ENT ST3 Professional Scenario: General Structure

Mastering Management Scenarios

When facing a challenging management scenario in your ENT ST3 interview, having a clear, systematic structure to guide your response is crucial.

The O-SPIES-R framework provides a logical sequence to ensure you cover every important aspect of the situation. By walking through each step, you demonstrate leadership, problem-solving ability, and a comprehensive understanding of the factors influencing safe, effective care delivery.

O – Overview and Outline of the Problem

Begin by summarising the scenario in simple terms. Outline which clinical governance issues are at question here.

  • Clearly define the issue at hand:
    • What’s the nature of the problem?
    • Who is affected?
    • Why is it urgent or important?
    • Laying out a concise overview helps orient both you and your interviewer, ensuring everyone understands the scenario’s core challenges before you delve deeper.