How do I answer a question about professionalism?
May 26, 2024
One of the trends within medical assessments worldwide is the move to test non-medical domains such as professionalism, screening, evidence based medicine, statistics and clinical governance. These of course are on first glance rather tricky to prepare for.
Why? Two fold - firstly that these rather abstract mix of topics appear on most fellowship curricula. But secondly they work well at discrimination (the art of sorting out a performing candidate from a less able one). As such, expect this trend to continue and amplify.
They can be tricky to prepare for, especially if you have not seen one before. Thankfully, with a little coaching and common sense, most are very easy to answer as they follow a predictable pattern. As they are tricky to write, their themes tend to be repetitive.
Here is an example of a professionalism one:
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Jodi Bowes, aged 34 years, has come to discuss her test results with you. She recently visited your colleague for a sexually transmitted disease screen. During her visit, Jodi mentions that she does not plan on seeing him again. She states that he was rushed, asked inappropriate questions, and that his breath stank, possibly of alcohol. There have been no prior concerns regarding his competence or professionalism.
What is the most appropriate next step?
(a) Raise concerns with other colleagues
(b) Undertake medical audit of his records
(c) Meet with colleague to explore Jodi’s concerns (Score: 1)
(d) Encourage Jodi to raise a formal complaint
(e) Submit notification to the Australian Health Practitioner Regulation Agency
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What did you think? These are often easier answered in the cold light of day rather than stressed in an exam. There is however a predictable pattern here.
This question is assessing your ability to deal with ethical dilemmas at work. The patient has mentioned factors that cannot be ignored. On the converse there have never been any concerns regarding his behaviour before. It is most appropriate to approach the colleague in question and address the concerns that have been raised by Jodie. If, following this, there is concern regarding your colleague’s ability to practice and a risk to the public (which would be the case if he was drinking alcohol) then a mandatory notification should be made.
So if you get stuck:
-what is the least restrictive option? Here we have a serious allegation, but on the converse no one has seen an impairment, so getting more information is appropriate.
-don't pass the buck - doing an audit/arranging teaching/calling your MDO in the purposes of an examiner may appear to pass the buck along.
-know your AHPRA referral criteria. In the exam you will be expected to refer to AHPRA - something many will never have done before. There are four clear mandatory notification criteria - and they are here - https://www.ahpra.gov.au/.../Mandatory-notifications.aspx
Finally don't panic - as many people find these hard! If it is hard, accept and don't let it ruin your exam game.
