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Kelly M*, Dowell J^, Husbands A^, Kropmans T*, Jackson A⌂, Dunne F*, O’ Flynn S₀, Newell J*, Murphy A*
2013
March
Medical Student Selection: Can Multiple Mini Interviews work in an Irish setting? – A feasibility study
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Unpublished
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Medical Student Selection: Can Multiple Mini Interviews work in an Irish setting? – A feasibility study
BACKGROUND Demand to study medicine far outweighs the number of places available, a need therefore exists for fair and transparent selection tools. The introduction of the Health Professions Admission Test has proved controversial.AIMThe aim of this study was to consider the feasibility of running a Multiple Mini Interview (MMI) as an alternative selection tool. MMI comprises a series of interview stations, each designed to measure performance on a different aspect of medical professionalism such as communication skills, team work, and ethical decision making (1). MMI is gaining popularity internationally based on its promising performance in terms of predictive validity. METHODS All students enrolled in First Year Medicine, NUI Galway, September 2012 were eligible. Ethical approval was granted by NUI Galway Research Ethics Committee. The MMI circuit consisted of 10 seven minute stations. Marking the MMI was carried out using OMIS software. Examiner training was conducted online and face to face. Five stations were interactive involving an examiner, an actor roleplaying a scenario and the candidate. Whereas five of the stations were interview based (one examiner: one candidate). Stations were scored across three domains and one global rating scale. RESULTS In total 109 students completed the MMI (45% of class). There were 49 examiners comprising senior clinical and academic staff. Nine simulated patients, nine senior-cycle medical students and three administrators, also participated. Each station was scored out of a total of 15. The median total score, out of 150, was 100 (min 63, max 129). Comparisons of scores on interactive stations versus interviews stations revealed median (min, max) of scores on interactive stations were 9 (3, 15) respectively, whereas interview stations total score were 11 (3, 15), (p>0.001), mean (95% CI) difference of – 1.7 (-2.01; -1.4). Within-station Cronbach’s Alphas for the 10 individual stations range from 0.75 to 0.91 with a mean of 0.84. Overall Cronbach’s Alpha of MMI items was 0.86. CONCLUSIONThis study demonstrated that it is feasible to hold a MMI with acceptable levels of reliability, in an Irish setting. Further work is required to establish the concurrent and predictive validity of MMI in this cohort of medical students.
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