Phys Vivas · general-medicine
Quality AND Safety IN Medicine — Viva Defence
DCE viva defence for Quality AND Safety IN Medicine.
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Target exams
Quality AND Safety IN Medicine Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Quality AND Safety IN Medicine. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [2]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [3]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
- [4]Li S, Gu J, Zhang Y, Li X, et al. Preanesthetic withdrawal improves the conversion efficacy of prolonged epidural labor analgesia to epidural surgical anesthesia: a prospective cohort study combined with MRI mechanistic exploration BMC Pregnancy Childbirth, 2026.PMID 42469679
- [5]Adhena BM, Chapman A, Fiolet R, Hutchinson AM Primary care providers' perspectives on barriers and enablers influencing preconception care provision for African migrant and refugee women: qualitative interviews Health Promot Int, 2026.PMID 42467458
- [6]Remien KA, Hardy C, Allen K, Wysong M, et al. Continuous Aerosolized Albuterol Treatment for Status Asthmaticus on the General Care Floor: A Quality Improvement Initiative Pediatr Qual Saf, 2026.PMID 42466158
- [7]Goldberg JB, Mehaffey JH, Paras ML, Vardas PN, et al. The Society of Thoracic Surgeons Expert Consensus Document on Tricuspid Valve Endocarditis in People Who Inject Drugs Ann Thorac Surg, 2026.PMID 42468870
- [8]Andratschke N, Willmann J, Ippolito E, Greco C, et al. ESTRO clinical practice guideline on high-dose thoracic reirradiation for non-small cell lung cancer Radiother Oncol, 2026.PMID 42468604