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The Situational Judgement Test at a Glance

ISBN: 978-1-118-49098-3
96 pages
February 2013, Wiley-Blackwell
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The Situational Judgement Test at a Glance provides a sound introduction to the SJT and details ways you can prepare before the assessment. It includes worked case examples based on real-life scenarios which have been reviewed by experienced clinicians and examiners. The book draws out key aspects of professional practice relevant to the role of a junior doctor. This is based on the nine domains as outlined by the ISFP (Improving Selection to Foundation Programme), who detailed the behaviours necessary to be a competent Foundation Doctor.

The overall aim of The Situational Judgement Test at a Glance is not to spoon feed hundreds of practice questions or reams of guidelines, but to steer you towards a logical way of approaching best medical practice – and therefore the SJT – with many examples of doctors' personal experiences along the way.

Challenging scenarios are analysed using guidelines from the General Medical Council and research interviews with patients, lab staff and healthcare professionals. All examples in the book are worked in a test-style apparatus, with questions on one side and detailed answers over the page so you can understand the reasoning behind the material.

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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 14

Understanding confidentiality 15

The DVLA 15

Patients involved in serious crime 16

Confidentiality and the under eighteens 18

Questioning professionalism 20

3 Pressures and prioritising 22

Probity 22

Ward rounds 22

Patient discharge 23

Prescribing 25

Consent 26

Learning and career development 28

Informal opportunities 28

Procedural 29

Prioritisation 29

Bleeps 31

4 Effective communication 33

Five principles for good communication 33

Written communication 34

Record-keeping 34

Blood forms 35

Clinical coding 35

Death certificates 35

Cremation forms 36

Verbal communication 36

Working with interpreters 36

Working with disability 37

Communicating personal views 39

Communicating with relatives 39

Breaking bad news 40

5 Patient focus 42

Being the best for your patients 42

Patient advocacy 42

Respecting personal beliefs 44

Tricky decisions involving treatment: consent without capacity 45

End of Life care 45

Difficult patients 46

6 Effective teamwork 48

Understanding teamwork 48

Understanding your role 49

Effective handovers 50

Understanding your colleagues’ roles 51

The nursing team 51

The consultant 52

The radiology department 52

SBAR 53

Professional conflicts 53

Seeking support 54

The foundation school 54

7 SJT practice material 56

How do I approach the SJT questions? 56

SJT example questions 56

8 Answers 66

Beyond this book 86

9 References 88

Index 90

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Frances Varian is a Final Year Medical Student at Warwick University and was seconded by Warwick Medical School to help develop SJT educational material and practice questions designed to enhance students’ non-technical skills.

Lara Cartwright is Senior Careers Consultant at Warwick Medical School and a member of the Association of Graduate Careers Advisory Services (AGCAS) and the Medical Careers Adviser’s Network (MCAN).

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