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titleSTAR

The “STAR Approach” (Development Dimensions International, n.d.) is a useful technique for answering behaviour-based questions:

  • Situation: Provide background and context

  • Task: Describe what you needed to do

  • Action: Explain what actions you took and how you did it

  • Result: Describe the outcomes of your actions

For delivering bad news

Expand the following content for more information.

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titleSPIKES

The SPIKES model is used for delivering bad news and was developed by Robert Buckman, MD, Associate Professor of Medical Oncology, University of Toronto and modified from the original version.

  • Setting  - where you as healthcare professional sit in relation to patient/family members; create best physical circumstances.

  • Perception  - why here today: as you know we have done some tests; ask before tell to get patient’s understanding of medical situation.

  • Invitation  - how much does the patient want to know? e.g. “how would you like me to provide information about your test results?” Some prefer the big picture and some prefer every small detail; let patient ask questions.

  • Knowledge - (physician tells “bad” news: don’t tell them they have cancer immediately — use “tumour” first; did I answer your questions?

  • Empathy  - listen for and identify emotions of patient and identify cause, validate patient’s feelings and expressions, offer resources and other support.

  • Summary - summarize discussion.

(Sandrick, K.1998)

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Tip: Asking questions

If there is an opportunity to ask your own questions in the interview, ask away! This is an opportunity to show your interest in the program, school and interviewers, as well as gather information to help in your decision-making.

It is recommended that you ask questions that you are genuinely interested in, that are not easy to answer elsewhere (e.g. not available online), and that create opportunities for your interviewers to talk about their perspectives or experiences.

For example: If you’re struggling with the idea of specialization, consider asking how your interviewer chose a specialty. If you’re interested in finding community on campus, consider asking how your interviewer got involved.

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