30 Pulmonary Critical Care Fellowship Interview Questions & Answers
Below is a list of our Pulmonary Critical Care Fellowship interview questions. Click on any interview question to view our answer advice and answer examples. You may view 5 answer examples before our paywall loads. Afterwards, you'll be asked to upgrade to view the rest of our answers.
Behavioral
1. When you suffer a setback, how does it affect you and your work?
Why the Interviewer Asks This Question
Everyone handles the stress and disappointment of setbacks differently. When you enter a fast-paced fellowship program, these setbacks can be amplified, and your interviewers want to know how you handle stressful situations. They're hoping to hear that you have strategies in place to ensure setbacks don't impact the quality of your work or your ability to interact with patients and their families.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Describe how you coped with setbacks during residency, giving specific examples. Focus on your ability to learn from your mistakes and your commitment to staying calm and level-headed in the face of any situation you might encounter as a fellow.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"Experiencing a setback is always disappointing and can be disheartening, especially when it involves a patient. I understand that setbacks happen often in fellowship, just as they did in residency. I'm not ashamed of any of the setbacks I had during residency training because they helped me grow as a physician. If I experience a major setback while on your team, I will take a few moments to internally debrief and collect my thoughts, get some fresh air if possible, or discuss what I could have done differently with an attending physician. Then, I move on, recovering quickly so I can concentrate on the next case and give it my undivided attention."
Written by Tiffany McPherson on April 13th, 2022
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Example: Recently, I was observing patient rounds at ______ Hospital where there is a lack of patient-focused discussion. The goal for that week was to work on multidisciplinary rounds where bedside nurses summarize overnight observations and any concerns they may have for the day. This approach was implemented a week ago after my initial observation during my one-month rotation during my 3rd-year residency, where there is a lack of communication between healthcare providers that could lead to negative consequences to patient care.
That morning we had an intensivist from outside the hospital, but even after going through the steps during rounds, I found out they hadn’t been involving the bedside nurses. One of the resident's comments was “This is residents round not nursing”. I took a few seconds and reminded everyone that we are aiming for the best patient outcomes which includes effective communication. The intensivist backed me up and the round continued to involve nurses. Currently, I was told that culture is being built but there is always that setback, of the thing we want to achieve but it doesn’t always go as planned. For me, it is persistence and backing up your action with evidence, and I think with that the team will be able to gain perspective and they might be the ones who will be leading it next time."
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Behavioral
2. What aspects of your personality make you well-suited for fellowship?
Why the Interviewer Asks This Question
The interview panel wants to know about your attributes that will help you succeed as a fellow. They have already reviewed your CV, so now they want to learn more about you from a different perspective.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Before the interview, spend time making a list of your strongest attributes. Analyze that list looking for the ideas that are most connected with the type of work you'll be doing as a fellow. When you respond, make emphasize the connection between your attributes and succeeding as a fellow, and speak with passion and conviction.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I'm a very methodical person who thrives within a structure. This helps me stay organized when I have a high-case volume, and it's also proven helpful in terms of balancing work with personal responsibilities. My demeanor is also very calming, yet I am almost always optimistic, and I've found patients are very receptive to me."
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It also helps me balance work with personal responsibilities. I encourage sharing calendars with families and instead of worrying about one particular event, having that plan laid out daily, weekly, monthly and yearly helps me focus and avoid unnecessary stresses."
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Anonymous Answer
2. I enjoy learning and training for something new, especially when it challenges my prior knowledge, such as a new study or treatment.
3. I also enjoy teaching what I have learned or know.
4. I am also very methodical; I stay organized with my work."
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Behavioral
3. How do you cope with stress?
Why the Interviewer Asks This Question
Stress is a part of any fellow's day-to-day professional life. You will encounter patients with unexpected diagnoses, difficult personalities, and overbearing families. The interview panel wants to know what strategies you have in place for dealing with these situations.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Avoid suggesting that you don't get stressed. Everyone does. Instead, acknowledge that stress is expected and provide an answer that reassures the interview panel that you manage stress in ways that won't have a negative impact on your practice.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"For every smooth day I had during residency, I had two that were stressful. I understand there are many situations that can cause stress in a medical setting from having to deliver a terminal diagnosis to dealing with EMR systems being down. By the end of PGY2, I learned to take things in stride. It's okay to experience stress and feel urgency--but it's important to have the ability to step back and evaluate priorities and the actual impact of a situation on the things that matter. When I do this, it's usually easy for me to think objectively, remain calm, and take a logical approach, which alleviates stress."
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There are two types of stress in my experience. Stress at work and stress outside of work may not be work-related but has the potential to impair the clinician.
Stress at work, I generally consider a welcoming experience for growth.
IT usually relates to high workload, and challenging family and colleagues. I use this opportunity to practice prioritization, delegation, and communication. I have friends and mentors who I can debrief after work, and I sometimes write reflective journals to delineate what I could have done better. If it's cumulative, for example, a terrible week, and I feel impaired or burnt out or apathetic, I take time off work to ensure patient safety - note I've had to do this once in my training - after working long shifts in a row during the pandemic. I try to fit in as much exercise as I can during my time off.
Stress outside of work I find much more difficult to deal with. Being a trainee is stressful."
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Anonymous Answer
I remember to always be professional in speaking with families, and if I sense our conversations are either non-productive or tense, I will stop conversations to allow us to collect ourselves."
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Behavioral
4. What's your approach to teaching residents and medical students?
Why the Interviewer Asks This Question
Most fellowship positions include teaching responsibilities, and, having recently completed residency yourself (or nearly so), you will be in a good position to teach residents and medical students. The interview panel wants to gauge how comfortable you are teaching and learn about your approach.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Most clinical education for residents and medical students happens during patient interactions, in specialized units like ICUs or inpatient pulmonary units. Your answer should give insight into your approach to delivering patient care at the same time you're teaching. It's a great idea to cite a specific teaching example from residency. You might also want to research the "PARTNER" framework that is part of the "Fellow as Clinical Teacher (FACT)" curriculum.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"During residency, I've been fortunate to learn from expert fellows who were skilled at teaching. I paid attention to how they communicated specific points and knowledge when they chose to expand on their decisions and their follow-up questions. My goal is to emulate those fellows in my own teaching, and I will definitely seek out feedback from the residents and medical students I teach so I can improve wherever needed."
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The next step is ensuring patient privacy, safety, and confidentiality. From a safety perspective, I rarely teach during ward rounds because I feel I need to be focused 100% on the workflow to ensure the best outcome for the patient. I confirm the curtains are shut. I do not let residents touch any machines beyond their skill level without supervision.
There are different methodologies for teaching, depending on context.
I adopt the see one, do one teach one approach to teaching procedural skills. I employ Socratic dialogue with positive reinforcement techniques when it comes to teaching ICU management aspects of medicine. I employ a didactic teaching method for concepts that are going to be entirely new for the resident with an old-fashioned pen and paper.
Finally, longitudinally I ask the residents to teach me the concepts and ideas I've taught them to ensure they've understood."
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As a resident, I have noticed physicians’ and fellows’ different teaching styles and the ones that I observed were beneficial for me are the ones that I mostly use to teach interns or medical students and during my hospitalist role.
Usually, I take the opportunity to teach with patient cases. Usually start by assessing the learners’ knowledge of the case and why decisions were made by the team. Then if a learning gap is found, I will take time to expand on it, short but also open for more discussion on other days (if the learner is interested in learning in depth). Recently I was working on improving communication between physicians and nurses in low-resource settings, you see a lot of power differences interfering with patient care.
I started with a patient scenario (Case of an ARDS patient), with worsening respiratory distress. I used the SBAR method and the ways residents respond to a call from a nurse. Assessed the resident knowledge base on the patient case, gave great feedback on how he communicated with the nursing staff and went in depth about CXR findings (as there was a knowledge deficit in the area). I ensured I had gotten feedback on my teaching style as I wanted to continue improving."
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Communication
5. As a fellow in our program, how would you change your communication style if a patient's family had trouble understanding what you were trying to tell them?
Why the Interviewer Asks This Question
Fellows are often responsible for talking with patients' families and explaining their diagnoses or medication regimen. In cases where a diagnosis is unexpected or the prognosis is not favorable, it's not uncommon for patients' families to struggle to understand information. This can also be the case with undereducated patients and their families. Your interviewers pose this question in hopes of hearing that you are aware you are likely to encounter these circumstances and that you will be willing to take extra time with patients' families when needed.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Let the interview panel know you are always cognizant of your audience when discussing critical medical information. Discuss the importance of asking questions to ensure patients' families understand the information you've given them. Assure them that when patients' families don't understand your explanation, you will attempt to offer the information in a different way that considers the cause of their misunderstanding, whether it was your initial approach or their background.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"If a patient's family didn't understand something I'd explained, I would first try to determine where the breakdown in communication occurred. If necessary, I would offer a simpler explanation. As medical professionals, we are fortunate to understand and grasp the complexities of medical issues, but a majority of the general population simply does not. My goal as a fellow would be to ensure that my patients and their families understand diagnoses and care plans and that all their questions are answered thoroughly."
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The general principle to follow is, to be honest and empathetic, listen and use silence to allow the emotional impact of a statement to settle, avoiding jargon. I accept in general that many families will not like what I have to say and that I do not expect to be thanked.
An example I find was last week I looked after a Scottish gentleman who had covid exacerbation of end-stage COPD but was in late cardiogenic shock. My bedside TTE found an effusion suggestive of tamponade. He had declined all invasive treatment in ICU and declined an echo when he was well. A comprehensive assessment of capacity had been done. and the decision I came to with the consultant is to transition to palliative treatment and have the family in.
I opened the line with "I'm so sorry to meet you under these circumstances. Unfortunately, your father's condition has worsened." And this Glaswegian gentleman basically said to me "I dun understand ya, cut to the chase." So I said
"I am sorry, your father is dying. There's not much we can do to change this. We will start some medication to make sure he doesn't feel pain and suffering, but he is likely to die tonight."
And as with every other family, there was unequivocal grief, there was a little bit of denial and bargaining, but in the end, acceptance. They spent his final moments with him, said their goodbyes, and gave us their thanks."
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Communication
6. Talk about a time you successfully educated a patient on a complex topic during residency. How did you ensure the information was understood?
Why the Interviewer Asks This Question
Patient education is an essential skill for any physician, and that is especially true of internal medicine and its sub-specialties like pulmonary critical care. If asked this question during your fellowship interview, the interview panel expects to hear that you enjoy teaching and have a knack for explaining complex topics in an easy-to-understand way.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Think about a time you educated someone on a hard-to-grasp topic, and walk your interviewers through your teaching process. Keep in mind that fellows must utilize available technology in providing education and that customizing your approach to others' learning styles is important.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"A few months ago, I worked with a patient recently diagnosed with HIV. He refused to take his antiretroviral medication. Of course, I knew the consequences of not taking the ART medication could be fatal, so I spent time with the patient discussing the real-life impact of noncompliance. My approach was caring and respectful, but I didn't hesitate to talk about the fatal consequences. During the conversation, I learned that the patient was resistant because he didn't understand how the medication worked or why he had to take so much of it. I offered explanations about how the medications worked using relatable comparisons, stopping frequently to assess his understanding and see if he had questions. By the time I left, the patient agreed to stay compliant until our next visit."
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Communication
7. How would you describe your communication skills?
Why the Interviewer Asks This Question
Patient-centered communication is vital for the fellows of any program, as is communication with other specialists, nurses, and administration. Your interviewers want to know that you can express your ideas and criticisms in a way that's well-received by their team. This is an interesting question, as your response itself will reveal if you have good communication skills.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Before your interview, think about your strengths when it comes to communicating. Come to your fellowship interviews prepared to talk about what makes you great at communicating with patients, colleagues, and support staff. More importantly, reiterate why solid communication skills are vital for any physician. Address both verbal and written communication in your response.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I have versatile communication skills rooted in compassion and educating others, when appropriate. I'm also an active listener, which is a crucial component of communication. I treat every conversation with the utmost respect. As a resident, my colleagues and patients expected me to communicate information thoughtfully and empathetically, and I worked hard to refine those skills. I feel I've grown so much in my communication over the last four years, and I know my peers in the fellowship will find me easy to talk to."
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I tend to be compassionate and show sympathy to everyone around me. I am a good listener and very receptive to input. When communicating, I try to articulate my ideas as clearly and politely as possible."
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Direct
8. Choose one item from your CV and elaborate on it.
Why the Interviewer Asks This Question
The CV is a concise and direct document; it's usually impossible to tell what experiences are the most meaningful beyond the hard skills listed in bullet points. With this in mind, the interview panel wants to know which experience you find significant enough to elaborate on when given the chance. Your response will provide insight into who you are as a physician and as a person.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
The smartest decision is to choose an experience from your CV that both resonates with you and highlights strengths relevant to the fellowship you're pursuing. Your priority should be speaking passionately about the experience you choose.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"In the summer between my second and third year of medical school, I volunteered with a group called "Phil's Friends." Their aim is to provide companionship to local seniors who are isolated. Although it's a small organization, it impacts a significant number of people in my home community. I never imagined that the few months I spent volunteering there would contribute to my medical training, but I happened to be paired up with a senior who suffered from COPD. I went to her home twice a week and we did things like play checkers, watch sitcoms, and figure out her shopping list. Even though her condition affected her daily activities, she was always cheerful and excited to see me. The experience really drove home the point that patients are individuals with unique interests and needs, and I'm excited to develop relationships with the patients I'll meet as a fellow in your program."
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Discovery
9. What relevant skills did you develop during residency training that you feel will benefit you as a new fellow with our program?
Why the Interviewer Asks This Question
Fellowship training requires you to hone and master new skills while improving some of the skills you developed as a resident. Your interviewers will want you to discuss all the clinical skills you developed during your residency training that will help you succeed in their fellowship.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Before your fellowship interviews, think about the clinical skills and soft skills (like communication) you polished during residency training. Highlight the most advanced and notable skills and elaborate on them, including how they will help you succeed as a fellow. As you answer, talk openly and honestly about the procedures, tests, and exams you learned during your residency training.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"During my internal medicine residency training, I was fortunate enough to be part of a program that directly exposed me to several uncommon diseases and many patients with comorbidities. Managing these complex cases expanded my knowledge base and helped me refine my differential diagnoses skills too. Having been exposed to such a broad range of cases means I have a solid foundation to build upon during fellowship."
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I also worked on several quality improvement projects and understand the QI process. I hope to bring this knowledge to my fellowship training."
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Discovery
10. Tell me about yourself.
Why the Interviewer Asks This Question
Interviewers often lead with this question to get a feel for your personality. They are hoping to hear about who you are "in a nutshell."
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Avoid sharing your whole life story. You'll want to be cognizant of how long you spend answering this question, aiming to share some personal details without going overboard. If the interviewers have follow-up questions, they will ask!
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Answer Example
"I'm originally from Maine where I grew up in a pretty typical household and followed what most would consider a "normal" academic path. I started riding horses when I was 8, which is a passion of mine. I actually thought I might become a veterinarian at one point before I realized I was more interested in caring for people than pets. One day I'd love to own my own horse and have a little bit of property too. I'm actually the first physician in my family, and I was lucky to have amazing support throughout medical school and residency. My sister and I are very close. In fact, if I match here, she's thinking about moving to the area. As you can imagine, my life for nearly the last decade has been largely focused on medicine, and I'm really proud of my accomplishments."
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Discovery
11. What do you know about our institution?
Why the Interviewer Asks This Question
The interview panel wants to gauge your interest in their institution and fellowship program. They are asking this question to see how much time you've spent learning about them.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Avoid answering with generalities like, "Your institution is highly respected and well-known." Instead, spend time researching the institution and program before the interview so you can cite details and specifics that solidify your interest in the program.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I know that your institution sees a really diverse patient population, including those from the neighboring community, where there isn't specialized medical care available. I'm also impressed by the rate of grant approval over the last five years. I also read great things about your fellowship orientation program and really appreciate the efforts that go into helping fellows succeed."
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Discovery
12. Have you had effective mentors in your training thus far?
Why the Interviewer Asks This Question
Having gone through several years of residency, it's likely that you encountered both effective and ineffective mentors. The interview panel wants to know what qualities you think are important in a good mentor.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Tell the interviewers about your best mentor during residency (or medical school). Focus on describing why they were a great mentor and how they helped you grow. Do not spend time discussing an ineffective mentor you may have had, as the interview panel does not want to hear you speak negatively about another doctor.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I have had several effective mentors and feel very fortunate about that. My best mentor was Dr. Smith, an internist who was one of my attendings during PGY1 and PGY2. He was kind and patient, and never failed to notice when I needed extra support or struggled with something new. I think having an approachable mentor who is genuinely invested in my training is incredibly important."
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13. Outside of medicine, what are your interests and hobbies?
Why the Interviewer Asks This Question
Having hobbies and interests outside of your medical training is an important part of maintaining a healthy work/life balance. Your interviewers want to know that you will maintain a healthy balance during your time with them.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Tell the interviewers about the activities that interest you outside of the medical field. As you answer, discuss how these activities will be important in your life as a fellow in their program to keep you happy, healthy, and refreshed during your training. Keep in mind that this question will also allow some insight into who you are as a person and how you will mesh with the faculty and other trainees in this fellowship program. This question often leads to organic conversation and connection, so don't be afraid to share!
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I have a variety of hobbies that kept me busy outside of school hours during medical school and residency training. I currently volunteer at the local children's hospital where I read books and play games with kids who can't get out of bed. I also play in indoor and outdoor volleyball leagues and like to read fiction. One of my favorite authors is Dean Koontz! During fellowship training, staying active outside of training will be a priority so I can stay healthy in both body and mind."
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-scuba diving
-ballroom dancing
-cooking
-hiking"
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Discovery
14. Why did you choose to pursue fellowship training in pulmonary critical care?
Why the Interviewer Asks This Question
Your team of interviewers simply wants to know what aspects of the specialty appeal to you and why you want to focus your career path on pulmonary critical care.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Discuss why you are interested in pulmonary critical care. Perhaps it is due to certain experiences you had during residency; maybe you have a family member who suffers from COPD. Answer honestly, and feel free to add a personal touch to your answer. This will help the interviewers relate to you as an individual and make for a memorable conversation down the road as the interviewers decide which applicants to match into their fellowship program.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"Throughout my internal medicine residency, I gravitated toward the ICU and management of disorders of the lungs and upper airways. These areas of care offer a blend of challenging cases and the opportunity to foster meaningful relationships with patients, which are both aspects of care that are important to me."
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Personal Experience: Growing up with asthma, I intimately understand the challenges and fears that respiratory conditions can impose on individuals and their families. This personal experience ignited my passion for respiratory health and drove me to explore avenues where I could make a difference.
ICU Nursing: My extensive background as an ICU nurse spanning many years provided me with firsthand exposure to the critical care environment. It allowed me to witness the profound impact of critical care interventions and the critical role that pulmonary and critical care specialists play in improving patient outcomes.
Commitment to Underserved Communities: My overarching goal has always been to improve respiratory health, particularly in low-resource communities. I am deeply committed to addressing healthcare disparities by focusing on three key pillars: medication education, infrastructure enhancement, and evidence-based research.
Future Non-Profit: I aspire to establish a non-profit organization dedicated to addressing respiratory health disparities in underserved regions. This non-profit would serve as a platform for delivering medication education, improving healthcare infrastructure, and conducting evidence-based research to inform healthcare practices.
Long-Term Vision: Looking ahead, my ultimate vision is to open a clinic or hospital in Ethiopia, where I can directly apply the knowledge and skills acquired during my pulmonary critical care fellowship. This healthcare facility would serve as a beacon of hope, providing comprehensive respiratory care and critical care services to those in need.
In summary, my journey toward a fellowship in pulmonary critical care is driven by personal experiences with respiratory conditions, years of experience as an ICU nurse, and a resolute commitment to addressing healthcare disparities. My goal is to leverage this training to make a tangible impact by improving respiratory health in underserved communities, starting with education, infrastructure enhancement, and evidence-based research, and ultimately culminating in the establishment of a healthcare institution in Ethiopia."
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15. What skills do you hope to gain through training in our fellowship program?
Why the Interviewer Asks This Question
The interviewers want to better understand your expectations of the training offered in their fellowship program. Your answer will help them determine if you'll be a good fit.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Research the fellowship program and the institution itself before the interview. Some online research will give you insight into the mission and values of the organization, the curriculum of the program, and what avenues past fellows have pursued after their training. Don't forget to take accountability for your growth and experiences, however. The skills you gain as a fellow are partially reliant on being proactive and seeking out opportunities.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I feel confident that my internal medicine residency program prepared me to succeed as a fellow. I gained exposure to patients from diverse cultures and backgrounds as well as myriad disease presentations. As an aspiring fellow, I'm hoping to grow as a teacher and researcher. As part of your fellowship program, I'd like to improve my skills in those areas."
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Exposure to a wide array of procedures, such as bronchoscopies and chest tubes.
Opportunities for teaching residents and medical students"
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16. Why did you choose a career in medicine?
Why the Interviewer Asks This Question
The interview panel wants to understand what drives your pursuit of a career in medicine. Your core passion and intrinsic motivation are what keep you going on the toughest days of fellowship training. The panel wants to understand how to best support and motivate you, so they need to know what drives you.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
It is okay to share a personal story when answering this question. Perhaps you can briefly discuss why you applied to medical school in the first place, then how you choose your specialty and end with how and why residency has increased your passion for medicine and pulmonary critical care specifically.
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Answer Example
"There are several factors that inspired me to choose a career in medicine. Growing up, my mother battled cancer. In her lowest moments, I saw how her physicians encouraged and supported her. Every time we left the hospital, she was in better spirits than when we arrived. I saw what they did for her overall well-being, and as I grew older, I wanted to do the same for others. I'm also simply a caregiver by nature, so ensuring the well-being of my patients keeps me motivated even during long shifts and challenging cases."
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I knew I wanted to provide similar guidance for other people when I grew up."
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17. What are your career plans and goals after completing your fellowship training?
Why the Interviewer Asks This Question
Your interviewers are looking for candidates who are highly motivated to learn and grow professionally. They also want fellows who have well-defined career goals they are actively pursuing.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Put thought into how you explain your career goals as a physician, and outline how the fellowship program you are interviewing with will help you reach those goals. It is also okay to highlight several goals and say that you are still considering your options. Remember that you do not want to shut the door on any potential opportunities.
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Answer Example
"I entered medical school intending to pursue a career as a pulmonologist, and spending the last three years in an amazing internal medicine residency program confirmed that this is the right path for me. After my fellowship training, I want to practice in an academic setting where I can treat patients, educate medical students, and pursue research in clinical trials."
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18. What do you see as your biggest area for improvement as an aspiring fellow?
Why the Interviewer Asks This Question
Your interviewers know that every candidate has areas for improvement. They want to know you are cognizant of your weaknesses and that you have a plan in place to overcome those weaknesses.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Put some thought into aspects of your practice that could use improvement so you attend the interview prepared to discuss this topic. If it is a clinical weakness, discuss why you feel it is a weakness and explain how you will improve in this area. If your weakness is a soft skill, elaborate on the steps you have taken and will continue to take to get better in this area.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I would say that my weakness is having limited experience with the hands-on procedures I know I have to learn and master as an aspiring pulmonologist. While I did get experience training in bronchoscopies and tracheostomies during residency, I'm looking forward to hands-on training in performing lung biopsies, foreign body removals, and pleurodesis."
Written by Tiffany McPherson on April 13th, 2022
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To address this limitation, I am actively taking steps to enhance my intubation skills. During my chief year, I will be spending time in the ICU, where the staff primarily consists of anesthesiologists who are well-versed in intubation procedures. This presents an excellent opportunity for me to gain experience, refine my skills, and build confidence in this critical aspect of pulmonary critical care.
I am committed to continuous learning and improvement, and I view this area as a valuable opportunity for growth as I work towards becoming a skilled and proficient fellow in pulmonary critical care."
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Discovery
19. Why did you decide to apply to our fellowship program in particular?
Why the Interviewer Asks This Question
There are many fellowship program options, so your interviewers want to know why you applied to their program in particular. They are hoping to hear a genuine answer that shows you've taken the time to research their program and faculty.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Research the curriculum, the faculty, and where past fellows have gone before your interview. Pick out the features and benefits of the program you are interviewing with that appeal the most to you. Rather than talking about a simple convenience like location, give your answer some substance to show you are truly interested in joining this fellowship program. That being said, if you have family or connections in the area, it is okay to mention that too!
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I researched a lot of programs when deciding where to apply, and your program is the complete package. You have a world-class faculty that I'd be honored to train under for the next three years. For instance, Dr. Smith's research on XYZ is exciting, and I would love the opportunity to contribute to it. The other aspect of your program I found appealing is the focus on helping your fellows develop their own unique paths in research. I love that some of your past fellows have gone on to become distinguished and well-funded researchers, which is something I aspire to do during my career."
Written by Tiffany McPherson on April 13th, 2022
Discovery
20. What is the most important lesson you learned during residency training that will help you be a successful and accomplished fellow?
Why the Interviewer Asks This Question
Over the last three to five years, you have grown from an inexperienced medical student into a doctor who has seen hundreds of patients. Your interviewers want to hear you talk about the most important lesson you learned during your time in residency and why this lesson is so important to your future success as a fellow.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Before your fellowship interview, spend time thinking about the important lessons you learned during residency, focusing on the ones you will carry with you for the rest of your career. Giving an unconventional example of something you learned outside of clinical competency will help you stand out from other candidates.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"The most important lesson I learned was to not let my work become routine. By the time I started PGY-2, I was used to seeing certain conditions on a daily basis, and it began to feel like I could write up assessments on these patients before I even saw them. Fortunately, one of my attending physicians warned me against being too routine with patients. Doing so makes it easy to overlook small details that could have potentially devastating effects on a patient's outcome. He taught me that no symptom should go uninvestigated, even the common ones, and I vowed to be thorough in my approach for every single patient. As an aspiring fellow, I will certainly uphold this standard of care and give every patient my utmost attention."
Written by Tiffany McPherson on April 13th, 2022
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This experience prompted me to pay closer attention to the notes and input of social workers, as well as other healthcare professionals like physical therapists (PT), occupational therapists (OT), and many others. This heightened awareness of the entire team's roles and expertise ultimately led to safer patient transfers and more effective discharge planning. I continue to be amazed by how much I learn from each member of the healthcare team, recognizing that valuable insights can come from various perspectives, including those of nurses and even housekeepers."
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Discovery
21. What is your most memorable patient encounter?
Why the Interviewer Asks This Question
The interviewers want to know more about your background than what your CV provides, so they're giving you a chance to choose a memorable patient experience and elaborate on it.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Choose an experience that highlights something you learned that will help you during the fellowship. If you discussed a patient in your personal statement, you can expand on that story during your interview.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I once cared for a patient admitted to the ICU with severe pneumonia. He was an older gentleman who, despite his illness, was exceedingly pleasant whenever I checked in on him. Although he started to improve at one point, he suffered from comorbidities that ultimately led to his death. I chose to talk about this patient because it was the first time I lost a patient, and it taught me how to deal with the emotional side of medicine. It was difficult, but I did learn to allow myself to experience my emotions without letting it impact my practice or outlook on other patients."
Written by Tiffany McPherson on April 13th, 2022
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This experience taught me a vital lesson: as physicians, we don't possess all the answers, and our role extends beyond medical expertise. It underscores the importance of patient and family education, ensuring they understand their options and can make informed decisions. It's crucial not to take these decisions personally but rather to maintain a patient-focused perspective, respecting their wishes and goals. This case exemplified the unpredictability of medicine and the resilience of the human spirit, leaving a lasting impact on how I approach patient care."
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Discovery
22. How have you contributed to this field of medicine so far?
Why the Interviewer Asks This Question
Your interviewers want to know what you've done beyond the basics of residency training. Your pursuit of fellowship training indicates that you have a vested interest in contributing to the field of medicine, so the interview panel wants to learn more about how you've acted on that thus far in your career.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Tell the interviewers about any research you've published or contributed to. You can also highlight any community outreach events you've helped with, volunteer experiences, missionary work, or anything else that goes beyond the scope of your clinical residency training.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I know it's still early in my career, but contributing to the field of medicine is important to me. In medical school, I was part of the Future Researchers group and I learned about the foundations of research, including the steps to getting published. Then, in residency, I collaborated with several peers on a research project that we're hoping to see published this year."
Written by Tiffany McPherson on April 13th, 2022
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23. What are your plans if you do not secure a fellowship position?
Why the Interviewer Asks This Question
The interview panel wants to know that you are the kind of person who thinks ahead and has an alternate plan for when things don't work out as intended. This happens often in medicine, so when you share your alternate plan with the interviewers, they will feel confident about how you view the big picture.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Let the interviewers know that you have thought about your options should you not match into a fellowship position. Reassure them that fellowship is your number one goal, but that you have made alternate plans.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"While I'm extremely hopeful that I'll have the opportunity to become a fellow, I realize it's possible I won't match. With that in mind, I've been speaking with several of my mentors about clinical opportunities in the area. I also reached out to my internist back home, and he's agreed to introduce me to several local physicians who are looking to expand their practices."
Written by Tiffany McPherson on April 13th, 2022
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Ultimately, my goal remains the same: to deliver evidence-based healthcare to all, whether that's through a pulmonary/critical care fellowship or my involvement in global health initiatives. The specific path may vary, but my dedication to improving healthcare outcomes for underserved populations will remain a driving force in my career."
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Discovery
24. How would you deal with XYZ clinical presentation?
Why the Interviewer Asks This Question
The interview panel may ask a question or two to gauge your clinical knowledge of specific conditions you're likely to encounter as a pulmonary critical care fellow. Your confidence in answering reassures them that you are prepared for a fellowship role.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
If you feel confident in your answer, deliver it accordingly! If you aren't sure how to answer the question, be honest about that, acknowledging that it's not an area you have experience in. Of course, you'll want to express your interest and willingness to learn about it. Not knowing the answer to a clinical question does not ruin your chances of matching with the program. The interviewers know not everyone has had experience with every disease presentation and will appreciate your honesty.
Written by Tiffany McPherson on April 13th, 2022
1st Answer Example
If you're familiar with the condition:
"If a patient were admitted with XYZ, I would...." Continue your answer with the specific details of how you would manage a patient with a specific condition.
Written by Tiffany McPherson on April 13th, 2022
2nd Answer Example
If you're uncertain how to answer the question:
"That isn't a condition I've had many experiences with during residency, although I do want to learn more about managing it."
Written by Tiffany McPherson on April 13th, 2022
Discovery
25. Did you consider any other sub-specialties besides this one?
Why the Interviewer Asks This Question
The interview panel wants to know you're committed to pulmonary critical care, but that doesn't mean you can't tell them about other areas of interest you explored before making your decision. In fact, if you did consider other sub-specialties, you can highlight the aspects of this one that made it your final choice.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Answer this question honestly. Perhaps you have a friend or family member who specialized in allergy and immunology, and you initially considered that field too. Let the interview panel know your reasons for considering the specialties you did and why pulmonary critical care was the stand-out choice in the end.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I did consider gastroenterology near the beginning of PGY3 after meeting an attending who really sold me on the field. However, my true professional interests always drew me back toward patients with respiratory issues, and that's what I found myself reading about in my spare time. This is the field I'm most passionate about and believe I can have the most impact."
Written by Tiffany McPherson on April 13th, 2022
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26. What are your research interests?
Why the Interviewer Asks This Question
Most fellowships include at least some amount of research, so the interview panel wants to know where your interests lie in this area. It's possible they are hoping to hear ideas that are different from current research in their department; it's also possible they are looking for someone whose research interests are aligned with current projects.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Let the interview panel know about your research interests, including any preliminary research you've done in those areas. When answering this question, it's a good idea to include that you are open to hearing about any current or upcoming research projects they think you might be interested in.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I'm most interested in studying the newest early treatment interventions for chronic respiratory failure and have been working on a literature review to build up my knowledge base. However, I'm definitely open to other areas of research and would like to hear about any current or upcoming research projects at your institution."
Written by Tiffany McPherson on April 13th, 2022
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27. What or who has been one of your biggest inspirations in life?
Why the Interviewer Asks This Question
Part of the purpose of the interview is to get to know who you are as a person. The interview panel asks this question so they can learn more about you in this regard.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Spend time preparing an answer to this question before the interview. You wouldn't want to be put on the spot and fumble your words or give an answer that doesn't seem convincing. Whether your biggest inspiration in life is a movie, a line from a book, a family member, or an experience you had as a child, be prepared to discuss it in a meaningful, yet concise way.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"My biggest inspiration in life is my friend Ron. He was involved in an accident when we were juniors in high school, and he became paralyzed from the waist down. Everyone I knew was devastated. But Ron kept his head high, worked really hard to adapt to a new lifestyle, and smiled more than anyone else I knew. Today, he's in law school. I'm not only proud of him, but he's inspired me to push through the obstacles I've encountered, realizing that having a positive attitude is my decision and that it's always possible to adapt to the unexpected."
Written by Tiffany McPherson on April 13th, 2022
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Charity aspired to become a doctor, just like me, but circumstances led her to leave the USA. However, her resilience and unyielding spirit continued to shine. The last I heard, she had not only pursued higher education but had graduated from law school in Australia.
Charity's remarkable journey has always served as a profound source of inspiration for me. As a new immigrant, her story reinforced my belief that with enough determination and dedication, there are no limits to what one can achieve. She embodies the idea that pursuing one's dreams and making a positive impact in the world is not only possible but also immensely rewarding.
Charity's relentless pursuit of her goals and her ability to overcome challenges have left an indelible mark on my life, reminding me that with perseverance, there are no boundaries to what we can accomplish."
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Discovery
28. What do you know about our faculty?
Why the Interviewer Asks This Question
The interviewers want to ensure you're applying to their program because you're familiar with their institution and faculty. Answering knowledgeably shows the interview panel that you applied to their program for specific reasons.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Research the program's faculty before the interview so you are familiar with the faculty. When answering, make sure you pronounce names correctly and indicate that you're aware of major accomplishments and current research projects being handled by faculty. If you have a personal connection with any of the program's faculty, now is the time to mention that.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"I was really impressed with your program's faculty. Dr. Smith's research on the mechanisms involved in recovery from lung injury is intriguing, and I have spent some time reading the last few articles he published. I also had the privilege of meeting Dr. Lu at a conference last year. She was so knowledgeable about chronic respiratory failure in patients with neuromuscular disorders, which is actually what inspired my own research goals."
Written by Tiffany McPherson on April 13th, 2022
General
29. Do you have any questions for me?
Why the Interviewer Asks This Question
The interview panel wants to make sure you don't leave the interview wondering about the on-call schedule, clinical and teaching expectations, or anything else vital to the fellowship position. They also hope to see that you've thought about what it would mean to join their program and have prepared a few meaningful questions.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Be sure to ask about anything related to the position that wasn't already clarified in the interview. Beyond that, prepare a few questions that are specific to the program, such as asking for clarification about community involvement or opportunities for research with specific faculty.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
Here are a few examples of good questions to ask the interview panel:
What is the daily workflow like for a fellow?
How often do fellows participate in community health events?
What is the structure of the fellow's schedule?
What type of didactic training do fellows receive?
If elective time is offered at the program, what electives do fellows typically rotate on?
How much autonomy will I have at the beginning of fellowship and as I progress through my training?
Written by Tiffany McPherson on April 13th, 2022
Professional Interests
30. Are you interested in being involved in community health initiatives?
Why the Interviewer Asks This Question
Some institutions are very involved in community health initiatives. If your interviewers ask this question, it's likely that they want to hear that you enjoy leading or helping with community outreach efforts.
Written by Tiffany McPherson on April 13th, 2022
How to Answer
Share any examples of your involvement with community health initiatives during residency or medical school. If this isn't an area of interest for you, that's okay. Simply let the interviewers know you haven't had the opportunity to participate in community outreach efforts, but you're open to doing so as a fellow.
Written by Tiffany McPherson on April 13th, 2022
Answer Example
"Yes, I am! During residency, I often volunteered to help at our community's free clinic during my time off. I also went on a missionary trip to Mexico to help care for underserved populations. As a fellow, I would be happy to continue supporting my community through health clinics and preventative education campaigns."
Written by Tiffany McPherson on April 13th, 2022
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Additionally, I'm diligently working on establishing connections with East African communities through mobile health interventions to effectively reach out to underserved populations. Looking ahead, my husband and I have ambitious plans to launch a non-profit organization with a global reach, specifically targeting low-resource and underserved regions to improve healthcare access and outcomes.
As a fellow, I am wholeheartedly committed to continuing my support for the community by focusing on health education and the development of outreach programs that prioritize preventative education campaigns. I aim to make a meaningful and lasting impact on public health, particularly in underserved communities, by empowering individuals with the knowledge and resources they need to lead healthier lives."
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