 what is up guys karma medic here and welcome back to another dose today i'm going to be talking about the situational judgment section on the uk cat also your boy gone you haircut i finally got rid of that huge helmet that wolf like hair that i had on my head before you guys already know how this video is going to work i'm going to go through some general tips about situational judgment that i think are really useful and then i'm going to put myself in the corner of the screen and solve questions on camera live so that you guys can see my thought process and see the kind of things that i'm thinking about when going through these questions recently a lot of you guys have been asking for a q&a i'm sort of so you can get a better insight to who i am where i come from my background things like that so if you have any questions at all academically related personal related medical school related whatever it is feel free to leave a comment on this video or any of the videos in the future and i'm going to be doing a q&a soon also follow me on my instagram page you guys can ask me questions there not only for the q&a but about anything that you like so with that out of the way let's get right into the video so the situational judgment section is supposed to test your integrity your honesty your ability to work in teams things of that nature sort of the non-academic aspects that are required to be a doctor and to practice medicine a lot of the situational judgment section is going to revolve around medical ethics or moral dilemmas so you want to make sure that you have those things down if you don't know the four pillars of medical ethics are autonomy beneficence non-malevolence and justice let's have a quick rundown of what those things mean autonomy means that the patient is completely within their right to decide what they want to do with their body what they want to do with their course of treatment and to make decisions on their own if competent beneficence means that you want to do good and you have the intentions to do good non-malevolence is that you have the intention to not do harm you don't want to do something that could cause harm and justice is that you provide equality and treatment for all regardless of their ethnicity background color whatever it is it's equal treatment for all people now specifically for situational judgment something that is extremely extremely useful it's a document by the gmc which is the general medical council if you don't know it's a document by them called tomorrow's doctors and this document kind of outlines what it expects of doctors in the future how it expects them to act what it expects them to do and having a good read of that is going to be something that can really help in solving situational judgment questions i'm going to put a link to that document in the description down below so definitely click on that in the very least have a skim read through it you definitely want to be aware of the sort of things that they talk about in that document it covers different topics from respecting the rights of your patient not abusing your power as a doctor and a whole list of other things that are very very common and come up in situational judgment sections now keep in mind that the situational judgment section doesn't require any medical knowledge the way that these questions are marked is that you get partial points if you're close to the correct answer and then full points if you are on the correct answer so first and foremost when answering situational judgment questions you want to decide which part of the extreme spectrum you're on are you on that this is a very important consideration or this is not important at all because if you decide that then at least you can get partial marks and then you can try and figure out how extreme you want to be is this very very important or just important how they decide what the right answer is for a situational judgment question is that they pose this question to a panel of doctors and the doctors all give their opinion and whatever the most popular opinion is is what is considered right so it's not always going to be a hundred percent there you can't really say that answer a is definitively a million percent correct it's a what a majority of doctors said that they would do if they were in that situation one questioned on a panel so yeah in my opinion the best way to study for situational judgment is to do lots and lots of questions you're gonna see over and over again the same sort of themes the same sorts of questions come up so once you start to recognize those patterns over time you can figure out what the answer is really easily all right guys before we get into the questions i want to tell you a little bit about medify medify is a uk cat resource question bank that i've been using for the last little while to prepare myself for the decision making and situational judgment videos on the homepage you can see here what your performance is against other students taking medify so you know if you're performing at an average level below average or above average if you're someone who relies on doing lots and lots of practice like myself and like i always tell you guys in every one of my uk cat videos i honestly think this is really useful you can see for every section there's hundreds of questions to do and when you're done practicing you can check your performance how are you doing in each of the sections so there you can see your weaknesses you can see where you need to improve where where you should focus more of your time and you can also track your history too to see if you're keeping up with the schedule that you set for yourself if you're slacking and you probably need to do more studying after you've done a bunch of practice you can go take the mock exams so they actually have four mini mock exams for each section and then seven full mock exams this is honestly more mocks than you'll ever need to do in my opinion the mocks are really useful because it'll help you practice your timing you'll have a set amount of questions to do in a set amount of time and that'll make you really focus and harness down on your ability to do questions under pressure so yeah guys if medify is something that you might be interested in if you need that extra practice to excel you in the UK cat feel free to check out their website i'll leave a link in the description okay now having said all of that for the general tips let's jump straight into the questions okay guys so i've got my computer down here i'm gonna be reading the question and saying out loud or focusing on what i think are the most important words or the most important pieces of information and then from there i'm going to go on to tackling the questions question one a medical student satnam is working on a busy busy hospital ward an elderly patient mr anams has been discharged that morning and is getting ready to go home mr anams has difficulty walking as mr anams is leaving the hospital satnam observes him taking a pair of crutches that have been left unattended okay satnam knows that a doctor must provide authorization in order for crutches to be removed from the hospital he also knows that authorization has not been provided in this case so how important to take into account are the following considerations for satnam so the mr anams should not leave the hospital with crutches that have not been properly authorized okay so directly from the passage we know that you require proper authorization in order to take the crutches so this question is saying how important is it that we get proper authorization well i would definitely argue if first we're going to decide which half of the scale this is on this is definitely on the important side of the scale the passage directly says crutches need to be authorized this is saying how important is it that crutches are authorized so i would go for very important in this case that no one else appears to have observed mr anams taking the crutches without them being authorized this is not important at all okay so when a bad act happens when something negative happens that could jeopardize jeopardize the public's opinion of medicine or could jeopardize a patient's health whether or not someone saw that act occurring is totally unimportant and this comes up so many times over and over again note this down whether someone sees a bad act happening has no relevance to the fact that a bad act has occurred because it's still going to have the same consequences it could still affect patient health patient safety which is always number one so this is always unimportant at all make sure you write that down next question okay new paragraph before we start the new paragraph um i recently made a video where i was giving away my uk cat notes and i told you guys to send me an email there and i would send it to you i've now put a link in the descriptions that you can download them directly i think that i have some really really good notes in there for the situational judgment section so i would highly recommend checking it out i'll put a link to that download link in the description here as well and i'll link you to the video question number two dr right works in the hospital and how important is it that she is confident about the competence of the surgeon i think that that's something that's very important obviously competency of the surgeon is going to be something that's extremely important in deciding if the surgeon should do the surgery and it's going to help the patient decide if they want that specific surgeon to do the surgery on them so i would definitely say that this is on the important half of the skill whether that's very important or important if we know that the surgeon is competent this is something that's objective about them if they've had successes in the past so i'm going to go with very important how important is it that she has no evidence that the surgeon has been insensitive to women this is very important and this is also a topic that comes up over and over again i remember now from a year and a half ago when i took this exam this this theme comes up very very often if you don't have evidence of rumors if you don't have evidence of something bad having happened if allegations are being made it's very important to not believe those allegations straight away if someone is slandering someone or someone has said something crazy has happened or some person did something really bad it's really important not to take that as truth immediately you have to assess all the evidence you get you need to check for yourself you need to know for yourself the fact that she has no evidence that the surgeon has been insensitive is definitely important that telling natalie about the rumors may affect natalie's confidence in the surgeon this is also very important if we confirm to natalie like oh yeah the rumors are true or maybe they're true then that's going to affect how natalie thinks of the surgeon that's going to affect how natalie speaks about that surgeon and that could go on to influence his reputation so definitely telling natalie about the rumors i would say is not a good idea and it is of great importance in this situation okay so the third question how important is it that if she does not inform miss troper again about the risks associated with her pregnancy miss troper may decide to become pregnant for a fifth time become unwell this is clearly very important we know that she's already once not taken into account the information that the doctor gave her and she's gone against the recommendation of not getting pregnant because it puts her at an increased risk and she is now at an increased risk so we want to make sure that the patient actually understood what the doctor told them the first time if they realized the amount of harm that they could be causing themselves and we want to make sure that they don't get pregnant again as that could further increase harm to the patient always remember that first and foremost in these questions the number one thing is maintaining patient safety minimizing patient harm that's like at the very top of the pyramid of important things that you want to do in these questions and what you want to prioritize patient health and safety is absolutely number one patients or the public's view in medicine is also something quite up there that's important but number one is patient health and safety important is it that the information about the risks to miss troper's health is provided to her in a respectful and caring way again very important if you're ever giving information to a patient about the risks of their health you always want to do this in a respectful and caring way this question should be quite obvious and hopefully it is quite obvious you never want to give someone information in a disrespectful way then miss troper is provided with sufficient information for her to be able to make an informed decision about whether to become pregnant again if we go back to what i said at the beginning of this video one of the four pillars of medicine is autonomy the patient should always have the ability to make their own informed decision and this question is directly saying that we want to give her enough information for her to make her own informed decision this is 100% very important and definitely needs to happen miss troper's entitlement to be able to make her own decisions about her health and lifestyle this is basically a question about the same thing autonomy miss troper definitely needs to have autonomy and this question is saying that we will give it to her so this is very important okay next question medical students lucy and carl these are two friends or maybe they're not friends but they're two students in a classroom and that's important to take into account always know if it's two students if it's a doctor and a student if it's a lecturer and a doctor if it's a patient and a doctor you always need to remember the rules of who we're talking about here because that comes into importance in the questions so how important is it that hospital policy should be adhered to hopefully this is extremely simple and easy for you to answer obviously very important hospital policy is there for a reason rules and regulations are in place for a reason and they should always be adhered to that she does not know whether carl has been given permission to record the tutorial again i would say this is very important let's analyze why if carl does know that he has not been given permission to record and he is recording then he is knowingly and willingly doing something incorrect and he should definitely be told and that's something that needs to change if carl has no idea that he shouldn't be recording this session and he hasn't been given permission and he's recording the session again he should be told but that makes his intention very different and that is extremely important so whether carl knows that he's breaking the policies or not is going to be very important and the patient's right to confidentiality do i really need to explain this hopefully not um patient confidentiality confidentiality is of extreme extreme importance always preserve patient confidentiality unless absolutely necessary and there is a series of of times when breaking patient confidentiality is okay um but certainly this is not one of the fact that patient identifiable information is mentioned during the tutorial again obviously very important if patient identifiable information was not mentioned during the tutorial then this wouldn't be an issue because it says in the passage that you're allowed to discuss tutorials as long as the lecture grants permission and patients are not discussed so if there was no patient name then this doesn't even matter the fact that patient name is mentioned or patient identifiable material is mentioned is definitely important okay new question li and chris are working as junior doctors together really interesting scenario so the crux of this question is that it's affecting patient health and safety it says in the passage that when dealing with patients he's made some mistakes this is like the key important thing you need to take away from this passage okay his personal life and personal issues affecting patients how important is it that chris's behavior at work could increase the workload for other staff i would say this is important on the direction of important or not or not important how important this is i'm not really sure so look chris's behavior could increase the workload of other staff okay so if chris is slacking or if chris is making mistakes or if chris is not paying attention to what he's doing that's that is that is an important thing and that's going to have important consequences on other people working around him that are going to have to make up for that so i would definitely go with that least important whether it's very important or not i don't think this is the most important part of this question it is important but the the crux of this question the most important part is that patient safety is being jeopardized so i'm just going to go with important not with very important the fact that chris has made some mistakes when dealing with patients is of utmost importance it's the most important part of this whole question is that his personal life is now affecting patients affecting health and safety of patients so very important that chris has been irritable with patients again very important the patient's perspective of the doctors around them and the patient's perspective of the field of medicine as a whole is something that needs to be preserved as best as possible and if you are talking to patients in a way that does not reflect the utmost best values that doctors are supposed to hold and preserve then that is definitely very important that chris has been irritable with members of staff again this is this is also very important you don't want to be irritable with with anyone if you have personal problems if you're going through something that's totally okay and personal problems and emotions happen all the time being irritable with other members of staff is something that's not professional at all and if a patient were to see two members of staff bickering with each other or being disrespectful to each other that's definitely not going to help preserve the image of the field of medicine one sec let's move on to the second type of question that comes up in situational judgment section which is about the appropriateness of specific actions simon is a medical student how appropriate are each of the following responses by simon in this situation assume that the following responses would be said politely so okay that's also something important to consider how the responses are said because you could misinterpret the tone just from reading so keep in mind that this is being said politely dear cecilia you are part of the committee i would never deliberately exclude you in any way that is super important to say first things first you want to make it clear to cecilia that this was something that was unintentional i didn't do this on purpose to you let's try and find out what happened so very important or sorry very appropriate second thing we should look into what arrangements can be made for when people are not able to make the meetings on time okay that sounds pretty pretty good like people are going to be unable to make meetings all the time for whatever different reasons some family emergency came up my brother needed help my friend i'm feeling sick i wasn't having a good day whatever people are going to be unable to make meetings all the time so being able to set some sort of infrastructure that gets around that problem for example skyping in or being sent the meeting notes or giving your input through text is something that should definitely be done so yeah i would say this is very appropriate thing to say i'm sorry can i ask why you feel that i deliberately excluded you from the meeting the first thing i'll take away from this statement is that this isn't inappropriate this isn't a bad thing to say this isn't going to cause any problems so the bottom c and d are going to be canceled and then i'll have to decide if this is air b this definitely isn't wrong of simon to say but it might also might not be the best thing like this could cause her to just you know get mad and i'm going to go with appropriate but not ideal there's definitely better things you can say in the situation like some of the things that we saw previously i'm sorry i thought you would have known that the doors are locked at 6 15 that's a super appropriate thing to say this is like this is a pure fact you know like the doors close at 6 15 this is something that i guess you should have known but he's not saying it in that way he's saying i thought you knew or i thought you should i thought you would have known um that the doors are locked at this time so i think that's totally appropriate and yeah it's a good piece of information to say because if she didn't know that now she does and there's no reason for this whole argument that's something that she should have been aware of next question okay next question so complete the assigned personal tasks for margaret without mentioning that do not seem to be related to his development i think in this case who's it sen sen definitely wants to let margaret know that this is not what he's supposed to be doing sen is here to learn and to develop and to experience clinical things and so that's what he wants to do so if he just completes these tasks without mentioning anything then maybe margaret will think that he's okay with doing that and he won't be able to get the full learning experience that he wants so if he just does these tasks without mentioning that's i think that's an inappropriate thing to do but i wouldn't say that's like very very inappropriate this isn't going to have negative impacts on on their relationship or on patient health and safety so i would say this is inappropriate but not awful suggest to margaret examples of more clinical tasks that he could get involved with during the attachment i think this is definitely an appropriate thing to do sen wants to improve his clinical learning his clinical development and that's what he's here to do that's what he's here to learn seek advice from the academic tutor responsible for the learning attachment i think that's definitely very appropriate and i'll tell you guys why this is another one of those things that comes up over and over and over again seeking advice almost always when seeking advice this is a very appropriate thing to do asking someone for help asking someone for their input someone who is older someone who's more mature someone who is supposed to be overlooking what you're doing is always going to be appropriate if you're unsure you should be asking for help you should be seeking advice um so i definitely definitely think this is a very appropriate thing to do and if i remember correctly this is also included in my notes if you haven't downloaded them already links in the description okay new question tell the patient to inform the senior doctor how his behavior makes patients feel the next time this occurs who are we who's Cameron Cameron's a medical student so i feel like maybe it's more important that the medical staff like medical students or other doctors tell the doctor that his behavior may not be appropriate i don't think it's okay it's not a bad thing if the patients do this themselves in fact if a patient does this that it should be a real wake-up call for the doctor to reevaluate their actions and how they're behaving yeah i think i think this is appropriate so if if you're a medical student you can tell the patient like hey this might be something you might want to bring up with your doctor so that they're aware this can cause and at the beginning of a conversation where hopefully the doctor can change this kind of behavior seek advice from another senior member of staff about the senior doctor's behavior what did i just say about seeking advice seeking advice is almost always going to be a very appropriate thing to do discuss the situation with peers to find out what they would do in that situation i think this is appropriate but there's a balance and this is the reason i'm not going to put very appropriate so again discussing with someone seeking advice from someone talking to someone is almost always going to be a good thing however in this situation you don't sort of want to spread this bad information about the doctor right even though it's with peers with other medical students or maybe this is not other medical students this could be friends outside of medical school but i think the point is the same if you want to ask for advice you can maybe ask one or two friends in private ask for their opinion see if they can give you a different perspective but this is definitely something you don't want to be like spreading around so the act here of asking for advice or talking to someone else about what they would do i don't think it's bad but you also don't want to like go out and spread that information as a factor just let everyone know so i would say appropriate but not ideal but this is kind of tricky but i think b is a pretty pretty good response okay next question medical student gamma gamma gamma rays gamma jemma okay so something super super bad has occurred patient allergies some of the most important things you need to know down and be aware of it's one of the first things on a patient's medical chart there's like a huge section that says like allergies and if not you write no known adverse reactions i believe nkda or something like that but anyway this is a very very important piece of information and the fact that the doctor right wrote no when she said yes is of huge importance so before i read the question this is definitely something that the doctor needs to know and he needs to know soon okay whether this is corrected directly in front of the patient or after the patient is up for debate and i would probably say that after is maybe more appropriate um let's see what the questions are but before we start the question this definitely has to be changed inform dr mitchell once the patient has left the room that he appears to have made an error with the computer record 100 like this is the most appropriate thing to do you maybe don't want to do it while the patient is sitting there because you don't want to undermine the confidence that the patient has in the doctor but you have to let the doctor know and once the patient has left the room is a great time to do this so very appropriate change the computer record after dr mitchell and the patient have left the room to avoid dr mitchell being embarrassed okay i think this is very inappropriate i'm going to explain why although it says to avoid dr mitchell being embarrassed which like you might think is a good thing you don't want to embarrass the doctor in front of the patient which is kind of true but this is super super wrong a you're changing information when you're not authorized but anyway you're doing it without telling the doctor which has two problems a the doctor is unaware that this change has been made b it's being made without his permission and this is like definitely a huge no no you definitely need to inform the doctor in a respectful way in a nice kind way but they need to know and they need to make the change themselves ask the patient to repeat this his answer to the question that's kind of cheeky it's like it's like saving the doctor in the situation without embarrassing him it's kind of like when your best friend says something stupid when you're out and they're talking to someone who they're interested in and you kind of try and butt in to fix their response or to ask another question to change the topic i think this is a pretty similar analogy so yeah i'd say this is appropriate like you can say oh sorry i didn't hear that could you repeat it please the patient will repeat their answer the doctor will hopefully notice this time and change his input so yeah i think this is pretty appropriate but definitely talking to the doctor after is going to be the better thing to do a dental student real is when you're the team captain or the team leader of the group and another member has come to you with complaints about a third member which is totally possible this happens all the time in group projects so let's see what's going on how appropriate is it to take no action unless further complaints are received from other members of the group i would say that this is definitely inappropriate a complaint has been brought up something has been said there is a disagreement and it should definitely be addressed to dismiss this complaint and ignore it until something else happens means that more bad things could keep happening in the meantime so this is definitely inappropriate you definitely want to take action on this is this a very inappropriate thing to do i think the answer very inappropriate is reserved for when you're causing negative harm or you're causing like very big consequences to happen which i don't think this action would so i'm going to say inappropriate but not awful next question suggests to Jerome that he raises his concerns with elizabeth directly i definitely think this is a good idea and i think this is like i think this should be the first course of action to be taken the the team captain is there to sort of oversee these things and to make sure that everything is going okay but i think first things first a direct conversation between the two parties involved might be the best way to go about this next question speak to elizabeth directly to raise concerns about the time and effort she's dedicating to the group project definitely definitely appropriate first of all you're directly speaking to elizabeth you're not going through other people which is definitely good and you're directly raising concerns about the things that the other team member was concerned about so you're working towards solving the problem you're making actions you're taking initiative to solve this problem so i think it's a very appropriate thing to do i think i'm going to stop there i've currently been recording for about 40 minutes so i need to cut this down i need to make it down into an appropriate length for you guys to see i hope you enjoyed that video i hope you were able to make use of my thought process and logic as i went through these questions don't forget to ask me lots of questions for the q and a leave them in a comment down below you can leave them on my instagram page as well i hope you enjoyed it this is the fourth in the series can't believe i've made four of these now and yeah guys take care have your vision i know a lot of your exams are coming up really soon so good luck good luck good luck practice hard and i hope you guys do well i'll see you guys in the next video peace