Mmi Prep

[dnmchll5]

Are there any specific books or guides to get prepared for the physio MMI?

[MDwannabe02]

I don't know of any specific to PT or OT, but "Doing Right" has ethical situations and critical thinking scenarios that I found helpful for the MMI when I was preparing last year.

[Xabbu]

Here is some info I have been compiling:

 

Useful Links

**Manual for Interviewers (explains the basis for your evaluation): http://fhs.mcmaster.ca/mdprog/documents/InterviewerManualFull2012-13forWEBSITE.pdf

Video of sample question and answer: https://www.youtube.com/watch?v=DOVbDD9lNj

**Building Responses for MMI questions: http://www.nsncanada.org/building-responses-for-mmi-questions-multiple-mini-interviews/

Video series with tips:

 

Prompts

(Sources: 1-10: OT Sweet Pea blog; 11-19 Multipleminiinterview.com; 20: National Student Network )

1)      Dr Cheung recommends homeopathic medicines to his patients. There is no scientific evidence or widely accepted theory to suggest that homeopathic medicines work, and Dr Cheung doesn’t believe them to. He recommends homeopathic medicine to people with mild and non-specific symptoms such as fatigue, headaches and muscle aches, because he believes that it will do no harm, but will give them reassurance. Consider the ethical problems that Dr Cheung’s behaviour might pose. Discuss these issues with the interviewer.

2)      A message that recently appeared on the Web warned readers of the dangers of aspartame(artificial sweetener – Nutrasweet, Equal) as a cause of an epidemic of multiple sclerosis (a progressive chronic disease of the nervous system) and systemic lupus (a multi-system auto-immune disease). The biological explanation provided was that, at body temperature, aspartame releases wood alcohol (methanol), which turns into formic acid, which is in the same class of drugs as cyanide and arsenic. Formic acid, they argued, causes metabolic acidosis. Clinically, aspartame poisoning was argued to be a cause of joint pain, numbness, cramps, vertigo, headaches, depression, anxiety, slurred speech and blurred vision. The authors claimed that aspartame remains on the market because the food and drug industries have powerful lobbies in Congress. They quoted Dr Russell Blaylock, who said, “The ingredients stimulate the neurons of the brain to death, causing brain damage of varying degrees.”
Critique this message, in terms of the strength of the arguments presented and their logical consistency. Your critique might include an indication of the issues that you would like to delve into further before assessing the validity of these claims.

3)      Your company needs both you and a co-worker (Sara, a colleague from another branch of the company) to attend a critical business meeting in San Diego. You have just arrived to drive Sara to the airport. Sara is in the room.

4)      Recently, the Prime Minister of Canada raised the issue of deterrent fees (a small charge, say $10, which everyone who initiates a visit to a health professional would have to pay at the first contact) as a way to control health care costs. The assumption is that this will deter people from visiting their doctor for unnecessary reasons. Consider the broad implications of this policy for health and health care costs. For example, do you think the approach will save health care costs? At what expense? Discuss this issue with the interviewer. (My note: what could be a PT current issue they might ask about?)

5)      Why do you want to be an occupational therapist/ physiotherapist? Discuss this question with the interviewer.

6)      The Canadian Pediatric Association has recommended that circumcisions not be routinely performed. They base this recommendation on their determination that the benefits have not been shown to clearly outweigh the risks and costs. Doctors have no obligation to refer for, or provide, a circumcision, but many do, even when they are clearly not medically necessary. Ontario Health Insurance Plan (OHIP) no longer pays for unnecessary circumcisions. Consider the ethical problems that exist in this case. Discuss these issues with the interviewer.

7)      Universities are commonly faced with the complicated task of balancing the educational needs of their students and the cost required to provide learning resources to a large number of individuals. As a result of this tension, there has been much debate regarding the optimal size of classes. One side argues that smaller classes provide a more educationally effective setting for students, while others argue that it makes no difference, so larger classes should be used to minimise the number of instructors required. Discuss your opinion on this issue with the examiner.

8)      The parking garage at your place of work has assigned parking spots. On leaving your spot, you are observed by the garage attendant as you back into a neighbouring car, a BMW, knocking out its left front headlight and denting the left front fender. The garage attendant gives you the name and office number of the owner of the neighbouring car, telling you that he is calling ahead to the car owner, Tim. The garage attendant tells you that Tim is expecting your visit. Enter Tim’s office.

9)      Due to the shortage of occupational therapists in rural communities, such as those in Northern Ontario, it has been suggested that programmes preferentially admit students who are willing to commit to a 2- or 3-year tenure in an under-serviced area upon graduation. Consider the broad implications of this policy for health and health care costs. For example, do you think the approach will be effective? At what expense? Discuss this issue with the interviewer.

10)   What experiences have you had (and what insights have you gained from these experiences) that lead you to believe you would be a good occupational therapist/ physiotherapist? Discuss this question with the interviewer.

11)   A close friend in your 1st-year medical school class tells you that his mother was recently diagnosed with breast cancer. He feels overwhelmed by his studies and is considering dropping out of medical school to spend more time with his mother. How do you counsel your friend?

12)   Joe is a pizza delivery worker. The pizza shop he works for has a 30 minutes or less delivery guarantee or else the customer does not have to pay. On Joe’s most recent delivery, he spots a woman bleeding on the street. There is no one else around and the woman seems to be unable to move by herself. However, Joe knows that if he returns empty handed again, he will be fired from this job which he most desperately needs. What do you think Joe should do? Justify your solution in terms of practical and ethical considerations.

13)   “Liberation Therapy” (LT), a vascular operation developed to potentially cure multiple sclerosis (MS) in certain patients, has recently come under very serious criticism - delaying its widespread use. Among other experimental flaws, critics cite a small sample size in the original evidence used to support LT. As a healthcare policy maker, your job is to weigh the pros and cons in approving novel drugs and therapies. Please discuss the issues you would consider during an approval process for LT.

14)   Discuss one of your pastimes outside of school and how the skills you acquired from this activity will help you in your career.

15)   You are a family physician seeing Jane, a 67 year old woman with a recent history of multiple fragility fractures. You diagnose her with osteoporosis and prescribe some bisphosphonate drugs and other pharmacological treatments. Jane tells you that she has heard some good things over the internet about alternative medicine treatments such as Chinese medicine, and she is adamant on trying these as well. You are concerned about the use of these alternative medicine treatments and the possible negative effects they could have on Jane’s health. How would you handle the situation and what would you recommend Jane do? Discuss any ethical considerations that are present.

16)   You are on the committee for selecting a new Dean of Science. What characteristics and/or qualities would you look for when selecting an effective dean?

17)   In June 2011, the infamous Vancouver riots took place after their hockey team lost in the Stanley Cup Finals. Stores were ransacked and cars were burned. Hundreds of people were injured and sent to overcrowded hospitals. As the police chief in Vancouver, what measures or policies would you put in place to make sure this does not happen again?

18)   Clostridium Difficile (C. difficile) is a type of bacteria that increases its activity with most antibiotic use, and is therefore very difficult to treat. Research shows that the most effective way to prevent the spread of infection is frequent handwashing. However, many people have flat-out refused to wash their hands in hospitals. The government is contemplating passing a policy to make it mandatory for people entering hospitals to wash their hands or else risk not being seen by doctors and being escorted out of the building against their will. Do you think the government should go ahead with this plan? Consider and discuss the legal, ethical or practical problems that exist for each action option and conclude with a persuasive argument supporting your decision.

19)   Discuss an experience that allowed you to learn something important about yourself. How will this lesson help you succeed in your career?

20)   You and another physical therapy student, James, are two weeks into your first clinical placement at an old age facility. You noticed that James has continuously neglected to walk with Ester. Ester is a resident who is HIV positive. Please discuss your course of action with your interviewer.

[FeelingHopeful]

Thanks Xabbu!!!

[dnmchll5]

Thank you so much:)