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An in-depth look into the Multiple Mini Interview (MMI) process, including its format, what to expect, and how to prepare. It covers topics such as interview scenarios, ethical considerations, and practical tips for success.
Typology: Study notes
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Multiple mini
Multiple mini
Interview
You are also never judged on your acting ability in the role-play scenarios.
Because the questions might be narrow in scope, you likely won't be able to expand on your academics, research, or health care-related experiences unless it is relevant to the topic.
You also probably won't have the chance to explain a lower-than- average grade in a class, test scores, or any other unpleasant aspect of your application.
You will also likely not be tested on your current knowledge of science or a medical procedure. The questions will not require to make a diagnosis, order a test, or prescribe treatment for a patient.
However, it is important to note that it is okay if you are unsure of the legalities in a particular state. For example, if you do not know what the parental consent laws for contraceptives are for a specific state, it is okay to ask if this relates to your question.
T H E L O G I S T I C S O F A N M M I
Each school will have a different structure for its MMI interview. While most medical schools will typically have between six to ten stations, it could vary.
Some schools might also have you enter into an individual room for each station, or you might conduct the entirety of your MMI in a large arena that has been split into stations.
Research your specific school to make sure you are well-versed in what to expect.
Students will cycle through eight interview stations.
Each station will last eight minutes in duration, with a two minute transition period. During the transition period, students will continue to the next station, read the question or scenario, and prepare their answers before entering the next interview room.
Once you hear a signal, you will be required to stop talking at that particular station, and move onto the next one.
Many times the scenario will be posted outside the interview station door. The applicant will lift the flap of paper, read the scenario, and at the end of the two minute transition period, enter into the interview review.
You might be cut off mid-sentence or mid-thought when the audio signal goes off.
Your interview cycle might include one or more rest stations to give you a longer chance to recover and compose yourself before moving to the next station.
The whole interview will last between 30 minutes to two hours.
You also will likely not get any feedback at each station. Many of the interviewers have been instructed not to react to what you are saying, including verbal comments or non-verbal signals.
E X A M P L E M M I F O R M A T
Multiple mini
Interview
W H A T T O W E A R T O T H E M M I
You will be standing and sitting for long periods, so make sure you are in a comfortable, but professional outfit.
Male: dress pants, khaki pants, collared shirt, tie optional, blazer optional, belt, dress shoes.
avoid : bright colors, flashy jewelry, wild patterns, baseball caps, polo shirt, facialhair, long hair, cologne.
Female: dress pants, knee-length skirt or dress, collared shirt or cardigan, dress shoes.
avoid : short skirts, tight-fitting clothing, flashy jewelry, heavy makeup, very high heels, open toe shoes, perfume.
W H A T T O B R I N G T O T H E M M I
Many times, you will be required to leave all your personal belongings, including your cell phone in another room. However, you often will be allowed to bring a water bottle. You are encouraged to bring one, as you will likely be talking quite a bit, and don’t want to lose your voice halfway through.
Pen Paper Driver’s license / identification Water bottle
Multiple mini
Interview
W H A T D O E S T H E M M I T E S T?
Critical thinking Maturity Leadership Common sense Perseverance Self-confidence Empathy Ability to articulate in a clear, concise manner Ability to understand and empathize with different perspectives or approaches Cultural competency Cooperates well with others Good attitude Ethical responsibility to others and self
These are the qualities that the MMI evaluators are often looking for you to demonstrate:
The MMI format gives each candidate a chance to show how they would react in a variety of situations. The school can then get a better idea of the candidate’s suitability for the healthcare field, as well as how the candidate might perform as a doctor in a clinical setting.
Multiple mini
Interview
Role-play various scenarios, including how to explain simple tasks or how to deal with someone who is upset or disagrees with you.
Practice a mock circuit with six to eight MMI questions, mimicking the MMI format. This will help you prepare and understand the mental strain it might take on you.
Review current topics or trends in healthcare. Good resources include:
The Affordable Care Act https://www.hhs.gov/healthcare/about-the-aca/index.html Center for Disease Control https://www.cdc.gov Medline Plus https://medlineplus.gov National Institutes of Health https://www.mih.gov/ PubMed https://www.ncbi.nlm.nih.gov/pubmed/ WebMD Health News https://www.webmd.com/news National Public Radio’s Health section https://www.npr.org/sections/health/ New York Times Health section https://www.nytimes.com/section/health
Multiple mini
Interview
Stay calm. Interviewers want you to be as relaxed as possible so you can portray your character as accurately as possible. Try and take a deep breathe while reading the prompts, and remember, no one is out for you to fail. If you don’t answer one section as well as you might have hoped, it is okay because you have the next section to prove yourself. Take your time to answer. It is better to take a few extra moments to put together a thoughtful response than to rush into an answer with cliched phrases that don’t say anything. into an answer with cliched phrases that don’t say anything. Show empathy. When you are at a station where you must interact with someone else, try to put yourselves in their shoes. Portray your intellectual adaptability and situation analysis skills. into an answer with cliched phrases that don’t say anything. Don't force a story. Not every station will have a parallel between the question and your life. Don't try to tell a personal story in every station if it isn't a good fit. Drawing a non-relevant parallel about an anecdote can weaken your case, and cause the interviewer to think you did not understand the prompt. You are not being judged by your experiences, but instead, your ability to think and communicate. However, if you have a story that is related to the situation, share the insight into your life and how you have reacted in similar scenarios. into an answer with cliched phrases that don’t say anything. Practice! Without answering as many sample questions as possible, you might not know what to expect when you go to an MMI. If possible, get professional MMI prep coaching or someone who has the expertise to set up a mock interview with you.
M M I T I P S
Multiple mini
Interview
M M I S A M P L E Q U E S T I O N S
Station 1 : You have just accidentally run over your neighbor’s dog when reversing your car out of the garage. You have 5 minutes to tell her the bad news.
Station 2 : You are given the age, sex, and occupation of 15 individuals. A bomb is about to go off, and you can only save five of them. Which ones do you save and why?
Station 4 : In 2015 , a hospital implemented an enhanced influenza control policy which required all hospital staff members to receive the flu vaccination or wear a mask during flu season. If you are on a committee investigating whether to implement a mandatory flu vaccination policy for healthcare workers in New York, what information would you want to collect before making a recommendation?
Station 5 : A 13 - year-old patient requests birth control pills from you and asks that you not tell her mom and dad. What would you do?
Station 6 : If you have the choice of giving a transplant to a successful 70 - year-old member of the community or a 24 - year-old drug addict – how do you choose?
Station 3 : Explain how to tie shoelaces. However, you may not use your hands to describe or make any gestures.
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Interview
M M I S A M P L E Q U E S T I O N S ( C O N T. )
Station 7 : A company developed a cure for Ebola. The vaccine treats the symptoms of the virus and reduces the mortality rate of those infected with the disease. What are the implications of this virus on a global scale?
Station 8 : You are a genetic counselor. One of your clients, Meredith, had a girl with a genetic defect. All future pregnancies of Meredith have a chance of being affected by the same defect. You offered genetic testing of Meredith, her husband, and their daughter to find out more about their disease, to which everyone agreed. The result showed that neither Meredith nor her husband carries the mutation, but the girl inherited the mutation on a paternal chromosome that did not come from Meredith’s husband. This means that the child’s father might be unaware that he is a carrier of this disease. You suspect that both Meredith and her husband are aware of this non- paternity. How would you disclose the results of this genetic analysis to Meredith and her family? What principles and who do you have to take into consideration in this case?
Station 10 : A couple has decided to have a child through artificial insemination. They asked for sex selection of the child. What should a doctor advise in this situation?
Station 9 : What experiences have you had that lead you to believe you would be a good physician? What insights did you gain from your experiences?
Multiple mini
Interview
M M I S A M P L E Q U E S T I O N S ( C O N T. )
Station 15 : Due to the shortage of physicians in rural communities such as those in western states like North Dakota or Nebraska, some medical programs might prefer to admit students who are willing to work for two or three years in an underserved area once they graduate. What are the implications for this policy? Do you think this is effective?
Station 16 : Universities often have to balance the educational needs of their students with the cost of educating all the students. In order to help alleviate the pressure of the costs, there has been increasing debates on what the best class size should be. There is one argument for smaller classes, because it provides a better educational setting, while others say that the class size makes no difference, and therefore, larger class sizes are recommended to reduce the number of class instructors needed. What is your opinion on this subject?
Station 17 : A 65 - year-old man recently diagnosed with Alzheimer's disease is coming to you, and his GP, for advice. He needs advice on how to cope with this diagnosis. However, the stigma of dementia and its increased burden to the family weighs heavily on him, and he breaks down into tears as he is speaking with you.
Station 14 : Should physicians be recorded when they are reacting with the public like police officers are?
Station 18 : What ethical principle of medicine do you consider to be the most important?
Multiple mini
Interview
M M I S A M P L E Q U E S T I O N S ( C O N T. )
Station 21 : You are given a graph of the plasma insulin levels of five patients over a day. The graph also shows what times the meals were consumed. Describe the graph for Patient 4. What explanation do you have for the changes in insulin levels at different times of the day?
Station 22 : You just performed a hip replacement surgery on a 54 - year-old woman who has two young children. You must tell her that during the operation, some nerve damage occurred, which might mean they will never regain full use of their leg again.
Station 23 : You have four minutes to explain the purpose and process of getting a vaccine to a competent adult. Next, spend four minutes explaining the same process to a child who is about to get vaccinated.
Station 20 : A young girl, aged 16 , comes into your practice and wants information about getting tested for STIs. However, she is worried that her parents will find out.
Station 19 : Ten minutes before Dr. Maxwell is to begin surgery, you see him take a swig from a bottle that you think might be alcohol. As you talk with Dr. Maxwell to prepare for the operation, he seems to be more forgetful than usual and is slurring his words. You have just a few minutes before surgery begins, what do you do?
Station 24 : What area of medicine or medical research do you find interesting?
Multiple mini
Interview