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Notes on DVD - selection centres for speciality training

Introduction:

The South West Peninsular Deanery/AGCAS DVD 'Selection Centres for Specialty Training' (2008) will help you understand the processes you may go through in selection programmes.  Assessments may vary depending on the type of specialty/post you apply for and the deanery to which you are applying. 

The DVD has examples of five types of assessment you may face:

Portfolio Interview

You need to be aware that interviewers will already have had access to your portfolio prior to interview and so firstly you need to make sure your portfolio is:

  • Neat, handwriting legible
  • Easy to follow (e.g. contents page etc)
  • Not missing anything
  • Well structured and organised

The portfolio will help the interviewer form an impression and from it you will know whether you have completed required tasks and if you are competent.

The portfolio should include the following:

  • A contents page
  • A summary CV
  • A full CV

Throughout the portfolio you ‘should highlight your commitment to the specialty you have chosen’ (South West Peninsular Deanery/AGCAS, 2008) and know when and where to refer to it if asked. You should demonstrate to the interviewer that you understand what you need to do to achieve your goals.

Preparation is very important. For example, before the interview, you should consider two or three strong points about your portfolio that you would like the panel to be aware of and highlight how it relates to the specialty to which you are applying.  The questions that are asked may be quite general so you will need to try and incorporate them into your answers.  The panel may also ask about the weak points of the portfolio, so you also need to consider this. 

You need to be prepared for questions about your portfolio and what you have done.  They may ask you about your feelings in certain situations.  Practising as much as possible will help with this and will help you to relax and stay calm during the interview.


Presentation:

Assessors want to know how you prepare for things at short notice, how well you can think on your feet, get your point across and about your views on certain things (The South West Peninsular Deanery/AGCAS, 2008). 

You might be given a choice of topics and asked to choose a topic and then prepare a presentation on it.  In the DVD the candidates are given 15 minutes to prepare a 5 minute talk and after the presentation the panel had five minutes question time (again this may be different in other deaneries).

When you are planning your presentation, you should consider how many pages you will need and be aware that you should limit the amount of information on the flip chart.  You should list your main points and make sure that you position the flip chart correctly so that the panel can read the information. 

You need to address the question and speak in a clear and concise way and you should have an answer ready to explain why you chose your topic.


Mock GP consultation:

In the DVD the candidates have five minutes to prepare themselves before they see the patient (who is an actor).  You can use this preparation time to read through the patient notes.  You should read through the patient notes more than once if time allows.  In the DVD mock consultation, the interviewers are looking for good communication skills rather than knowledge.

You should be careful about how you broach certain diseases (e.g. cancer). It’s important that you structure the consultation to make sure that patients understand why you are asking certain questions so as not to alarm them unnecessarily. 

Re-capping is also very useful and asking if the patient has any concerns may get certain things out in the open straight away. 

The DVD suggests that during a mock GP consultation you should do the following:

  • Take time to read the notes
  • Structure your consultation
  • Demonstrate active listening
  • Decode jargon
  • Keep calm
  • Empathise


Structured interview:

Most interviews will be structured and strictly timed and candidates should be informed at the beginning how long the interview will be and how many questions there are (this may vary at different deaneries).  “If there is a panel, one member will be appointed chair, and this is the person who is likely to welcome you, introduce the other panel member/s, and outline the structure of the interview.” (Elton & Reid, 2008)  The application details will usually state what is required of candidates at interview.

It is very important that you prepare in advance of your interview as a lot of questions can broadly be predicted in advance.  Most interview questions are designed around the person specification of the job, which in turn are linked to the ‘Good Medical Practice Guidelines’, therefore it is important that trainees familiarise themselves with this before your interview.  However, it is important to remember that not all questions can be predicted.  But if a structured process is used, you can reassure yourself that all the candidates will have been asked the same question (Elton & Reid, 2008).

To help you prepare, it is useful for you to realise that that questions that are asked at interviews are usually divided into three areas:

  • Questions about you
  • Questions about the job/specialty
  • Questions about the wider context of health care (Elton & Reid, 2008)

It is important that you know your portfolio so you have a variety of examples to use in the interview. 

You need to be conscious of your body language and should always try to maintain good eye contact, enthusiasm and try to engage with the panel.  Considering your own specific experiences is important which is highlighted by some of the candidates’ answers in the DVD. 

It is useful to think of the STAR model when structuring your answers:

Situation/Task- Provide a concise overview of the example you are using, ensuring that it is relevant to the question

Actions: What exactly did you do?  What were your role and contribution? What skills did you use? (This part will probably form the bulk of your answer)

Results/Reflection: What was the outcome? What have you learnt from it? (Elton & Reid, 2008)


Simulation Station:

Some assessment centres use simulated patients to judge a range of skills, not just clinical.

The DVD shows that it is important that you introduce yourself to the people acting within the simulation exercise (including the patient).  You should also be polite and courteous (South West Peninsular Deanery/AGCAS, 2008). 

Communication:  you should communicate to the whole team why you are doing certain things, explain your findings and give them an idea of possible scenarios (e.g. to the nurses etc).  You should be specific with your instructions and remember to delegate certain procedures to other members of staff. 

The DVD suggests that during a simulation station you should do the following:

• Monitor the situation
• Be aware that communication is vital: with the nurses and patient
• Review the patient’s condition
• Call for help when you need it
• Try to stay calm

Bibliography:

South West Peninsular Deanery and the Association of Graduate Careers Advisory Services (2008), Selection Centres for Specialty Training.

Elton, C. and Reid, J. (2nd edition, 2008) The Roads to Success, Post Graduate Deanery for Kent Surrey and Sussex.

 


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