MMI interviews | HOW TO ANSWER ETHICAL QUESTIONS - Liver Transplants Ethical Scenario

⚠️ At 11:37 I should have said the “41-year-old”...
⚠️ At 12:16 the ‘2’ should be a ‘0’!
Apologies😆
Hey guys, here’s a classic ethical scenario that could come up in one of your stations as part of your MMIs! Hope this helps, just remember to show your thought process and justify the order you’ve put them in. There’s no right or wrong answer, so don’t worry too much! All the best 😜
Timestamps:
00:00 intro and resources
01:49 liver transplant scenario question
02:40 tips for answering the question
03:04 key points to mention in answer
04:11 how to answer the question
04:36 ethical pillars and other factors
Ethical pillars
- 05:10 autonomy
- 05:27 beneficence
- 05:36 non-maleficence
- 05:47 justice
Other factors
- 06:30 prejudice and assumptions
- 07:55 biological factors
- 08:47 matching of the liver
- 09:06 age
- 09:35 comorbidities
- 10:36 risk of recurrence of disease
- 11:58 who’s most likely to survive (QALY)
- 13:03 psychosocial factors
- 13:27 impact on society
14:37 conclusion
15:25 recap
15:50 outro
Liver transplant case (scenario 1) - www.bmj.com/content/351/sbmj.h3824.full
Here's my PowerPoint of lots of questions they could ask! docs.google.com/presentation/d/1sjiZ-xvurNjp9uW7lrBPYHuCphDZsFIn/edit?usp=sharing&ouid=108305605381326471802&rtpof=true&sd=true (you can save a copy to your drive if you want to edit it)
Useful resources for medicine interview practice:
Medicine interview book: www.amazon.co.uk/Medical-Interviews-Questions-Analysed-Multiple-Mini-Interviews/dp/1905812051/ref=sr_1_1?dchild=1&keywords=medical+school+interviews&qid=1631473098&sr=8-1
Medic portal (hot topics): www.themedicportal.com/application-guide/medical-school-interview/nhs-hot-topics/
Medic mind: www.medicmind.co.uk/free-mmi-mock/
Medic mind youtube: kzbin.info/door/Wr-EUVsI2Gxv2dbs7yuPmg
Who am I → I’m a 3rd-year medical student studying at Hull York Medical School and I make videos related to medicine to, hopefully, help students get into medical school. But, I will also be making other content too 😉
My music channel: kzbin.info/door/4am4hW6_sRG3tEN7gNAbrA
Music: Yo Picasso - Verified Picasso

[@BuilderLemon]

by far the most useful video i’ve come across on this type of scenario thank you so much

[@hannahbourner7866]

Thank you! I’m so happy I could help :)

[@yassinyoussef4653]

This is the best explanation I’ve ever seen

[@sumayahahad]

Thank you so much for this video, it was so useful and i loved how you broke it all down and explained it fully. Its has helped me so much and has made me feel more confident with these type of questions :) Thanks again

[@bintoutraore5970]

Thank you for all of your videos because they are extremely useful.

[@hannahbourner7866]

I’m glad I could help! 😁

[@mikemasr21]

Thank you so much Hannah for this video, its so informative yet easy to digest! Also your powerpoint is amazing, I cant thank you enough, literally going through a rollercoaster right now, 1 hour i'm feeling prepared and ready, the next I feel incredibly nervous and clueless, but your powerpoint is exactly what I was looking for :)

[@hannahbourner7866]

Aw this comment means so much to me I’m glad I could help, Mike! It’s defo a hard time rn but just remember you’ve got an interview because they know you have the potential :) all the best for your HYMS interview!

[@tolualabi5965]

Amazing video. Exactly what I was looking for

[@hannahbourner7866]

I’m glad I could help, Tolu :)

[@chr20237]

YOU HAVE SAVED MY LIFE Thank you so much for all the hard work you've put into the videos!!!! I would have been completely lost without these. THANK YOU ◡̈ !!!!

[@hannahbourner7866]

This means so much to me I’m glad I helped Hyunji! (Btw are you Korean by any chance? XD)

[@chr20237]

Yes I am!!! How did you know?! Is it my name?😆😁

[@hannahbourner7866]

@@chr20237 yes I guessed from the name 😆 interview 화이팅!

[@chr20237]

Awwww 🥺❤️ thank you so much 감사합니다🥰❤️

[@justlifethings5795]

Hey Hannah! I am an international applicant who is also a gap year student (Oops)! Thank you so much for your videos. They have been very useful for my preparation.

[@hannahbourner7866]

Aw this means a lot to me I’m so happy they’re helping! Best of luck preparing, you’ll smash it 😄

[@lav9sh]

very helpful video

[@rupinderkaur8458]

Can you answer me Discuss a situation where the hosiptal vicariously responsible for the patient injured while in the hospital

[@rupinderkaur8458]

Disscuss the situation where hospitals would be vicariously responsible for the patient injured while in the hospital

[@rupinderkaur8458]

Can you answer this question Disscuss the situation where hospitals would be vicariously responsible for the patient injured while in the hospital

[@marcusmerene4522]

Would you also think about the time of need (e.g. consider who has the least amount of time to live unless some form of treatment, like a liver transplant, is given)

[@hannahbourner7866]

Yes, definitely that’s a very good point to mention too! There’s a lot to think about, if you mention that along with all the other factors in this video, that should be more than enough :)

[@encyclopaedia641]

Pls I need the video on the alcoholic versus non-alcoholic one

[@hannahbourner7866]

I can try and reply here if you’d like, what part would you like me to explain? :)

[@encyclopaedia641]

@@hannahbourner7866 yeah I was given a scenario of two patients needing the same liver and to produce an essay to critically analyse so daunting 😩

[@hannahbourner7866]

@@encyclopaedia641 oh woah that does sound hard! So you had to produce an essay as part of an interview? I guess the same factors apply here - remember there’s no right or wrong answer. Always focus on clinical need. You don’t have to give a direct answer as such as long as you’ve justified that your decision should be based on clinical need, you should be alright :)

[@encyclopaedia641]

@@hannahbourner7866 no no I mean I’m currently being required to produce a an essay as an assignment now. Lol

[@hannahbourner7866]

@@encyclopaedia641 oh I see! I was gonna say that would have been harsh 🤣