PROGNOSTIC VALUE OF THE MULTIPLE MINI-INTERVIEW FOR EMERGENCY MEDICINE RESIDENCY PERFORMANCE

Area of Science:

• Medical Education
• Graduate Medical Education
• Emergency Medicine

Background:

• The Multiple Mini-Interview (MMI) is a validated tool for predicting medical school success.
• Its effectiveness in Emergency Medicine (EM) residency selection remains unexplored.

Purpose of the Study:

• To determine if the MMI offers additional predictive value for first-year EM resident performance.
• To assess the MMI's utility in resident selection beyond traditional metrics.

Main Methods:

• 71 EM interns completed a custom MMI focused on desirable resident traits.
• Performance data, including ACGME core competencies and concerns, were collected.
• Logistic regression analyses compared MMI scores with traditional selection factors and performance outcomes.

Main Results:

• MMI scores significantly correlated with overall first-year resident performance (p < 0.05).
• MMI showed weaker correlations with patient care and procedural skills competencies (p < 0.1).
• Traditional factors correlated with overall performance and specific competencies; MMI did not add significant predictive value in multivariate analysis.

Conclusions:

• MMI scores correlate with overall EM resident performance but lack statistical significance when combined with traditional selection factors.
• The MMI appears potentially superior to program rank lists for predicting first-year performance.
• Larger, diverse samples are needed to fully evaluate the MMI's role in EM residency selection.