Orthopedic Oncologist Interview Questions

Tell me about a time when you faced a difficult decision during a surgical procedure. How did you handle it?

SENIOR LEVEL

Sample answer to the question:

During a surgical procedure, I faced a difficult decision when I encountered unexpected bleeding from a major blood vessel. In order to handle the situation, I immediately summoned additional help from the surgical team to control the bleeding. As the team worked together to control the bleeding, I remained calm and focused, communicating the situation and coordinating the necessary actions. Through effective teamwork and quick decision-making, we were able to successfully control the bleeding and complete the procedure without any further complications.

Here is a more solid answer:

During a complex limb-salvage surgery for a patient with bone sarcoma, I encountered a challenging decision when I discovered that the tumor had invaded a nearby nerve. This posed a significant risk of nerve damage and potential loss of limb function. To handle this situation, I consulted with the multidisciplinary team, including neurosurgeons and radiation oncologists, to discuss the best approach. After careful consideration and weighing the risks and benefits, we decided to proceed with a nerve-sparing technique and planned for post-operative radiation therapy. This approach allowed us to successfully remove the tumor while preserving the patient's limb function. Throughout the process, I maintained open communication with the team, providing updates and addressing any concerns.

Why is this a more solid answer?

The solid answer includes specific details about the surgical procedure, the candidate's decision-making process, and their collaboration with the multidisciplinary team. It showcases the candidate's expertise in orthopedic oncology and their ability to communicate effectively.

An example of a exceptional answer:

During a surgical procedure for a patient with a metastatic bone tumor, I faced a difficult decision when intraoperative imaging revealed unexpected extensive bone destruction. This posed a challenge in determining the most appropriate surgical approach to remove the tumor while maintaining structural integrity and limb function. To handle this situation, I gathered the expertise of the surgical team, including radiologists and reconstructive surgeons, to devise a comprehensive plan. After analyzing the imaging data and discussing the potential risks and benefits of different approaches, we made the decision to perform an oncological resection with reconstruction using a custom-made 3D-printed titanium implant. This advanced technique allowed us to achieve optimal tumor removal while ensuring stability and function of the affected limb. I ensured clear and continuous communication with the patient, providing them with detailed explanations about the decision-making process and the expected outcomes.

Why is this an exceptional answer?

The exceptional answer includes even more specific details about the surgical procedure, the candidate's decision-making process, and their collaboration with the surgical team. It demonstrates the candidate's ability to handle complex cases and utilize advanced techniques. The answer also highlights the candidate's excellent communication skills with both the team and the patient.

How to prepare for this question:

Reflect on past surgical procedures you have been involved in and identify any difficult decisions you had to make.

Research and familiarize yourself with common challenges and complications in orthopedic oncology surgeries.

Study different surgical approaches and techniques for managing difficult cases in orthopedic oncology.

Develop your critical thinking and problem-solving skills by practicing analyzing complex scenarios and weighing the pros and cons of different approaches.

Enhance your communication and interpersonal skills by seeking opportunities to collaborate with multidisciplinary teams and engage in effective communication with patients.