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OBGYN Residency Mock Interview

23 OBGYN Residency Interview Questions and Answer Examples to Help You Prepare for Your Residency Interviews.

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Question 3 of 23

Your 21-year-old Jehovah's Witness patient suffers an abruption, threatening her life and that of her unborn baby. Your upper-level resident tells you to order a blood transfusion so she and her baby won't die. Do you do this? If so, why? If not, why

"I would need to know if there were an advanced directive documenting her refusal of blood. Regardless, I would have whoever is part of the hospital ethics committee join me in the decision-making on this patient. This problem is bigger than me and I shouldn't be the only one to make such a decision. I would need and seek the backing of someone delegated to navigate these issues legally. The other issue involves insubordination to my superior resident. I would urge him/her to do the same in seeking assistance from someone so designated to do this, even if it meant rolling it uphill as high as the Department Chairman."

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How to Answer: Your 21-year-old Jehovah's Witness patient suffers an abruption, threatening her life and that of her unborn baby. Your upper-level resident tells you to order a blood transfusion so she and her baby won't die. Do you do this? If so, why? If not, why

Advice and answer examples written specifically for an OBGYN Residency job interview.

  • 3. Your 21-year-old Jehovah's Witness patient suffers an abruption, threatening her life and that of her unborn baby. Your upper-level resident tells you to order a blood transfusion so she and her baby won't die. Do you do this? If so, why? If not, why

      How to Answer

      Another trick question. Here is an adult who refuses blood by the nature of her beliefs, but she needs something written or documented (from verbal indications, e.g., in a progress note) that she would refuse blood even if it meant saving her life. If there is no such directive and there is no documentation of her beliefs, you are obligated to seek the best clinical outcome, regardless of what her family may say. If there is, you are legally forbidden to give blood, even though mother and baby will die. Beyond the ethical dilemma, giving blood would be considered malpractice, legally, which puts your program in a vulnerable position.

      Written by Ryan Brown on December 21st, 2020

      Answer Example

      "I would need to know if there were an advanced directive documenting her refusal of blood. Regardless, I would have whoever is part of the hospital ethics committee join me in the decision-making on this patient. This problem is bigger than me and I shouldn't be the only one to make such a decision. I would need and seek the backing of someone delegated to navigate these issues legally. The other issue involves insubordination to my superior resident. I would urge him/her to do the same in seeking assistance from someone so designated to do this, even if it meant rolling it uphill as high as the Department Chairman."

      Written by Ryan Brown on December 21st, 2020

      Anonymous Interview Answers with Professional Feedback

      Anonymous Answer

      "I would first start by confirming with the upper-level resident if this would be ethical given that the patient is a Jehovah's Witness. Maybe the patient did not sign an advanced directive or changed her mind and expressed that to the upper-level resident. I think assumptions are dangerous and clear communication is crucial, especially in emergency situations. If the patient clearly expressed denial of blood products, then I would be ethically obligated to not order blood products out of respect for patient autonomy."

      Marcie's Feedback

      Excellent response. Confirming with the upper-level resident if this is ethical or not is a great first step. It appears that you looking out above all for the patient and her wishes, which the interviewer will appreciate. Emphasizing the need for clear communication is also great. Nice job!

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