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Question themes

Disability and access to healthcare.

About one in five Australians lives with disability, so every doctor treats people with disability every week. The questions test whether you see the person or the label.

Why schools ask

People with disability, and especially people with intellectual disability, have poorer health outcomes and more trouble getting care than other Australians. Some of the reasons are physical, like an inaccessible clinic. More are about attitudes and communication.

Schools ask because the habits that make care work for a person with disability, such as asking rather than assuming and adjusting how you explain things, are the same habits that make a good doctor for everyone.

Worth knowing before the interview

  • Diagnostic overshadowing. When a new symptom is put down to a person’s disability instead of being investigated. Pain, distress or a change in behaviour can be the only sign of a treatable illness in someone who cannot easily describe it.
  • Supported decision-making. The idea that people with disability make their own decisions, with support where they need it, rather than having decisions made for them. The starting point is that they can decide.
  • The NDIS. The National Disability Insurance Scheme funds disability supports. It does not fund health care, which is still the job of Medicare and the hospitals, and people can fall through the gap between the two.
  • A recent Royal Commission. The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability delivered its final report in 2023, and health care was part of what it examined.

What a strong answer shows

  • Talking to the patient. Directly, even when a carer, a parent or a support worker is in the room.
  • Adjusting the method. Longer appointments, plain language, pictures, a quiet room. The standard of care stays the same and the way of getting there changes.
  • Asking. The person usually knows best what helps them, and asking them is the quickest way to find out.

Where answers go wrong

  • Pity. An answer that frames disability as tragedy. Interviewers, some of whom have disability themselves, notice the tone at once.
  • Assuming incapacity. Deciding someone cannot understand before trying to explain.
  • Ramps only. An answer about wheelchair access and nothing else. Most barriers are in how people are spoken to and listened to.

Three prompts to run on the clock

Thirty seconds to read each one, then two minutes to answer it out loud. Record it if you can, and listen back once.

  1. A patient with an intellectual disability comes to an appointment with a support worker, who answers every question you ask the patient. How do you handle it?
  2. What is diagnostic overshadowing, and why might it matter more for some patients than others?
  3. A hospital’s online booking form cannot be used with a screen reader. Whose problem is that, and what would you do about it as a junior doctor who notices?

What these stations usually mark

Other themes

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If you want a session

Thirty minutes, $40, online, and it comes off any package you go on to book. Tell me which schools you are applying to and which of these worries you.

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