Aston University Medicine Interview

Why have you applied to Aston?

Reference the systems-based curriculum, the inner-city Birmingham context, the diverse patient population and the integrated early clinical contact. Avoid generic city-centre answers.

What attracts you to inner-city medicine?

Be specific. Discuss complexity of presentation, health inequalities, cultural diversity, and the systemic challenges of urban deprivation.

Describe how you would communicate with a patient who does not speak English.

Use of professional interpreters, avoiding family interpreters where possible, plain language, non-verbal cues, teach-back.

A young Birmingham patient refuses a blood transfusion on religious grounds. How do you approach this?

Capacity assessment first, then respect informed refusal. Explore alternatives, document carefully, escalate appropriately.

Should the NHS spend more on prevention than on treatment in Birmingham's most deprived wards?

Engage with the evidence on prevention (long lead-times, big upstream wins) versus immediate treatment needs. Discuss the political and practical realities.

You are a final-year student. A junior tells you a patient on the ward has been waiting six hours for analgesia. (Actor present.)

Patient safety first — escalate to the nurse-in-charge or doctor immediately. Then reflect with the junior on what happened.

Here is a graph showing childhood obesity rates by Birmingham ward. What does it tell you?

Describe distribution, link to deprivation, acknowledge confounders such as food access and physical activity infrastructure.

Tell us about a time you worked with someone from a very different cultural background.

Concrete example. Show curiosity and humility. Birmingham is one of the most diverse cities in Europe.

What's the difference between Aston and the University of Birmingham Medical School?

Show you understand the distinction — Aston is newer, smaller, systems-based, with a different placement portfolio. Don't criticise UoB.

Break the news to a patient that their MRI shows a likely tumour. (Actor present.)

SPIKES framework, warning shot, plain language, silence, empathic listening, next steps.

A 14-year-old patient asks you not to tell their parents about a sexual health concern. How do you respond?

Gillick competence, Fraser guidelines, encourage parental involvement but respect competent confidentiality.

Why is systems-based teaching well-suited to modern medicine?

Reflects how organs interact, integrates basic and clinical science, mirrors how clinicians actually reason about patients.

Tell us about a setback in your academic studies and what you did about it.

Real example with concrete actions and reflection on what changed.

How do you stay informed about NHS issues?

Mention specific outlets (BMJ, HSJ, Guardian Health). Pick one current issue you find interesting and be ready to discuss.