Gastroenterology
Access both key gastroenterology interview questions at ST3 level and generic interview questions for higher specialist training
£35.00 for 3 months access
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ST3 Gastroenterology Interview Skills for just £35.

The perfect companion for your ST3-level Gastroenterology Interview, you'll have 3 months unlimited access to this fantastic resource including:


- Over 70 commonly-asked questions, including comprehensive advice and guidance on answering each question with confidence
- Over 25 questions specific to ST3 Gastroenterology interviews, written by interview panel members who know exactly what you need to say to secure the job
- eLecture series:
o Interview preparation
o Body language and communication skills
o Writing the perfect medical CV
o Clinical governance
o NHS hot topics
o Finance
o Management
o Leadership
o Resolving conflict
o Research and working abroad

Sample Question

ST3 Gastroenterology Interview


Should liver transplants be offered to patients with acute alcoholic hepatitis?

Balanced argument
• Understand acute alcoholic hepatitis is liver failure occurring rapidly (within 6 weeks) secondary to alcohol. It can often lead to multi organ failure and death. At that stage the only current option for survival is a liver transplant. This is currently not offered in the UK because there has been no recidivism (by definition) from alcohol.
• Self inflicted but have not had the opportunity to change lifestyle. Understand there is an argument that paracetamol overdose, which is transplantable is more ‘self inflicted’
• Broader topic of transplanting patients with liver failure to alcohol

Ethics/recidivism
• Survival of alcoholic patients post transplant is in line with patients transplanted for other causes
• Understand alcoholism is a medical condition in its own right often secondary to psychiatric and environmental problems

Prognosis
• Resource argument in taking a potential life saving treatment from someone else
• Understand the new national strategy from the RCP for dealing with alcoholic liver disease including a ban on advertising and a minimum price policy

Investigation portfolio contemporary
• The standard investigations should be presented including basic biochemical screen including renal and liver function; thyroid function; Vitamin B 12 levels; brain imaging.
• This includes when additional investigations may be needed of specific nature with indication.
• Understands were additional assessment is needed such as neuropsychological tests

Pitfalls to Avoid
• Don’t be too dogmatic, better to say there is a role for guidelines but some cases need to be addressed on individual merit and after consulting widely with colleagues or discussion with the local transplant centre.