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INTERMEDIATE LEVEL

Tell me about a time when you had to evaluate a patient thoroughly and order appropriate tests to make a diagnosis.

Veterans Affairs Physician Interview Questions
Tell me about a time when you had to evaluate a patient thoroughly and order appropriate tests to make a diagnosis.

Sample answer to the question

There was a time when I had to evaluate a patient thoroughly and order appropriate tests to make a diagnosis. The patient was experiencing persistent abdominal pain that was affecting their daily life. I started by reviewing their medical history and conducting a physical examination. Based on my findings, I ordered a series of tests, including blood work, imaging studies, and a gastrointestinal endoscopy. The results revealed a gastrointestinal infection, which required antibiotic treatment. I explained the diagnosis to the patient and discussed the treatment plan, addressing their concerns and providing reassurance. Throughout the process, I maintained open communication with the patient and collaborated with other healthcare professionals to ensure the patient received comprehensive care.

A more solid answer

In my role as a physician, I encountered a patient who presented with recurrent chest pain and shortness of breath. To evaluate the patient thoroughly, I conducted a detailed medical history assessment, focusing on risk factors for cardiovascular disease. I also performed a comprehensive physical examination, including vital signs, cardiac auscultation, and assessment of peripheral perfusion. Recognizing the urgency of the situation, I ordered an electrocardiogram, echocardiogram, and cardiac stress test to assess cardiac function and detect any abnormalities. The results indicated significant arterial blockage, and I promptly referred the patient to a cardiologist for further intervention. Throughout the process, I utilized the electronic health record (EHR) system to document the patient's information accurately and facilitate seamless communication with other healthcare professionals. As part of the multidisciplinary team, I collaborated with the cardiologist, nurses, and respiratory therapists to establish a comprehensive treatment plan, which included medication management, lifestyle modifications, and cardiac rehabilitation. I maintained regular follow-up with the patient to monitor their progress, adjust treatment as needed, and ensure continuity of care.

Why this is a more solid answer:

The solid answer provides specific details about the patient's condition, diagnostic tests ordered, and the candidate's collaboration with a multidisciplinary team. It also emphasizes the candidate's proficiency in using electronic health record systems and their problem-solving skills in promptly referring the patient to a specialist. However, the answer could be further improved by highlighting the candidate's ability to manage multiple complex cases simultaneously and their interpersonal skills in communicating with the patient.

An exceptional answer

As a physician, I faced a complex case involving a veteran who presented with an array of nonspecific symptoms, including fatigue, joint pain, and cognitive decline. Recognizing the need for a thorough evaluation, I took a comprehensive approach in assessing the patient. I extensively reviewed the patient's medical history, paying particular attention to their military service and exposure to potential toxins or infections. To establish a baseline, I ordered a range of laboratory tests, including complete blood count, liver function tests, inflammatory markers, and infectious disease serologies. Additionally, I collaborated with specialists in rheumatology and infectious diseases to obtain their insights and expertise. The patient's test results revealed elevated inflammatory markers and positive serologies for Lyme disease. Given the complexity of the case, I established a multidisciplinary team consisting of pharmacists, physical therapists, and mental health specialists to address the patient's physical, emotional, and cognitive needs. We developed a comprehensive treatment plan, which included antibiotic therapy, physical rehabilitation, and cognitive training. I maintained close monitoring of the patient's progress through frequent follow-up appointments and ongoing communication with the team. This collaborative approach not only ensured the patient received holistic care but also empowered the veteran to actively participate in their health management and recovery.

Why this is an exceptional answer:

The exceptional answer provides detailed information about the patient's complex case, including their nonspecific symptoms and the candidate's comprehensive evaluation approach. It highlights the candidate's ability to collaborate with specialists, establish a multidisciplinary team, and develop a comprehensive treatment plan. The answer also showcases the candidate's commitment to providing holistic care and empowering the patient in their health management. To improve further, the candidate could mention their excellent communication and interpersonal skills when discussing their interactions with the patient and the multidisciplinary team.

How to prepare for this question

  • Prepare examples of complex cases you have encountered and describe the evaluation process in detail.
  • Highlight your ability to manage multiple complex cases simultaneously.
  • Emphasize your proficiency in using electronic health record (EHR) systems and documenting patient care.
  • Provide examples of your collaboration with multidisciplinary teams and your problem-solving skills in challenging situations.
  • Demonstrate your commitment to patient-centered care and understanding of veterans' unique healthcare needs.

What interviewers are evaluating

  • Strong clinical skills
  • Proficiency in electronic health record (EHR) systems
  • Strong problem-solving skills
  • Ability to work effectively as part of a multidisciplinary team

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