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Adult Reconstructive Orthopedist Interview Questions

Describe a time when you had to obtain informed consent from a patient for a surgical procedure. How did you ensure their understanding and autonomy?

JUNIOR LEVEL
Describe a time when you had to obtain informed consent from a patient for a surgical procedure. How did you ensure their understanding and autonomy?
Sample answer to the question:
One time, I had to obtain informed consent from a patient for a knee replacement surgery. I explained the entire procedure to the patient, including the risks and benefits, and answered all their questions. To ensure their understanding, I used simple language and avoided medical jargon. I also provided them with informational materials and resources to review on their own time. Additionally, I made sure the patient had enough time to consider their options and ask any additional questions. I respected their autonomy by allowing them to make their own decision without any influence from me or anyone else involved in their care.
Here is a more solid answer:
During my residency, I encountered a patient who needed a hip replacement surgery. I met with the patient and their family to explain the procedure, potential risks, and expected outcomes. To ensure their understanding, I used visual aids and diagrams to explain the anatomical changes and surgical techniques involved. I also provided them with written materials and resources to review at their own pace. I allowed ample time for questions and addressed any concerns they had. To respect their autonomy, I made it clear that the decision was ultimately theirs, and I would support them regardless of their choice.
Why is this a more solid answer?
The solid answer provides a more detailed description of obtaining informed consent for a surgical procedure. It includes specific examples of how the candidate ensured the patient's understanding and autonomy. However, the answer could still be improved by mentioning the use of informed consent forms and documenting the process.
An example of a exceptional answer:
In my practice, I had a patient who required a complex knee revision surgery. I scheduled multiple consultations to discuss the procedure, risks, alternative options, and expected outcomes. During these appointments, I used interactive models, videos, and computer-generated simulations to educate the patient about the intricacies of the surgery. I encouraged them to bring a family member or advocate to participate in the discussions and decision-making process. To ensure their autonomy, I documented each consultation thoroughly, including details of the discussions and the patient's questions. I also obtained their informed consent using standardized forms, which we reviewed together to ensure their full understanding. Throughout the entire process, I emphasized open communication and provided ongoing support to address any concerns or uncertainties the patient had.
Why is this an exceptional answer?
The exceptional answer demonstrates the candidate's extensive experience and comprehensive approach to obtaining informed consent. It includes specific examples of advanced educational resources and techniques used to ensure the patient's understanding. The answer also highlights the candidate's commitment to thorough documentation and utilizing standardized informed consent forms.
How to prepare for this question:
  • Familiarize yourself with the process of obtaining informed consent for surgical procedures, including legal and ethical considerations.
  • Stay updated on the latest advancements and research in adult reconstructive surgery to confidently address patient questions and concerns.
  • Develop effective communication and patient education skills, such as using visual aids, simplified language, and providing written materials for reference.
  • Practice active listening and empathy when discussing surgical procedures with patients and their families.
  • Learn about different cultural beliefs and values related to medical decision-making to ensure respect for patient autonomy.
What are interviewers evaluating with this question?
  • Communication skills
  • Patient education
  • Respecting autonomy

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