ST1 Interview Process

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•      The interview lasts 50 minutes including 8 minute preparation station.
•    There are 4 interview stations lasting 10 minutes each.
•    There are 2 interviewers (and sometimes an external examiner) on each station and they each mark you separately.

The 4 stations revolve around these key factors:-
Aspirations/Commitment to Specialty
What commitment/interest have you shown to Radiology?
Why Radiology? What specifically makes you want to be a Radiology trainee?
Where do you think Radiology is going in the future?
What are the challenges facing Radiology in the future?
What is the exam structure of the FRCR? What do you know about the assessments for radiology trainees?
What would you like to achieve post CCT?
Have you heard of the health and social care act? Bruce-Keogh report?

TIP- Attend the SRT AGM's. You will get to opportunity to socialise with trainees across the country and learn more about radiology.
 
 
The SRT have also teamed up with Radiology Recepes International to support you prior to the interview process.
We are however very limited in terms of numbers. To book your place early Click Here .
 

Audit/Portfolio
 Audit abstract given at the start of interview to be critiqued egultrasound guided liver biopsies:
  What are the problems with this audit?
·         How can you improve this audit? What is good/bad?
·         How would you teach radiology to undergraduates at medical school?
·         What is your experience of teaching?
You will be asked to show the interviewers evidence of important documents and achievements.
·         Have you got any publications/presentations? If so show a certificate.
·         Any postgraduate examinations?
·         Have you done a taster week in Radiology? Need to provide a letter for proof, otherwise doesn’t count.
TIP- Have your portfolio well organised and easy to follow. HIGHLIGHT areas on your portfolio which you would like to catch the examiners eyes.

Abilities

Task 1: Prioritisation
5 scenarios are given in the preparation station. For example: (More examples below)
Young female with RIF pain - surgical SpR requests CT scan
Elderly pt with back pain, low BP ?AAA. Cons vascular surgeon knows your busy and says he would report it himself
Clinical director’s mother has a PV bleed on holiday. He wants an urgent investigation done
Neurology SpR is getting headaches and request a CT scan head for himself
Elderly pt with back pain, unsteady on feet. GP referred for MRI scan
Task 2: Image Interpretation
3 images are given at the Abilities station, no preparation or choice in images. For example:
CxR with upper lobe collapse
Example of Audit: chest clinic attendees over 1 month period reviewed. Names cross-referenced against pathology and radiology databases to see which patients had had a CT guided biopsy in the previous 3 months.
197 patients attended chest clinic
11/197 (6%) had CT guided biopsy
1/11 (9%) developed pneumothorax requiring chest drain
3/11 (27%) developed haemoptysis
No other complications
100% malignant lesions adequately sampled
CT guided biopsy was considered a safe and accurate procedure.
 MRI sagittal - cervical cancer
      PET scan - lung ca with mets to adrenal gland
TIP1- If you get a CT scan- DON'T forget to tell the examiner that you will change windows accordingly for example to look for any fractures or bony injury etc.
TIP2- If you get an MRI and you know what sequence the image is-Say it!
TIP3- Don't forget to also mention whether the image is an axial, sagittal or coronal slice.

Ethics
3 scenarios are given to be discussed at the station. For example:
Typical scenario of the pregnant female involved in RTA and had a CT scan
Your colleague is late for his ultrasound list, what are the implications of this on the department. How do you deal with this?
Research question: it was based around a Randomised Controlled Trial and one pt would have two core biopsies under Ct guidance and the other pt would have one. Talk about ethical approval as it's an RCT.
You are performing an US scan of liver on well-educated patient, discover liver mets – she would like the result, what do you say?
You are about to perform a CT-guided drainage on a patient, but when he comes to department he is very confused and unable to consent – what do you do?
You are on-call, but not very confident with MRI interpretation. The Orthopaedic consultant would like a non-urgent MRI knee – what do you do? What if your Consultant won’t help you out?

Preparation Station
You have around 8 minutes to:
Task 1: Read through an audit to be critiqued at the Audit/Portfolio station
Task 2: Prioritise 5 scenarios and discuss at the Abilities station.
Example of prioritisation scenarios: 5 requests to prioritise during Saturday on call:
 8/40 pregnant lady with LAP; Gynae requested USS
 Fractured NOF, orthos want MRI femur
 Painless jaundice, medics want CT abdomen
 Staging CT for NHL, needs to be done prior to Rx on Monday
 Known breast Ca with large pleural effusion, CT guided drain requested
The above examples have been kindly offered by current ST1’s.
 
 

If you are a trainee who has some good advice on the ST1 interviews would like to share, why not  post a message on our forum or alternatively email us .