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  1. Hello hopeful MDs, I am a 1st year UBC family med resident who just graduated from the UBC MD program this year. I will be holding some mock MMI prep sessions over skype, or can meet downtown. Shoot me a message if you're interested!
  2. Congratulations to all those who received interviews! I was wondering if any had good online resources for both questions for the classic MMI and the written essay component. I know some of the Facebook groups have test bank questions, but I figured we could consolidate these questions into one location.
  3. Hello to all my fellow UBC Med applicants of 2018/2019! As we inch closer and closer to December, I decided to make this thread to just get it out of the way, and also to initiate discussion around how we are all feeling. As of now, I am not sure exactly when the updates will roll out. There are two options. Interview decisions will either be released the week of December 3rd or the week of December 10th. I'm going 70-30 on week of the 3rd since usually they release decisions the first week of December that involves a Monday. However, December 3rd may be too early; the admissions committee may want to look at a few things in more detail, finalize decisions, etc. which will require a bit more time – therefore, if it's not the week of the 3rd, it will definitely be the week of the 10th. Based on the pattern from the last few cycles, this is how I'm guessing decisions will be released: Week of December 3rd: Monday, December 3rd – Regrets Wednesday, December 5th – Early Invites Thursday, December 6th – Regular Invites OR Week of December 10th: Monday, December 10th – Regrets Wednesday, December 12th – Early Invites Thursday, December 13th – Regular Invites Whether we receive an interview invitation or rejection, I encourage everyone to write a post giving some description on what scores they've received, what sort of extracurricular activities they've completed/are still part of, what sort of achievements/awards/research they've accomplished, and so forth. This will essentially help yourself reflect on your application and help others down the line, both current and prospective applicants. At the end of the day, we will all hopefully be colleagues eventually – so, why not start now in helping each other. Let's stick with the format, described below, as much as possible when we are writing our posts. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TIME STAMP: Interview Invite or Regrets: Early or Regular Deadline: GPA or AGPA (if applicable): MCAT (CPBS / CARS / BBFL / PSBB): Current Degree (UG/Bachelors/Masters/PhD): Geography (IP/OOP): Extracurricular Activities (awards, achievements, volunteering, employment, research, etc.): NAQ: AQ: TFR: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - So, how's everyone feeling?? I'm nervous about the NAQ drops a bunch of people experienced last cycle! From what I've heard, lots of people had semi-to-significantly dropped in their NAQ score compared to 2 cycles ago, anywhere between 2-8 points drop in NAQ . Hopefully, things pan out for the better this year. Basically, it comes down to surviving that awful Monday! I get plenty of emails throughout the day... Every time I get that email notification sound on my phone, this will be my reaction:
  4. Hello, my interview is coming up soon and I'm looking for "Medical School Interviews: a Practical Guide to Help You Get That Place at Medical School- Over 150 Questions Analyzed" in Vancouver. I can't order off amazon since their shipping to Vancouver takes too long, I can't find any bookstores or libraries carrying the book. Please comment if you have a copy and are looking to sell!
  5. Premed! Are you struggling with your medical school interviews? Have you been previously rejected after the medical school interviews? Do you want to turn your interview rejections into admissions? I get it. When I applied to medical school the first time around, I had 5 interviews, but was rejected by all 5 schools. Sad ad depressed, I was lost how to to turn that around. However, I came up with a specific approach to interviewing for medical schools. Using that same approach, I again had 5 interviews the following year. The difference is that this time, I got into all 5 medical schools. Since then, I have created the NextMD Community, and the group of medical students and doctors have used this exact same method to help many premed students that have struggled with their interviews turn rejections into admissions, and they are all on their way to become doctors. So if you say YES to any of the questions about, then check out the NextMD Community, check us out on Facebook: https://www.facebook.com/groups/978669245641167/ For more information, check us out at: http://www.nextmd.ca/training BOOK: If you are down to learn the system we have come up with RIGHT NOW, and you are someone who loves to learn through reading, access the book here: https://www.amazon.ca/dp/B07DFGHZ8S We offer the following programs: A. Self Study: 1. The MMI Mastery Method Online Course: http://www.nextmd.ca/training 2. Master the MMI: Your Key to Success on the Multiple Mini Interview (book): available on Amazon (https://www.amazon.ca/dp/B07DFGHZ8S) B. One-on-One personalized coaching: 3-hour package 5-hour package 10-hour package (includes The MMI Mastery Method Online Course for free) Contact for detail: consultant@nextmd.ca Finally, this is a stressful time. But don't let the INTERVIEW hinder you from your dream of becoming a doctor. Good luck to all the applicants who are interviewing this year. NextMD Turn Rejections into Admissions
  6. Hey everyone! I am applying to Dal this summer and planning on writing the MCAT. Anyone interested in meeting to chat about their application and/or studying for the MCAT?
  7. Hi, I'm offering some help for students who are looking for advice on CARS, MMI/CASPER and application prep.. I'm a non-traditional applicant (no science background) who gained admission to my top medical school on my first application, with only one write of the MCAT. I'm willing to share some tips & tricks that made me successful in the process in a tutoring session. CASPER/MMI/APPLICATION SUPPORT I had a great CARS score and performed well on CASPER and the MMI.The secret to my success was the training I did to prepare myself psychologically and strategically for the application process. I am sure there are many great premed students who would be wonderful doctors but are failing again and again to be admitted into a program. It's not a lack of brains - it's a lack of strategy. In preparing for the MMI, CARS and CASPER, I developed an effective, efficient and reasonable strategy that allowed me to navigate the process successfully while working full-time. CARS TUTORING The CARS (verbal reasoning) section of the MCAT is a major stumbling block for many premed hopefuls. So many hardworking students find that their efforts are not translating into results and that one section stands between them and their dream of medical school The fact is that mastering CARS is an art and a science. Most students use a brute force approach which involves months of grueling repetition and ends in frustration. With the right strategy, approach and resources I scored a 130 (98th percentile) with only 3 weeks of preparation. I found the right approach and practiced it to perfection. I also used psychological techniques to train myself perform to my fullest on the exam. This is not my first experience with standardized testing. I also performed well enough on the LSAT to gain admission into the University of Toronto Faculty of Law. I spent years in law school and in corporate law refining my verbal reasoning and critical thinking skills under pressure. I understand how frustrating and difficult it can be to look for the right approach to CARS. However, my law training and LSAT work helped me quickly find the formula to ace CARS. Feel free to get in touch by private message if you are interested in help.
  8. Hi! For all of the other OT QY Applicants who have received interview invitations, would you be willing to meet up to practice going over MMI practice questions?
  9. Is there anyone in Toronto who has an interview at UofA and who would like to get together for practice? It would be particularly beneficial if we could get at least one person who's been through this experience at UofA before but this is also a call to all the Edmonton naive (like me).
  10. Hey everyone, I know UOFA hasn't sent out their offers yet but I wanted to know if anyone wanted to start practicing for the MMI early. If anyone is interested PM me! Thanks
  11. Does anyone know if MMIs tend to rotate their interviewers or use the same ones throughout? If they use the same ones throughout, how much do you guys feel the scores the earlier interviewees received affects the scores of the later ones? I'm just asking since I'm wondering if there is any benefit to interviewing later in an interview period than earlier. My thought is that earlier interviewees might have a disadvantage since the interviewers might score lower since they don't know what to expect and then score higher once they get a better idea on the caliber of the candidates.
  12. Hey premeds, I have been having this question for a couple of months but cannot seem to find anything about it. When given an ethical case sometimes you as a participant have the option of helping someone by risking your safety or spending your money (this is what i meant by self harm). Do you think this is frowned upon by the MMI markers or just something that can sometimes be when a life is in danger. 2 cases that come to my mind: 1) Your friend asks to use the residents only gym at your apartment complex. ^There are multiple things you can do one of which is to offer to pay for your friend's gym expenses elsewhere. 2) You knock on a door and hear footsteps and a thump (presumably the person has fallen on the floor). There might be fire or some other hazard. ^ Here, again you do the usual stuff of calling the emergency services and such, but is it okay to also say that "After looking for potential dangers and making sure that the environment is safe I would try to gain access into the house". As you can see both of these involve some risk to the participant (me) at the advantage of saving lives or making your friends happy. What do you say? Thanks in advance.
  13. Hi everyone, I was wondering if anyone wanted to start practicing for MMI either through skype or in person. We can create a small group. I know we havent heard back yet from most schools, but when we do, a month (in the case of McGill) isnt enough time to get ride of bad habits. Let me know!
  14. Hi, I wanted to get some opinions on the use of prompt questions in the interview. I know at Calgary they explicitly say that using prompt questions are perfectly fine, and in fact if you were running out of things to say it would be completely reasonable to ask for one. There would be no effect to your score if you used all the prompt questions or none (i.e. talked all the way through), all that would matter was overall content and ability to communicate. Is this similar at UBC? I find that I have much better interactions when talking about complex topics when I have a back and forth with someone, instead of talking straight for 4 - 5 min. I'm able to be more engaging, and I usually either disagree or add something meaningful when someone else brings up a point. Conversely, I sometimes struggle to be completely organized with all my thoughts on a topic, ready to go at the beginning - especially if I know a lot about the topic. I can do it, if need be, but I much prefer conversations. Is it risky to rely too much on prompt questions though? I don't know if I've ever heard UBC say one way or the other. To be clear, I realize that for more personal questions (e.g. tell me about a time where you experienced adversity), you're expected to talk for some time and reflect. I recognize where there are some instances where you just need to talk a lot, but for some question types, I find that I'm really boring if I just go through a pros/cons list really quickly.
  15. Hi Everyone! I was wondering if anyone could shine some light onto some good MMI interview prep companies that prepare well for interviews? Looking to get some professional help but with an abundance of companies, I don't know which would be best. Personal experience with different companies (the good and bad) would be extremely valuable. Thanks in advance!
  16. Hey If anyone is looking to prep for MMI i would l am forming a group at York. Meet times will preferable be Monday and Wednesdays after 5 pm. It is a great way to utilize each other's feedback. Message me if interested. Cheers
  17. Hi everyone, I am a Resident at the University of Toronto. I completed medical school at UBC and MMI interviews across the country (from BC to Ontario). If anyone would like tips/hints on interviews or like to do a practice session, please let me know. I am open to meeting in person in the Toronto area or via Skype. Feel free to send me a direct message.
  18. Hi Everyone! I was wondering if anyone could shine some light onto some good MMI interview prep companies that prepare well for interviews (particularly dental ones)? Looking to get some professional help but with an abundance of companies, I don't know which would be best. Personal experience with different companies (the good and bad) would be extremely valuable. Thanks in advance!
  19. Hi guys, I am a current applicant looking to practice for MMIs in the Brampton/Mississauga/Toronto area. If you're an applicant looking to practice or want someone to meet with, bounce ideas off of, and discuss topics in medicine, message me!
  20. universal

    MMI Prep

    Hi everyone, I am a Resident at the University of Toronto. I completed MMI interviews across the country (from BC to Ontario). If anyone would like tips/hints on interviews or like to do a practice session, please let me know. I am open to meeting in person in the Toronto area or via Skype. Feel free to send me a direct message.
  21. universal

    MMI Prep

    Hi everyone, I am a Resident at the University of Toronto. I completed MMI interviews across the country (from BC to Ontario). If anyone would like tips/hints on interviews or like to do a practice session, please let me know. I am open to meeting in person in the Toronto area or via Skype. Feel free to send me a direct message.
  22. Hi All! I am a current Medical Student at the University of Toronto's medical school. I received 3 Canadian and 2 US MD acceptances in 2017. I would like to promote the interview prep company that helped me get over the hump: Medvisors. I was a very poor interviewer and was very nervous about the process but their practice and personalized packages made a huge difference for me. I am now a consultant for them and I help other students with interview preparation. Their most unique and popular (and cost effective) service is the VIRTUAL MMI CIRCUIT that they offer... you have 6 stations with 6 different graders and they give you a personalized feedback form at the end too. As far as I know, no one else offers that kind of seamless online setup where you switch rooms etc. Free prep is also great but sometimes the interviewees are more focused on their own prep rather than giving quality feedback. Also, Medvisors consultants are experts and have interviewed at your school of choice! Visit medvisors.org for more!
  23. How is everyone feeling post interview? I am feeling pretty down about my MMIs and was wondering if anybody has any insight on MMIs or the chances of getting in with a strong traditional interview, and a strong remaining application? I really feel like I might have blew it.
  24. Preparing for the MMI December 30, 2016 University of Saskatchewan Disclaimer: Please check the admissions website for the most up to date information http://medicine.usask.ca/admission-to-the-md-program/how-to-apply.php This is a recount of how I prepared and may not work for everyone. Following this guide completely will not guarantee that you will get into medicine. The intent is to give you a good shot at getting into medicine. If you continue, you are using this document at your own risk. Table of Contents Introduction Recommended Materials Groups General Preparation Procedure Ethics to Cover Issues to Know Questions The MMI Day! Why do you want to be a doctor? Introduction Hello friends, The purpose of this document is to give you a good shot at getting into medicine. The reason I am writing this is that I wished that I had something like this when I was preparing. In this document, I will be giving you some tips and tricks that I found helpful while preparing along with some that other people have brought to my attention. This is a general approach to how I prepared for the multiple mini interview (MMI). I will discuss my approach to answering the questions. These are what worked for me, I am not claiming that they are the best way to approach the MMI, but it is what worked for me. Don’t take this document and make it law, change my approach to the MMI and make it your own. On the same token, if you follow this document to the tee, you are not guaranteed admission to the College of Medicine (CoM). This document was written by me and is not endorsed by the CoM. The general timeline of the application process is… send in your application to the CoM, which, as of writing this document, is due October 1 at 4:00 pm Saskatoon Time. No news is generally good news; the CoM generally won’t contact you outside of the following timeframes unless there is a problem. You will probably not hear anything until early February, at which time you will be notified if you will be offered a spot in the MMI or if your application will be terminated. There are usually mock MMI’s at the end of February in Regina and Saskatoon. The MMI will occur mid-March. Mid-May, emails will go out informed you of an offer of admission, if you are waitlisted, or if you have been deemed unsuccessful and need to reapply next application cycle. The MMI is one of the ways that the CoM assesses personal characteristics of eligible candidates. The general layout of the MMI is that there are 10 stations lasting 10 minutes each. There can be ~2 rest stations added to a circuit to accommodate more people so the entire process could be 120 minutes instead of 100. The 10 minutes is divided into 2 minutes to read the prompt and 8 minutes of responding to the prompt. How to fill the 8 minutes will be discussed in great detail in “General Preparation Procedure” section. The time leading up to the MMI is stressful, but please make an effort to remain calm regardless of the number of times you wake up at 3am in cold sweats because you had a nightmare about it. Try to make preparing fun, learn the rules of the game and play your heart out. As of writing this, the MMI has a 50% weighting towards your admission rank score, so even if you don’t have a stellar GPA or MCAT, you can still receive an offer of admission if you do well on the MMI. The opposite is true, if you have a stellar GPA or MCAT, you still need to do well on the MMI to receive an offer of admission. Throughout the application process, you may be in contact with the admissions committee. Generally speaking, if you don’t hear from them it means that there is nothing wrong with your application. Remember to always to be polite to them, even when you are stressed and things aren’t going your way. If you are rude to them, then it will be documented and will affect your chances of admission. Don’t feel guilty if you hear some people are practicing for the MMI earlier, longer, or with many people. It is always about quality over quantity and you can still do great with less practise. Others may be starting from a lower skill level and may have to learn it all while you already have some of the basics. You can only control yourself, so focus on that. Recommended Materials The basic material to prepare for the MMI is some reference material for medical ethics, CanMEDS Framework, and a handout on the Social Determinants of Health. For medical ethics, there are many online sources available. uOttawa and Washington have some good material, but remember that Washington is American based, so there may be some differences compared to Canadian ethics as a result of different laws/obligations. As for print, I would recommend Doing Right by Philip C. Hebert. I had used this book and I found it well written and very helpful. This book has 3 editions, the third being considerably more expensive, but I can’t speak to how the editions differ. That book is thorough enough with the ethics to be useful, but not too thorough that you get lost in the detail. Each chapter discusses an ethical issue and it has ethical questions throughout the chapter that have a very well thought out answer. The questions themselves are usually too long to be done in a 10 minute format, but it is good practice regardless. There are also questions at the end of the chapter, but these do not have answers for them, but are still good practice to think through. Doing Right is a required textbook for an ethics class in medicine, so the CoM recognizes that it is a good book as well. The CanMEDS Framework is an article that you should be familiar with and know the 6 roles off the top of your head and know what the roles entail. Groups For me, I liked groups for going over MMI questions and discussing ethical issues that I had read about. A common problem with groups is that they get easily side tracked, so try to keep the group on track and if it is going off track, politely bring it back. It is always important to get many perspectives on ethical issues, especially when they differ from your own so you can become more knowledgeable about the topic. Just remember to play nice and have fun. Try to get people from different backgrounds and that have different areas of interest to get a variety of perspectives. If you have lots of people interested in forming a group, it would probably be better to have several smaller groups. As groups get above 5 members, you will end up having a lot less practice responding to prompts. The general purposes of groups are to discuss different topics and to be able to respond to prompts and receive feedback on it. General Preparation Procedure As of writing this, the MMI is worth 50% of the rank admission score, so doing well on it is very important to increase the chance of admission. The first question I will address is when to start preparing.... right away. You should probably start preparing very soon. This preparation doesn’t need to be very time consuming at the start. The MMI will be around the middle of March and the mock MMI’s (Regina and Saskatoon) are usually early March. It would be ideal to have all the preparation done before the mock MMI’s to see what areas you can spend the next few weeks mastering. Go to both mock MMI’s if you are able to. They are organized by a the Pre-Med clubs and current medical students, but the different sites ensure that one question in one city will not appear at the other city’s mock MMI. They also provide feedback on your responses, what you did well and what you can improve on. I found that a good way to begin preparing is by reading news articles to be current on issues the province, Canada, and the world are facing. It will be unlikely that you are asked a question directly on a current issue that occurred in the 3 months leading up to the MMI. This is because the questions for the MMI are usually set in December and finalized in January. It is still good to keep up to date on news in Saskatchewan because you can still use that information for your answers in the MMI. For example, the prompt can be about drug legislation in general and in your answer, you can relate a proposed drug legislation that you had read a week prior to the MMI. A method of studying that worked for me was to do at least one MMI style prompt every day. The number should increase as you progress in your preparation, transitioning from mainly spending most of your time learning new material and few prompts to spending most of your time responding to prompts. You probably didn’t practice for the MCAT (sorry for bringing it up) only by doing practice MCAT’s. The MMI is the same, you have to learn the material first, and then be able to apply it. A foundation of knowledge is needed to be able to apply it to questions. The time commitment for preparing is fairly substantial overall because you should be practicing every day, but not much time is needed each day. At least 10 minutes should be devoted to reading/responding to prompts every day and once a week spending at least 30 minutes preparing. It is important to be consistent with practicing and not taking days off. Better to cut down on time spent in a day than skip practicing if you have less time that day. You should learn the material that you will use in the MMI in a way that works best for you (read the material, take notes, flashcard, etc.). I will discuss material that you should know before MMI day later in this document in “Issues to Know”. To practice responding to prompts, there are a few techniques. First, you have to determine what area you want to improve in (organization of thoughts, flow, hand gestures, expression, intonation, etc.). To start off, practice in front of someone that isn’t afraid to tell you that you could be doing something better. They don’t have to know anything about the MMI or the contents of discussion. They can tell you if your presentation is natural or how it could be improved. If you can’t find anyone, you can always record yourself and watch it back to see what you can improve on. Keep the video and record yourself periodically throughout your preparation to see how you improve. Mock MMI’s offer a great experience to practice responding by allowing others to see how you respond to prompts. These are great to attend, but should be used, in my opinion, to hit home key ideas, to fine tune what you have been practicing, and not to learn lots of new things. Most of the practicing should be done beforehand; you should have a good flow, fairly knowledgeable about many topics, but there still may be a few that you have overlooked. Even if, by the time mock MMI’s roll around, there are still things to work on, it is early enough to allow you to improve on what you think is deficient. The MMI format is 2 minutes to read the prompt and 8 minutes to respond. A bell goes off after 7 minutes of responding to indicate that you have 1 minute left and should be concluding soon. If you do not feel prepared to respond to the prompt after 2 minutes of reading, you always have the option to read the prompt again and think about it more before responding; any extra time spent doing this after the 2 minute bell rings will take away from your 8 minutes to respond. A question that comes up is: Do I have to fill the whole 8 minutes? What if I finish saying everything that I have to by minute 6? No you don’t have to fill up the entire 8 minutes. You should try to gather enough talking points in the 2 minutes you have to read the question to fill up the 8 minutes. If you have said everything that you wanted to say after minute 6, and then stop your response after that, it is worse to repeat yourself, say something that you aren’t confident about, or contradict yourself. If you can’t fill up the entire time and have said everything that you wanted to, the interviewer may have prompting questions. They may not, so do not rely on prompting questions to fill up your 8 minutes. The are many reasons for the assessor to ask prompting questions. To provide the assessor with more material to assess you on; they want to hear what you have to say and may need to hear more from you to give you an accurate mark. They may be asking for clarification on something you had said. They may give you new information and want to see if/how your response changes. They may be trying to get you back on track. Being asked prompting questions doesn’t really indicate how well you are doing on the prompt, so do your best with them. - Who would you give a lung transplant to a 40 year old teacher or a 60 year old mechanic? New information→ the 40 year old teacher has smoked a pack of cigarettes a day since they were 10 and the 60 year old has never touched a cigarette in their life. Your response may not change if you don’t find the new information provided in the follow up question reason enough to. They want to see how you think when you have less time to prepare your response and see what your true beliefs are. There really can only be so many topics that can appear on the MMI, so the more prompts you practice, the more likely you will see a similar one on the MMI. About half of the prompts that I encountered on the MMI, I had seen a very similar one while preparing. Almost all of the prompts that you will likely see in the MMI can be boiled down to three types: ethics, problem solving, and performing stations. All stations will likely have at least one of these aspects, but a single station can have all three of them as well. Once you are able to identify what type of question you are asked to respond to, it makes it much easier to plan the layout of your response. If it is an ethical question, then you know you will be devoting time to discuss the ethical principles at play. If it is a problem solving question, then you may choose to not discuss ethics directly and spend more time on a personal experience you were in a similar situation. Performing questions are hard to prepare for; it requires you to do something for the assessor, such as act out a situation, etc. Ethics Prompts Ethics stations are usually situations where there are at least two ethical principles at odds with one another, usually autonomy vs beneficence/nonmaleficence. These types of questions show the interviewer: your ability to understand all aspects of a situation, your knowledge on the ethics, and your ability to apply them. You will want to identify which principles are at play, and then elaborate why they are at odds with each other in that situation. You should then elaborate which ethical principle takes precedence and why, and then conclude with your decision. Always remember to summarize at either the very end or during your conclusion. An example of an ethical question would be…. A terminally ill cancer patient is refusing active treatment for their cancer. If you were their physician, how would you respond? Problem Solving Prompts Problem solving stations usually appear as questions that don’t directly involve the health care system. They can appear as a question involving harm reduction such as….should safe injection sites be implemented in Saskatoon? The general format of the response would be discussing the problem that X is trying to solve, the pros and cons if X were done, then the pros and cons if X were not done, and then discuss which way you would solve the problem and why you chose that way over the alternative. Most situations aren’t black and white and there could be more than two ways to approach a problem, but the format of your response will likely be similar regardless. When responding to a prompt that has multiple sides to it, whether an ethical or problem solving question, you don’t necessarily need to pick a side. You do, however, need to explain all sides of the argument and then explain why you can’t pick a side. Don’t jump to a conclusion right away without showing the interviewer your line of reasoning. Even if you don’t pick a side, you must explain both sides of the situation as thoroughly as if you were picking a side. It doesn’t matter at what point in your response you choose a side. You can either tell the interviewer which side you stand on before you start explaining pros and cons or near the end of your response. I generally chose a side after explaining pros and cons because I hadn’t always made up my mind which side of the argument I will be on after 2 minutes of reading the prompt. Choosing a side at the end allowed me more time to analyze the pros and cons and give me more time to think about the prompt. If I hadn’t figured out which side I was for after explaining the pros and cons, I could always say that I am undecided and why. It doesn’t look very good if you change your answer between the start of the prompt and the end of the prompt without being given new information. For example, you start by saying you are in favour of X at the start, and then explore the pros and cons of both sides and near the end of your response, you convince yourself that you aren’t in favour of X. Flip flopping may make it hard for the assessor to follow your line of reasoning. The prompting questions at the end of your response may provide you with new information to see if your answer changed. If you find the new information compelling you to change your answer, do so and explain why. The time spent for each section is a very rough estimate for what I had did and may not be suited for all people. A general layout of my answer for an ethical prompt or problem solving prompt would look like: · A summary of the question and an interpretation of what you think the prompt is asking (~30s) · Talk about the ethical principles in play (~10s) · Talk about how the ethical principles interact and which one is takes precedence in your decision (2-5min) · Talk about how you display the ethical principle or how you were in a situation and that principle was at play and how you responded (~2min) · Summary of your response (~30s) The purpose of the summary and interpretation of the prompt is to see if what you believe the prompt is asking for is the same as what the prompt is actually asking for. If your interpretation is wrong, the interviewer will likely clarify what you are supposed to respond to. Performing Prompt Performing stations are much more diverse, they can have you do pretty much anything in those 8 minutes. Traditionally, it has been an acting station and the actor tells you what the problem is and you work through the problem with them. The challenge to these prompts is figuring out what the problem is. I found it hard to practise these types of questions because prompts have very little information contained in them. Finding these prompts online isn’t too difficult, but they don’t have any directions for the actor. When practicing, the actor should just make up a problem and some back story and then go from there. Even if you were to have the exact prompts on the acting station you will see in the MMI and prepare for it, when you got there, the actor could be in a situation that you never even thought of. In question 3 of the Sample MMI Scenarios from the U of S, the problems that you may encounter could be: from fear of flights, recent death of a family member, divorce, dissatisfaction for her job. You have no idea which one it is, so it is hard to know if you got the answer right or even figure out what they are looking for. You will need to have a good grasp of the ethical concepts to be able to apply them in the MMI. When practicing MMI questions, it is important to practice with people from very different backgrounds. They will have different strengths and weaknesses and will be able to help with different aspects of the interview; from teachers, to professors, to government workers, to people in human resources. An interview to a job does share similarities to the MMI, so if you can find people who do hiring for firms and practice with them, it would probably be very helpful. You may encounter a bait-and-switch question which is a type of station where the prompt on the door is not related to the questions that you are asked when inside the room. For example, you could have an ethical prompt on end of life decision making on the door and once you go enter the room, you could be asked to consider a prompt about the current state of the medical system or be asked a personal question. The interviewer can change the question at any point, right from the start, or at minute 5. These questions assess how you think and act when you aren’t prepared and for the assessors to see what is really on your mind. A good way to practice for these types of questions is by not taking 2 minutes to read the prompt and instead moving straight to your response. The most important piece of advice that I can give you is that the people who do the best in the MMI are the ones who know themselves very well. Reflection is one way to get to know yourself better. A good way to go about doing it is writing down all of the major experiences in your life, the jobs that you have had, and the hobbies you have. The next step would be to write down what you have learned from them, what they have done to make you a better person. It would also be very important to connect each activity to the CanMEDS roles/framework (See “Recommended Materials”). Memorize all 6 roles that are part of being a Medical Expert and what all they entail. Be able to talk about them in any station, as such, I strongly recommend reading the entire 17 page article in “Recommended Materials”. This framework shows up in medical school classes, so the CoM puts great value on it. The portion of your response talking about yourself and your experiences is what sets you apart from the other interviewees. Most interviewee’s responses up to that point of the response prior to speaking about personal experience are likely going to be fairly similar, but this section is where you sell yourself and show the interviewer why the CoM should select you over the other interviewees. The section involving talking about your personal experiences may not have to directly relate to the question, but it must have a similar theme. The question may have had something to do with a physician showing empathy to a patient in cancer treatment and for the personal experience, you could provide an example where you were empathetic towards the homeless while volunteering. Incorporating experience that doesn’t relate or is too loosely related to the prompt may be detrimental. A question that comes up in every MMI in one capacity or another is...Why do you want to be a doctor? This question should be thought about well in advance and have an idea about your response. It can come up on interview day as its own prompt, asked as a follow up question, or a bait-and-switch. That means that you could have between about 8 minutes and 2 minutes to answer this question. This is one question that you can and should prepare for. Your rehearsed answer should sound like normal conversation and if it sounds scripted, that is probably bad. The prompt may not even be that specific question, but could be...Tell me about yourself. This is asking for the same information as “Why do you want to be a doctor?” and will have a very similarly structured response. Because of the variability in the time you have to answer, you should have variants of the question rehearsed for different amounts of time. They should contain similar information, but the longer response will have more elaboration and/or more examples. Three experiences should be enough to exemplify why you would be a good doctor. More experiences would be good, but the more you have, the less time you have to talk about each. Each of your experiences should address at least one role on the CanMEDS Framework. The general approach to articulating your response will be describing an experience that exemplifies you enjoying an aspect of being a physician, i.e. I want to help people, and then provide an example where you show that you enjoy helping people, i.e. I started a charity that provides for the homeless. A follow up question that the interviewer may ask is, “Why not pursue a different profession in health care such as physiotherapy?” You should be aware that that could be a follow up question and strategically select your reasons for going into medicine and your examples so that it not only shows that medicine is the one you want, but also why you didn’t choose a different profession. Remember to smile and be friendly because part of the assessment is...would the interviewer be comfortable with you being their doctor? Are you logical, able to articulate yourself well, seem confident in your abilities, pleasant to be around? Ethics to Cover A lot of the ethics that you should cover can be found in Doing Right, along with the other resources that I listed (See “Recommended Materials”). The list below is only a start for ethical principles and is by no means exhaustive. Below is a checklist of ethical topics that you should be informed on, but is in no particular order, nor is it complete: ● Autonomy ● Capacity ● Beneficence ● Nonmaleficence ● Truth telling- how much to tell ● Informed Consent ● Professionalism ● Error Disclosure ● Justice in Medicine ● Ethics surrounding Beginning of Life (IVF, Gene selection, abortion) ● Ethics surrounding End of Life (Advance Care Directives, capacity, Medical Assistance in Dying, is assisted suicide different than withdrawal of care or refusal of treatment) You should know these topics in great detail and be able to speak on all of them in any context. You will almost always speak about one of these topics listed above in an ethics prompt. Issues to Know It is important to be informed about the world around you and to understand it to some extent. It is very unlikely that you would be directly required to talk about anything in this section, but you can bring it up if the prompt allows for it to make your response better. If you use the information in this section, you will set yourself apart from the other applicants. The information gathered from these issues will help mainly for problem solving questions and, to a lesser extent, ethical questions. For example, there is a problem asking the best way to help the homeless with a fixed budget. You would be able to draw on your knowledge to respond with what provisions are currently in place in your city, potentially cut back a few that are costly and ineffective and transfer the funds to a more worthwhile project to help the homeless. The one you want to reduce funding to could only be addressing one social determinant of health and the one you wish to fund may be addressing several. An arbitrary division that helped me divide the issues up was people who face discrimination and everything else. The goal of this list is to try to go into someone else’s shoes and see what struggles they face. Try listing some problems that these populations may face; I will have a short list of ones later in the document. Populations facing Discriminations: ● Sexual Minorities ● Homeless ● Aboriginal ● Gangs ● Religious Minorities ● Refugees ● Women ● Visible Minorities ● Elderly Everything Else: ● Residential Schools (Know this one inside, out, and backwards) ● Pharmaceutical Industry, drug reps, research and conflicts of interest ● Carbon Tax ● Mental Health Issues, especially in Health Care Workers (Burnout, stigma of mental health issues, programs in place) ● Vaccinations ● Pay Schedules of Physicians (probably pretty low yield) ● Social Accountability ● The US Election (Probably a compare/contrast question if one appears) ● Online Presence of Medical Students and Physicians (Facebook, Twitter, YouTube, Snapchat, etc.) ● How has technology changed how medicine is practiced, for better or worse ● Saskatchewan’s Health Care System, what it is doing well in and what challenges it faces ● Disclosure of Error (I know this appears in Ethics to Cover, but still relevant here) ● What traits make a good doctor? ● Health Care in Rural Areas ● Public health concerns (Obesity, HIV/AIDS) ● General process of research and publication ● The Role of Alternative Medicine in Evidence Based Medicine ● Drug Use and Abuse, safe injection sites ● Legalization of Marijuana ● Human Trafficking ● Suicide in Youth and Aboriginal Populations ● Colonization ● MAID and End of Life Care ● Social Determinants of Health This is not an exhaustive list, but is a good start to potential topics that you may see in your interview. You should be able to speak to both sides of the arguments i.e. pros and cons of recreational marijuana legalization and the pros and cons of keeping it illegal. Some of the topics don’t have multiple sides, but are events/ideas that you should be informed about i.e. Residential Schools and Social Determinants of Health. Below are some examples of the problems certain populations face. Prompts on these topics are likely to show up, probably in a problem solving question and possibly in an ethical question. Once you realize the problems that these populations face, you can brainstorm solutions to them. Hopefully you will notice that some of these populations share similar problems that could all be solved by the implementation of a policy or a change in a way of thinking. Below are the same populations and some of the problems that they face that I came up with. This list is not exhaustive and you may not agree with all of my opinions: ● Sexual Minorities ○ Subject to bullying in school by people who don’t understand sexuality ○ Prime target because they are “different” ○ Family problems/individual problems depending on if/when they come out to their family ○ Discrimination at workplace ○ Identify as a different gender than their sex, may not be accepted by either ○ Will have hardships of both genders ○ Dissatisfied with their body and want to change aspects ○ Marginalized in workplace, schools, potentially family ● Aboriginal ○ What they are referred to as- first nation vs aboriginal vs Indian vs indigenous ○ Affordable housing for families or students who want to attain a higher education ○ Diabetes, violence, obesity, HIV/AIDS epidemic, injection drug use ○ The fallout from residential schools ○ Being a marginalized population and subject to systemic racism ○ High violence among aboriginal men and women MMAW (Missing and Murdered Aboriginal Women) ○ Access to culturally sensitive care, jobs, healthy food, schools, positive social environments ● Gangs ○ Want belonging ○ Need an exit strategy to leave the gang, usually very hard to ○ Constant questioning why they are receiving all these benefits and subsequent downplay of successes. ○ Family gets involved with it ○ Exposure to drugs and violence ● Refugees ○ Being able to find people that they can relate to ○ Emotional baggage from where they came from ○ Stigma from some onlookers saying that if that was them, then they would have stood up for their country and not ran away like a coward ○ Having culturally appropriate care in place to understand their religious beliefs and cultural practices to best serve them. ○ Have no idea of the culture around them ○ Not knowing about social support systems and activities going on around them as communication may be lacking ○ Knowing how to cook with the different food available ○ Systemic racism based on beliefs of affiliation with terrorists ● Women ○ Discrimination in workplace ○ Having to choose between a career and a family sometimes and taking time off for maternity leave ○ Being a primary caregiver for their child and may have to give up on plans to take care of their child ○ Waitlists for child care ○ Access to child care ○ Affordable child care ○ Being ashamed to use the word feminist ○ Having stereotypes of their role in the household ○ Earning ~77 cents for every dollar a man earns ○ Large pressures on physical appearance and what beauty really is ○ Being seen as emotional and not logical ● Elderly ○ Affordable and close retirement facilities, may not be feasible for family to see them ○ Lack of family support ○ Their nutrition needs not met ○ Mental health- assumed a part of aging rather than trying to prevent it or slow the deterioration ○ Independence may be taken away and taken out of their routine, but may have rightfully had their license taken away ○ Inadequate care for people who have deteriorating needs and also families potentially being non-responsive to requests to move to a higher care (costs more, denial of increasing needs) ○ Resident abuse ○ Mental wellness is strongly linked to physical wellness and vice versa, so need to focus efforts on both of them. After doing some reading for the “Everything Else” category of “Issues to Know”, you should be able to argue both sides of each potential argument. Regardless of if you truly believe the side you are arguing for, you should at least be able to see its merits and pitfalls clearly. For example, you should be able to argue for both sides of the following statement: “Drug companies should (not) be allowed to market to prescribing physicians.” Once you are able to coherently argue both sides of an argument, you probably understand it. The MMI Day! The MMI usually occurs around the middle of March on the weekend. There are 4 sittings for the MMI, the morning and afternoon of Saturday and Sunday. Invites for the interview are released around the end of January/beginning of February. Remember to read through the entire email because they may be asking for you to reply to it. If you fail to reply to an email asking for a reply, you may have your application terminated. The emails usually indicate in the subject if a response is required, but do not always rely on it. If you have to stay overnight at a hotel in Saskatoon, there are a bunch on Spadina Crescent East which is about a 15 minute walk to the university and there are also some on College Avenue which is a 5 minute walk to the university. The MMI’s are held at the University of Saskatchewan/Royal University Hospital (RUH). The meeting place is at the SaskTel Theatre, located in the RUH. Do the morning routine that you normally do and be at the SaskTel Theatre 30 minutes before your start time as is indicated in the emails. The emails you receive will list the items that you need to bring to the MMI, identification and such. For dress, men should wear a suit and tie and women should wear either a pantsuit or a skirt. Dress for the profession you want to be a part of. I would like to note that it is not required to wear those clothes, but everyone is dressed up so they fit in. You should not be at a disadvantage if you go in shorts and a tee shirt, but I wouldn’t chance it. If it’s bright and flashy, probably avoid and go with neutral colours. Facial hair is fine, just have it well kept and long hair should be worn up, but you should be comfortable in what you are wearing and how you appear. Let your common sense guide your judgement. You won’t be allowed to bring any personal belongings such as wallets, phones, keys, etc. with you into the interview and will have to place them in a bag and collect them after the interview, so don’t bring anything important. Leave your wallet/purse/phone with the person dropping you off at the interview because the CoM isn’t responsible for lost, stolen, or damaged belongings. A representative from the CoM will speak to the interviewees and give you a rundown of the format of the MMI where you hopefully learn nothing new, then you break up into usually 6 groups with about 12 people per circuit. They will have you put everything on your person, excluding clothes, into a bag for you to collect after the interview. They lead your circuit to the area where you will be interviewing. Your circuit will have usually 10 interviewees in it for 10 prompts. If there are extra interviewees in your circuit, then rest stations will be added accordingly. You will be given a clipboard, a booklet of paper to write notes down, a pencil, and stickers with your identifying information on it. These stickers may pose a problem for the unprepared because you have to hand one to each of the interviewers at all 10 stations. You do not need to give one to anyone during a rest station. You are probably pretty nervous and it makes peeling stickers even that much harder, so in order to avoid a situation where you can’t peel a sticker, peel the corners off all your stickers when you get them. Because the corner is lifted, it is really easy to pull it off the rest of the way. On a similar note of avoiding embarrassment, there is a pitcher of water and cups at every station, even the rest station. If you need a drink of water, wait for rest stations. If you can’t wait that long and are thirsty during the station, politely ask the interviewer to pour you a glass. This is just to avoid a situation where you spill the pitcher of water everywhere rather than any formality. You are now lined up with your backs to the door waiting for the buzzer from above to signal you to turn around and look at the prompt. Once the buzzer rings, your 2 minutes begins. Things to write on your paper are the type of prompt you are responding to, the general format of how you would answer an ethical and problem solving prompt that you can use at all stations, writing down key facts from the prompt, and finally, things that you want to talk about in your response. You do not need to copy down the question because the same prompt that you see on the door will be in the room with the interviewer. Once the 2 minutes are up, a bell will ring and you knock on the door, enter, shake the interviewer’s hand if you feel that it is appropriate to, give them your sticker, then sit down and respond to the prompt. At the end of the station, thank the interviewer, shake their hand if you feel that it is appropriate, then move on to the next station and repeat. How well or poorly you do at one station has no bearing on the next station. If you have a poor station, you need to realize that thinking about it after the station will probably only hurt you in the next station. You need to be able to forget about it and move on to the next station. It is a very important skill to have in general, and especially in medicine. It took me a while to be able to truly not let a bad response affect my next one; it just took a lot of practice of doing prompts and doing poorly on some. During the MMI, at any point, if you do or say something inappropriate, anyone involved in running the MMI can report it to the admissions committee and it may affect your chances of admission. From the time you sign in until you leave, be on your best behaviour; from the person signing you in to the people giving you your belongings back before you leave. From the beginning of the application process, any rude communication with the CoM prior to the MMI is noted. During the MMI itself, don’t talk to any of the interviewees, from the start of the stations until everyone has completed all 10. You can talk with the volunteers during rest stations, but only after everyone has entered the room after 2 minutes of reading their questions. They will only talk with you if you initiate conversation and if you wish to be left in silence, they will respect your wishes. Thank you for taking the time to read this document. I hope it was worth a read and gives you some direction as to how to prepare for the MMI. As I mentioned previously, this is how I practised for the MMI and what worked for me. This method probably won’t be the best for everybody, but it should give you some ideas as to how to approach the MMI. GLHF!