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The multiple mini-interview for emergency medicine resident selection.

Laura R Hopson1, John C Burkhardt2, R Brent Stansfield3

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The Multiple Mini-Interview (MMI) shows promise for assessing emergency medicine (EM) residency candidates, correlating with clerkship performance. However, applicants preferred a traditional interview or a mixed format over the MMI alone.

Keywords:
Multiple Mini-Interviewcommunicationgraduate medical educationprofessionalismresidency selection

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Assessment Methods

Background:

  • The Multiple Mini-Interview (MMI) is a structured interview format used to evaluate communication and professionalism.
  • MMI has demonstrated predictive validity for medical school success, outperforming traditional interviews.
  • The utility and acceptance of MMI for emergency medicine (EM) residency selection remain unestablished.

Purpose of the Study:

  • To assess the acceptability and utility of the MMI in EM residency selection.
  • To compare MMI performance with traditional interview preferences and other application components.
  • To determine if MMI provides new information for candidate assessment.

Main Methods:

  • Seventy-one EM interns completed an eight-station MMI focused on EM topics.
  • Pre- and post-surveys evaluated participant reactions to the MMI.
  • MMI scores were analyzed in relation to academic performance and application data.

Main Results:

  • MMI performance correlated with EM clerkship grades, with honors students scoring higher.
  • MMI scores did not correlate with match desirability or most application components.
  • Participants preferred a traditional interview or a mixed-format interview (MMI + traditional) over the MMI alone.

Conclusions:

  • While less favored than traditional interviews, the MMI is a potentially valuable tool for EM residency selection.
  • MMI performance correlates with EM clerkship success, indicating its ability to measure key competencies.
  • Further research is needed to ascertain if MMI performance predicts long-term residency success.