Q1. Describe your systematic approach to diagnosing and developing a treatment plan for a patient presenting with chronic heel pain, considering both conservative and potential surgical options.
Why you'll be asked this: This assesses your diagnostic process, understanding of differential diagnoses, and ability to formulate comprehensive, patient-centered treatment plans, including when to escalate to surgical intervention.
Start with a thorough history and physical exam, detailing specific questions and observations. Discuss imaging (X-ray, MRI if needed) and other diagnostic tests. Outline conservative measures (RICE, orthotics, PT, injections) and their typical duration. Explain when you'd consider surgical options (e.g., plantar fasciotomy, nerve decompression), including patient selection criteria and expected outcomes. Emphasize patient education and shared decision-making.
- Jumping straight to surgery without exhausting conservative options.
- Lack of detail in diagnostic workup.
- Not mentioning patient education or shared decision-making.
- Failing to consider less common etiologies.
- How do you manage patient expectations regarding recovery time for chronic conditions?
- What role does biomechanics play in your treatment approach for heel pain?
- Have you encountered cases where the initial diagnosis was incorrect? How did you adapt?