Breaking Down PA School Interview Questions XI

Focus on social media and internet self diagnosis!

Q: Would you accept a Facebook friend request from a patient?

What are they looking for?

  • Understanding of ethics and patient interaction
  • HIPPA
  • Professionalism.  My program was HUGE on this, it was a percentage of every class grade. 

What to avoid saying

  • “Sure, I have drinks every friday with patients from the clinic I volunteer at”
  • “Yes” without any thought consideration.
  • In my opinion saying “yes” at all.

What to say

  • The best and most effective patient-provider relationships are those that do not encompass dual relationships
  • Even with clear cut “simple issues” such as a UTI, you can never predict what issues may develop with a patient or a family. 

How you might be pressed 

  • What about in a small town where everyone knows everyone?
    • The good thing about being a PA is that there is likely a collaborating MD/DO who shares time in the clinic.  
    • State that you understand that you may know a number of your patients from other community groups (gym, church, etc) and that as frequently as humanly possible you would have patients with whom you have close personal relationships see your supervising physician to provide the best, most unbiased care. 

Q: How do you feel the internet and sites such as WebMD are contributing to healthcare?

What are they looking for?

  • Respect and consideration for your patient.  Simply that you can show you will listen to them. 

What to avoid saying

  • “Its destroying healthcare and making providers jobs more difficult”
  • “Your google search does not trump my medical degree” (even if you think it sometimes!)

What to say

  • There is a lot of information available on the internet.  If patients are able to find reliable information (CDC, Medscape) I think it can be helpful for patient education and awareness.
  • I don’t see much harm in it, at least it shows patients taking an investment in their health or illness and can provoke insightful questions and/or helpful information

How you might be pressed

  • What do you do when patients try and undermine your medical opinion? For example telling you they KNOW they need antibiotics.
    • Re-state their symptoms and tell them what was re-assuring about their exam.  A lot of the time when I get that “feeling” interviewing a patient that they won’t be happy unless they get an antibiotic as I go through their exam I make statements like “your ears look perfect, nice and clear” “lungs sound great to signs of infection” yada yada. 
    • If that isn’t effective I say “I understand your concern and if you would like I’d be happy to get one of my colleagues or collaborating physician for a second opinion” (this usually works)

 

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