Hofmeister Marianna, Lockyer Jocelyn, Crutcher Rod
University of Calgary, Health Research Centre, Calgary, Alberta.
Fam Med. 2008 Nov-Dec;40(10):734-40.
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.
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.
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.
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.
本研究描述并评估多重迷你面试（MMI）对于申请加拿大艾伯塔省家庭医学住院医师培训项目的国际医学毕业生（IMG）以及艾伯塔国际医学毕业生项目（AIMGP）面试官的可接受性。AIMGP是艾伯塔省健康与福利部发起的一项政府倡议，旨在帮助IMG融入加拿大住院医师培训。IMG是指在加拿大和美国境外完成本科医学教育的医生。居住在加拿大艾伯塔省的IMG可通过申请AIMGP获得有限数量的政府资助住院医师培训名额。
通过文献综述以及与教职员工和医学界的磋商，开发了一个包含12个站点的MMI，旨在识别与职业素养潜力相关的非认知特征。临床情景由家庭医生和医学教育工作者制定。通过调查评估申请人和面试官测试后的可接受性。定量数据采用描述性统计进行分析，定性数据采用内容分析和主题描述进行分析。
我们的研究证明了MMI对于申请人和面试官具有可接受性。面试官对这种限时流程表示高度满意，该流程涉及了与加拿大家庭医学背景相关的多种情况。申请人和面试官都认为每个站点8分钟时间足够。申请人表示他们觉得该流程不存在性别和文化偏见。面试官一致认为这种MMI是对家庭医学潜力的公平评估。
标准化的住院医师选拔面试可以进行调整，以一种IMG申请人和面试官都能接受的方式来衡量对家庭医学重要的职业素养潜力特征。
