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  • 8-10 stations
  • ~10 minutes each
  • 2 minutes to read a prompt
  • 8 minutes to respond
  • Bell signals when to start/end

Even Great Men Fumble Sometimes...

Let's Look At an Example...

You are a resident in the emergency room of a large hospital. Michael, a 30-year-old male from a rural area, has fractured his jawbone. He drives for two hours to the emergency room to seek treatment. Michael has no health insurance and is unable to pay for the $12,500 surgery that could realign his jawbone and sets it into place. If he leaves and elects a surgery at a later time, the fracture would most likely set in the wrong position and would need to be carefully broken again and reset correctly. This procedure, however, would cost $48,000. Your attending physician states that the hospital won't be able to afford a $12,500 pro-bono surgery.

Michael is sitting in the patient room, unaware of what will happen. What would you say to him?

Coach Hoke Comments On How He Thinks You Will Do:

Reflect on Your Story

Describe the situation or task you needed to accomplish (coursework, volunteer experience, relevant event)

  • If you stumble, do not get discouraged--you have more stations to shine in

Situation

Task

Action

Result

Relevance

Describe what YOU did. Even if you are discussing a group project, keep the focus on you.

What happened? How did the event end? What did you accomplish? What did you learn/take away? How did it impact you?

  • Each station is a new game for you to win
  • Smile, think positive, and imagine you're talking with a friend
  • What questions would you need to answer?
  • What alternatives might there be?
  • Think of how you would act (put yourself in the doctor's shoes)

Things to Address:

  • Greet patient, ask how he feels to assess pain levelΩΩΩΩΩ

Tackling the "MMI"

  • Explain in clear terms both options, outlining pros and cons for each course of action

How to Prepare

Brought to you by The University of Michigan Career Center

with a little help from Coach Brady Hoke

  • Research sample scenario questions
  • Describe the procedure and cost of surgery before and after the jaw sets
  • Focus on developing your thoughts, drawing from personal experiences vs trying to come up with the "right" answer
  • Gain a basic familiarity with bioethics, policy, and current issues in healthcare
  • Address timelines (when the bone should set, how long he has to receive treatment)

PRACTICE, PRACTICE, PRACTICE

  • Discuss what would happen if surgery did not take place
  • Refer patient to internal and external resources for possible financial support

Note: You don't need to know the specifics, just be open to consider alternative options

Example of how Virginia Tech Carilion School of Medicine does it...

Overview of MMI's Fundamentals:

What Will You Do At a Station?

Discuss a topic

What Do MMI's Evaluate?

Act (role play) in a scenario

What Are MMI's?

  • MMI stands for "Multiple Mini Interviews"

Write in response to a prompt

  • These are timed, structured series of interviews

  • Critical thinking
  • Ethical/moral decision making
  • Self-evaluation
  • Cultural sensitivity
  • Communication
  • Empathy
  • Teamwork
  • Varying # of stations depending on school

Collaborate with one or more students

Let's see what the scouts are looking for...

  • Allow schools to assess applicants' traits and characteristics core to competent and caring physicians

What Do Stations Consist Of?

Manual Dexterity Games

Role Plays

Team Projects

Practical Tasks

Logical Quizzes

Ethical Dilemmas

Encounters with Standardized Patients

What insights did you gain from shadowing, volunteering, doing research...?

First, we must understand our opponent to learn how to defeat it.

BE YOURSELF

They try so hard to fool us...not happening!

What experiences have led you to want to be a physician?

Let's just start with the basics.

Why do you want to attend _______ University?

What are your strengths and weaknesses?

What were your favorite/least favorite experiences from undergrad? Why?

You got this!

Spend a couple minutes to think of how you would respond...

Why do you want to be a physician?

Time out. Let's talk strategy.

Let's watch some game film...

I think they've got this in the bag...

So I hear you want to go to med school, but you aren't sure about this MMI thing.

Don't worry, I'll be your coach. Follow me and I'll show you how to succeed.

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