange alternatives w staff coping w pressure inapp Answer - -ignoring it/responsibilities/the person if it is someone else aka leaving them alone -not talking abt it -overburdening others

don't introduce them to your wife as one of ur patients (breach of confidentiality) team leader should Answer - -talk to members that are slacking by themselves rather than telling others to studies Answer - -no. 1 priority -in case of missing a lecture, it doesn't matter what the content of the lecture is/if you think it is irrelevant unacceptable Answer - accepting abuse from members of staff -who cares if they are senior to you if friend is struggling but doesn't want to talk to uni Answer - - keep on telling them to go is inapp but not terrible -but sneaking around and setting up an appointment is very inapp telling things to the press Answer - need hospital permission first it is good practice to Answer - raise issue w the problem individual before reporting to a higher up but it DEPENDS patient - doctor relationship Answer - inapp (intimate relationship) even w a family member of a patient

avoid giving care to Answer - family members/urself (but in emergencies u can) friends cannot prescribe u med, neither can you self-prescribe (unless emergency). only a GP can prescribe. patients needs are not being met Answer - tell senior colleague who saw the patient before (bad explanation given) Answer - of minor importance but ofc, depends :) all team members Answer - valued and listened to regardless of their ability/role rushing thru appointments Answer - inapp discussing working practice in front of patients Answer - inapp received unfair feedback? Answer - inapp to report bcs it might not be unfair CONTEXT -asking for feed back is good important- if there is a change in care Answer - inform the team looking after patient confrontation when it is inapp Answer - in the middle of a ward