For some useful tips on How to Pass the management viva then follow this link.

On this page you will find a lot of in tray exercises and some useful resources that you can refer to when you prepare your answers.

Use these General Tips when approaching common topics in the Management Viva.

In-trays exercises

Your in-tray may include the following items:

  • A profile of your department
  • A diary for the day
  • Meeting email/agenda item
  • Job advert (internal/external)
  • Email/note from colleagues or other departments
  • Flyer - courses/equipment
  • Email/note relating to patient safety incident (usually very important)
  • Email/note relating to under performing/struggling doctor/staff member

Remember, when you start the viva:

  1. Patient safety is paramount
  2. Read fast
  3. Prioritise your day
  4. Find links between items and with the diary
  5. Comment on all pieces of information
  6. Delegate tasks where possible and assume that nothing is trivial enough to go in the bin
  7. Patient safety is paramount!!!!


Background information and advice for FFAEM management

Example Management In-Tray 1
Example Management In-Tray 2


In-tray exams

FCEM Management exam Nov 06 and mark sheet and suggested answers

In-tray exercise Apr 11

FCEM Management May 11


In-tray examples

Child Died
Diary for the day
DSH patient
Florence Stroud
Gary Gee
George Drumm
Guide Dog Walkers
Jeremy Newton
Kaybe Aire
New Workers
Paul Wellington Roger SpR
Peter Binns
POLICE-Miss Ashbury
Potential case of Avian Flu
Ruth Andrews
Sharon Masham
Tim Newton
Valerie Malton
A Heathstock
James SPR
Consultant PICU





Useful resources for the management exam

Here are some useful resources.  You can also look at the Consultant Interview page for more management related topics.


Clinical Incidents

Risk management

Risk Management standards

Clinical Governance

GMC -  Raising and acting on concerns about patient safety (Jan 12)

Incident Reporting: example of protocol for PAT



Complaints Procedure for England: IntroductionLocal resolutionWriting a response, & The Ombudsman  

Complaints Procedure for Scotland

Complaints Procedure for Wales

NAO: Learning from Complaints

The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009    

A Quick Guide to Customer Care & full

DOH:  Dealing with Serious Complaints

Joint Working on Complaints

Investigating Complaints

Medical Negligence


Under performing Doctors

GMC Documents

Duties of a Doctor
Good Medical Practice NEW 2013
Disciplinary Procedures
Sick Doctors 
A guide for health professionals on how to report a doctor to the GMC

NCAS (link): How to conduct a local performance investigation

NCAS (link): Handling health concerns and pdf

NCAS (link):  Handling concerns about behaviour and conduct and pdf


Confidentiality and Consent

CEM Guidance on Consent, Capacity and Restraint

Confidentiality Lecture

Breaching Confidentiality

Consent summary

Consent and Capacity Lecture

Reference guide to consent for examination or treatment DoH

Consent: 12 key points from DOH

GMC:  Consent: patients and doctors making decisions together



The Role of the Coroner

CBRN Incidents


Majax & CBRN lecture

The Consultant Contract and Job Planning for Emergency Medicine Consultants

CEM The Role of the Consultant on Call 

CEM 2011 - Clinical Quality Indicators Implementation

Police in the Emergency Department

The Road Traffic Act 1988 and the ED

BMA Ethics - Blood taking from drivers

Packers Pushers & Stuffers. A Review for managing patients with concealed drugs in UK 

BMA & FFLM Guidance on Intimate searches

GMC:  Intimate Exam

CEM: domestic violence

DVLA Medical Advice and summary

Finance Guide for Hospital Doctors

Health and Safety at Work Act

Leaving Against Advice Guideline (PAT) and Example of Form

Personal Beliefs and Medical Practice