Walk me through your training + practice so far.

What it tests: Story arc - what drew you to ambulatory + what shaped your practice style.

Tell me about your current panel or recent practice.

What it tests: Self-aware framing of panel - what you managed + what challenged you.

What it tests: Authentic alignment - continuity, prevention, relationship, lifestyle. Not just 'I don't like nights.'

What it tests: Specificity. Generic answers fail.

What it tests: Real homework on the practice, not name-drop.

What it tests: Practice-level homework - payer mix, complexity, care team structure.

What it tests: Operational fluency on HEDIS / MIPS / CMS Stars / capitation - the metrics that drive ambulatory economics.

What it tests: Clinical reasoning under time pressure + comfort with uncertainty + follow-up planning.

Primary care + outpatient specialty (internal medicine, family medicine, peds, derm, cardiology clinic, etc.).

Can the candidate reason clinically in a 15-20 min slot with triage + safety-net + serial assessment?
Do they think longitudinally - continuity, follow-up, prevention - not just acute episode resolution?
Are they fluent in value-based metrics (HEDIS, MIPS, CMS Stars) without sounding like a consultant?
Do they use the team effectively - care manager, MA, behaviouralist, RD - not white-knuckle alone?
Can they navigate difficult conversations with respect + shared decision-making, not paternalism?
Do they show systems thinking - workflow, panel management, gap closure - not just patient-by-patient?
Is bedside manner + cultural humility evident in language + framing of cases?

Walk me through your training + practice so far.
What it tests: Story arc - what drew you to ambulatory + what shaped your practice style.
Tell me about your current panel or recent practice.
What it tests: Self-aware framing of panel - what you managed + what challenged you.
Why ambulatory over inpatient or procedural?
What it tests: Authentic alignment - continuity, prevention, relationship, lifestyle. Not just 'I don't like nights.'
Why this specialty / care setting?
What it tests: Specificity. Generic answers fail.
Why this firm?
What it tests: Real homework on the practice, not name-drop.
What's distinctive about this firm's patient population + care model?
What it tests: Practice-level homework - payer mix, complexity, care team structure.
Tell me what you understand about our value-based care work / quality program.
What it tests: Operational fluency on HEDIS / MIPS / CMS Stars / capitation - the metrics that drive ambulatory economics.
Tell me about a diagnostic dilemma in a short outpatient visit.
What it tests: Clinical reasoning under time pressure + comfort with uncertainty + follow-up planning.

Clinical reasoning in a 20-min slot

Agenda-setting + priority: Open with 'What's most important to you today?' List all concerns up front - decide together what's today vs deferred.
Differential + Bayesian triage: Build a differential by prior probability (age + sex + presentation). Decide: must-not-miss vs likely vs benign.
Safety-net + return precautions: Explicit + documented - if X happens or doesn't resolve by Y, return / call.
Serial assessment: Outpatient diagnosis often unfolds over 2-3 visits. Comfort with 'come back in 2 weeks - if still X, we'll do Y.'

Value-based care primer (ambulatory lens)

HEDIS: Healthcare Effectiveness Data + Information Set - NCQA-managed quality measures used by payers.
MIPS: Merit-based Incentive Payment System - CMS quality-payment program for Medicare.
CMS Star Ratings: 1-5 star quality + satisfaction rating for Medicare Advantage plans.
ACO + capitation: Accountable Care Organisation - group sharing savings (or losses) vs benchmark for an attributed population. Capitation = per-member-per-month.

Motivational interviewing for ambulatory

Spirit of MI: Partnership, acceptance, compassion, evocation. NOT advice-giving.
OARS: Open questions, Affirmations, Reflections, Summaries - the conversational microskills of MI.
Change talk + sustain talk: Change talk = patient's own statements favouring change. Sustain talk = arguments for status quo.
Readiness ruler: On 0-10, how important is X to you? How confident? Why not lower? What would move it higher?

Team-based care + huddles

Daily huddle: 5-10 min team start-of-day - clinician, MA, nurse, care coordinator review the schedule + flag complex patients.
PCMH: Patient-Centred Medical Home - NCQA recognition for team-based, coordinated, accessible primary care.
Warm handoff: In-person, real-time transfer between clinician + team member (behaviouralist, care manager, social worker) while patient is in clinic.
Panel management: Proactive outreach to the panel for overdue screening, lab work, gap closure - led by MA or care coordinator with registries.

A 52-year-old presents with 3 months of fatigue + 5 kg unintentional weight loss. You have 20 minutes. Walk through your triage, differential, workup, and follow-up plan.
A 58-year-old with T2DM (A1c 10.2%), hypertension (blood pressure 152/94), and obesity (BMI 38) has been missing targets for 18 months despite escalations. Tell me your approach to the next 90 days.
Your panel's HEDIS diabetes-eye-exam rate is 38% vs target 70%. Design an intervention with your team.

Care model + team structure - team composition, panel size, huddle cadence
Value-based contracts - ACO / MA / capitation participation + how clinicians contribute
Access + schedule - average visit length, same-day slots, telehealth proportion
Quality program - which metrics matter, how they're surfaced, gap-closure workflow
EHR + in-basket burden - documentation expectations, after-hours work

Drop your CV and a job description on the home page. A couple of minutes later you get a report with everything you need to land the job.