Speed dating techniques to screen medical students

Speed dating techniques to screen medical studentsSpeed dating to find the next generation of doctors? Well, yes, in a way.

The New York Times recently wrote about the admissions process at Virginia Tech Carilion, where students are chosen as much for their interpersonal qualities as their academic aptitude.

Using the so-called “multiple mini interview,” prospective medical students are ushered in a series of 9 interviews, each designed to test how they would respond to different scenarios and ethical dilemmas.

Here’s how it works:

At Virginia Tech Carilion, 26 candidates showed up on a Saturday in March and stood with their backs to the doors of 26 small rooms. When a bell sounded, the applicants spun around and read a sheet of paper taped to the door that described an ethical conundrum. Two minutes later, the bell sounded again and the applicants charged into the small rooms and found an interviewer waiting. A chorus of cheerful greetings rang out, and the doors shut. The candidates had eight minutes to discuss that room’s situation. Then they moved to the next room, the next surprise conundrum and the next interviewer, who scored each applicant with a number and sometimes a brief note.

The school asked that the actual questions be kept secret, but some sample questions include whether giving patients unproven alternative remedies is ethical, whether pediatricians should support parents who want to circumcise their baby boys and whether insurance co-pays for medical visits are appropriate.

I like it.

There’s more to becoming a doctor than book smarts and high grades.  With today’s emphasis on patient safety, communication skills are critical, and arguably just as important as clinical acumen.

Not only do tomorrow’s doctors need these skills to treat patients, they need to work collaboratively in teams and with their peers.  Especially with the changes health reform is making to the profession, doctors need to be comfortable both leading, and being part of, teams.

If this technique of screening medical school applicants spreads, as it should, gone will be the days of the technically proficient, but socially inept, doctor.

Kevin Pho is an internal medicine physician and on the Board of Contributors at USA Today.  He is founder and editor of KevinMD.com, also on FacebookTwitter, and LinkedIn.

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  • http://www.facebook.com/people/Terence-Ivfmd-Lee/1523282856 Terence Ivfmd Lee

    Fascinating original idea! I wonder if it would benefit the candidates to give an answer that is politically correct moreso than one that is the most ethically correct.

    • http://www.facebook.com/brianpcurry Brian Curry

      I’m struggling to imagine such a scenario.

      • http://www.facebook.com/people/Terence-Ivfmd-Lee/1523282856 Terence Ivfmd Lee

        It may not be instantly obvious, but think about who will be doing the interviewing and what their politician views might be.

        In my opinion, ethics should be universal, meaning any rules that we agree upon should pass the litmus test of being as applicable to person A as to person B as to person C, regardless of race, age, gender, social designation etc. However, a practicing “real-world” physician might be more likely to adhere to these principles in his ethical world view, while a more “academician” physician might think more rigidly. I use the word, “might”, because not all academicians are this way, but I sense there is a trend towards this.

  • http://EasyOpinions.blogspot.com/ Andrew_M_Garland

    Dr. Pho,

    You REALLY think this is a good idea? You intend to choose medical school applicants, not on the material they are supposed to have learned, but on their “social aptness” and their response to ethical conundrums? In other words, make a completely subjective performance the basis for selection or rejection. I see lawsuits in the future.

    You want to grade “communication skills” (above a certain minimum) as important as “clinical skills”, meaning intelligence, logic, and relevant science and medical knowledge. That just puzzles me.

    Or, you could put courses in social aptitude, ethics, communication skills, and conundrums into the pre-med curiculum. A good student would then know the answers to this “speed dating” selection mechanism. But then, most of the novelty and fun would go out of it.

    • http://www.kevinmd.com kevinmd

      It’s not either-or. Of course academic acumen will continue to play a role. But it should be better balanced with an applicant’s social and communication skills.

      • http://EasyOpinions.blogspot.com/ Andrew_M_Garland

        To KevinMD,

        Here is a somewhat negative interpretation of what you have written.

        “Of course, years of successful academic training will continue to have some weight, but this will be balanced against a final interview where we will apply subjective criteria such as “I like your personality and style and how you think on your feet”.

        If you are not teaching “communication skills” and the other qualities measured by the speed-interview, then it seems arbitrary and subjective, especially when this is applied at the end of pre-med training. It would be merciful to reject candidates on these criteria at the beginning. Tell them up front that their personality is no good and they should aim for an MBA instead.

    • http://www.facebook.com/profile.php?id=10705620 Andrew Moore

      Mr. Garland, 

      You have failed to take into account the fact that every individual who reaches the interview stage of medical school admissions meets the GPA, MCAT, and extracurricular standards of that medical school. This unique interview process provides a methodology for further parsing out a cohort of highly qualified individuals.  As a member of Virginia Tech Carilion’s Class of 2014, I can guarantee you that personality did not override academic prowess (Average MCAT is 33).  

      -A. Moore