Phys Vivas · general-medicine
Quality AND Safety IN Medicine — Viva Defence
DCE viva defence for Quality AND Safety IN Medicine.
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Target exams
Quality AND Safety IN Medicine Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Quality AND Safety IN Medicine. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up."[2]
Examiner questions
Q1: "What makes this urgent?"
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up."[1]
Q2: "What is your first investigation package?"
"I order tests that change management now, not a scattergun panel."[2]
Q3: "Walk me through treatment."
"Stabilise, treat the mechanism, prevent complications, and plan monitoring."[2]
Q4: "What is the classic trap?"
"Treating a label without confirming the discriminating mechanism, or delaying escalation."[3]
References3ShowHide
- [1]Makary MA, Daniel M Medical error-the third leading cause of death in the US. BMJ, 2016.PMID 27143499
- [2]Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med, 2009.PMID 19144931
- [3]Spanakis SG Disclosure after medical error. Curr Opin Anaesthesiol, 2021.PMID 33577207