You are the medical SHO on a night shift. You receive three simultaneous requests: a cardiac arrest call on ward 5, a patient with new-onset chest pain on ward 3, and a nurse asking you to re-write a drug chart on ward 7. How do you prioritise?
- Always prioritise by clinical urgency and potential for harm
- Cardiac arrest = immediate life threat - attend first (and the hospital arrest team will also attend)
- Chest pain = urgent but not immediately life-threatening - brief triage possible by phone (ask the nurse for observations, ECG, and whether the patient is stable)
- Drug chart re-write = non-urgent and can be safely deferred
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How to approach this Internal Medicine interview question
This prioritisation question is common in Internal Medicine NHS interviews because it reveals how you think under interview pressure, not just what facts you can recall. Use "You are the medical SHO on a night shift. You receive three simultaneous requests:" as the anchor for a concise answer with a clear opening, a clinical or professional structure, and a reflective close.
What the panel is testing
A strong prioritisation answer makes risk visible. State what you would do first, what can wait, what can be delegated, and who needs to know. Panels want to hear escalation and reassessment, not just a ranked list. For internal medicine, show safe ward or acute-take judgement. Make escalation, diagnostic uncertainty, prescribing safety, discharge planning, and multidisciplinary working part of the answer where relevant.
- Triage by acuity, time-critical risk, and what can safely be delegated or delayed.
- Say who you would update, what information you need, and when you would escalate.
- Keep the answer operational: document, hand over, review again, and avoid leaving hidden risk.
How to structure your answer
For a prioritisation prompt, aim for a short opening sentence, then two or three evidence-led points, then a final reflection. If you use STAR, keep the result and reflection as strong as the situation. If it is a clinical scenario, say what you would do now, what you would do next, and how you would keep the patient safe while help is coming.
- Open by naming the main issue in the question.
- Give a structured response rather than a memorised script.
- End with escalation, documentation, learning, or follow-up.
Common mistakes to avoid
The weakest answers usually stay too vague, ignore the specific role, or miss the safety issue hidden in the question. Do not use this page to memorise a perfect paragraph. Use it to rehearse the shape of a safe answer, then adapt it to your own experience and the post you are applying for.
- Always prioritise by clinical urgency and potential for harm
- Cardiac arrest = immediate life threat - attend first (and the hospital arrest team will also attend)
- Chest pain = urgent but not immediately life-threatening - brief triage possible by phone (ask the nurse for observations, ECG, and whether the patient is stable)