The acceptability of the multiple mini interview for resident selection

Abstract

Background and Objectives: This study describes and assesses the acceptability of the multiple mini interview (MMI) to both international medical graduate (IMG) applicants to family medicine residency training in Alberta, Canada, and also interviewers for Alberta's International Medical Graduate Program (AIMGP), an Alberta Health and Wellness government initiative designed to help integrate IMGs into Canadian residency training. IMGs are physicians who completed undergraduate medical education outside of Canada and the United States. IMGs who live in the Canadian province of Alberta may obtain a limited number of government-funded positions for residency training by applying to AIMGP. Methods: A literature review and faculty and medical community consultation informed the development of a 12-station MMI designed to identify non-cognitive characteristics associated with professionalism potential. Clinical scenarios were developed by family physicians and medical educators. Applicant and interviewer posttest acceptability was assessed using surveys. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis and thematic description. Results: Our research demonstrates evidence for applicant and interviewer acceptability of the MMI. Interviewers reported high levels of satisfaction with the time-restricted process that addressed multiple situations pertinent to the Canadian family medicine context. Applicants and interviewers were each satisfied that 8 minutes was enough time at each station. Applicants reported that they felt the process was free from gender and cultural bias. Interviewers agreed that this MMI was a fair assessment of potential for family medicine. Conclusions: Standardized residency selection interviews can be adapted to measure professionalism potential characteristics important to family medicine in ways that are acceptable to IMG applicants and interviewers.