How would you approach an elderly patient who has a hip fracture but also has serious comorbidities?

Specialty-Specific

Purpose

This question checks your clinical judgment and communication skills in a tough situation. Interviewers want to see how you balance the need for surgery with the risks from other health issues.

Tips

  • Start by discussing how you'd stabilize the patient and consult with other specialists to manage their comorbidities.
  • Emphasize the importance of shared decision-making with the patient and their family, using clear and empathetic communication.
  • Mention specific risks and benefits of surgery, and be open about alternatives to help set realistic expectations.

Common mistakes

  • Don't just focus on getting the surgery done; that shows a lack of understanding of the patient's overall health.
  • Avoid using medical jargon that might confuse the patient or their family; keep it simple and relatable.
  • Don't forget to consider the patient's values and preferences; ignoring this can come off as paternalistic.