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Jesse Gilson Key Points

Vivas are, by design, non-linear in the sense that there is no one “correct” pathway at key decision points

A key goal is to test high-level judgment and decision-making by:

Presenting scenarios with competing interests that require a concrete goal or plan of action to be identified

Making crises slow-moving and vague to begin with rather than jumping straight into a pre-determined algorithm

Incorporating ethical and professional standards

Safe management of the scenario is necessary but not sufficient to pass the viva - it will only get you to a 4/10 in isolation

A “consultant-like” approach is needed to pass, which entails:

Appropriate clinical AND situational management (big picture - resources, personnel, location, ethical concerns, risk/benefit)

Suggested approach to opening stem

1 minute: read the stem TWICE and identify the ISSUES and the CONFLICTS

1 minute: answer the question, both in terms of the CLINICAL management and the SITUATIONAL concerns (”consultant-like”)

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