Medical School Interviews (2nd Edition). Over 150 Questions Analysed. Includes Multiple-Mini-Interviews (MMI) - A Practical Guide to Help You Get That Place at Medical School.

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The multiple mini interview (MMI) format is a commonly used interview process used by UK medical schools in assessing candidates for acceptance into their medical programmes. As the name suggests, it involves a number of smaller interviews, typically lasting 8-15 minutes, with independent assessors. Some interviews may have a rest station in between, with an average of 5-7 stations in one interview. The clinician now explores as fully as possible the patient's major problems, following leads obtained during the discussion of the chief complaint. The history of the present illness (HPI) includes all of the patient's history, both recent and remote, that is pertinent to understanding the current illness. In completing the HPI, the physician will often collect pertinent information about the patient's past history (for example, a history of hypertension in a patient with stroke), the patient's family history (for example, a family history of breast cancer in a patient with a breast lump), and the social history (for example, domestic discord in a patient with insomnia and fatigue).

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Hello Mrs. Parish, my name is John Simmons. I am a second year medical student here at the school. I will be interviewing you for about 30 minutes to learn what kinds of problems you are having and how they have affected you. Will this be O.K. with you?

Medical Interviews - a Comprehensive Guide to Ct, St and Registrar Interview Skills: Over 120 Medical Interview Questions, Techniques and NHS Topics Explained ebook The first step in solving problems is to recognize that the interview is not going well. Recognition is facilitated if the clinician assesses the interview in reference to its two major functions: data gathering and establishing a supportive therapeutic relationship. From the first minutes of the interview the clinician asks him/herself the following questions: To obtain accurate information about emotion-laden issues, the physician may need to "roll out the carpet," inviting the patient's honest answers. Patients often respond defensively to questions such as "How much do you drink?" minimizing the quantity to please the interviewer. Rephrasing the question in a less accusatory tone provides reassurance and an atmosphere of acceptance. "Some people under stress find that they drink more than they would like to. Have you ever experienced that?" During the sexual history, patient's often respond more candidly to the statement "Some patients with heart problems find that they have difficulties with sexual function. Has this been a problem for you?" rather than "How is your sex life?"

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The medical interview provides two categories of information unavailable from any other source: what the patient says about the illness and how it is said. What the patient tells the physician provides the factual content of the medical history. The factual content is what the physician edits and records in the written record—the medical history. It should include a comprehensive, chronological report of the patient's illness with enough information, both positive and negative, for accurate and inclusive diagnostic reasoning regarding possible etiologies of the patient's problem(s). The process of the interview is what actually happens between physician and patient during their encounter. Medical Interviews - a Comprehensive Guide to Ct, St and Registrar Interview Skills: Over 120 Medical Interview Questions, Techniques and NHS Topics Explained doc Medical Interviews - a Comprehensive Guide to Ct, St and Registrar Interview Skills: Over 120 Medical Interview Questions, Techniques and NHS Topics Explained txtIt may become evident that the patient is most troubled by problems that the physician considers of lower priority or less urgent. For example, the patient may be most concerned about his finances, while the physician wants to learn more about the chest pain and palpitations. In general, the clinician should briefly communicate concern for the patient's major concerns even if they do not seem to be medically significant. For example, Patients often cry during the course of a medical interview. The interviewer does not have to rush in to stop the tears. It is often best to let the storm pass, providing time for the emotional release that crying provides. The interview can then resume with gentle questioning. In general, it is good to avoid questions like "Why do you feel angry (or sad) about that?" Instead, try rephrasing the question to: "You seem angry about that. Can you tell me more about what has been going on?" or "Tell me what the tears are about."

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The MMI, whilst a relatively newer format as compared to traditional interviews, offers students multiple advantages. Firstly, it is considered far more holistic in its assessment of one’s candidature. For example, most MMIs will cover a range of topics in it’s stations, from motivation to study medicine to ethical debates and innovation in Medicine. This allows applicants to showcase their skills, dedication and motivation in more ways than one. Moreover, MMIs are considered to be a fairer judge of character as each individual station is marked independently of the others. Consequently, students have multiple chances to score highly in the interview as opposed to in a traditional setup, where candidature is assessed by one person or a single panel throughout. The medical interview is the practicing physician's most versatile diagnostic and therapeutic tool. However, interviewing is also one of the most difficult clinical skills to master. The demands made on the physician are both intellectual and emotional. The analytical skills of diagnostic reasoning must be balanced with the interpersonal skills needed to establish rapport with the patient and facilitate communication.The book covers the MMI structure in depth, providing comprehensive on how to handle the various stations you may encounter during your interview including role play, group discussions, prioritisation stations, graph analysis, ethical scenarios and many others. Medical Interviews - a Comprehensive Guide to Ct, St and Registrar Interview Skills: Over 120 Medical Interview Questions, Techniques and NHS Topics Explained full book You have mentioned quite a few problems and we may not have time to clarify all of them now. I can see that you are very worried about your finances. Those concerns will need further attention … and we will work on them. What I would like to do now is find out more about your chest pain and the fainting spell that you mentioned.