Education THE MULTIPLE MINI-INTERVIEW FOR EMERGENCY MEDICINE RESIDENT SELECTION Laura R. Hopson, MD,* John C. Burkhardt, MD, MA,*† R. Brent Stansfield, PHD,† Taher Vohra, MD,‡ Danielle Turner-Lawrence, MD,§ and Eve D. Losman, MD* *Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, †Department of Medical Education, University of Michigan, Ann Arbor, Michigan, ‡Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan, and §Department of Emergency Medicine, Oakland University, William Beaumont School of Medicine, Rochester, Michigan Reprint Address: Laura R. Hopson, MD, Department of Emergency Medicine, University of Michigan, 1500 E. Medical Center Drive, TC B1 382, Ann Arbor, MI 48109-5305 , Abstract—Background: The Multiple Mini-Interview (MMI) uses multiple, short-structured contacts to evaluate communication and professionalism. It predicts medical school success better than the traditional interview and application. Its acceptability and utility in emergency med- icine (EM) residency selection are unknown. Objective: We theorized that participants would judge the MMI equal to a traditional unstructured interview and it would provide new information for candidate assessment. Methods: Seventy- one interns from 3 programs in the first month of training completed an eight-station MMI focused on EM topics. Pre- and post-surveys assessed reactions. MMI scores were compared with application data. Results: EM grades corre- lated with MMI performance (F [1, 66] = 4.18; p < 0.05) with honors students having higher scores. Higher third-year clerkship grades were associated with higher MMI perfor- mance, although this was not statistically significant. MMI performance did not correlate with match desirability and did not predict most other components of an application. There was a correlation between lower MMI scores and lower global ranking on the Standardized Letter of Recom- mendation. Participants preferred a traditional interview (mean difference = 1.36; p < 0.01). A mixed format (tradi- tional interview and MMI) was preferred over a MMI alone (mean difference = 1.1; p < 0.01). MMI performance did not significantly correlate with preference for the MMI. Conclu- sions: Although the MMI alone was viewed less favorably than a traditional interview, participants were receptive to a mixed-methods interview. The MMI does correlate with performance on the EM clerkship and therefore can mea- sure important abilities for EM success. Future work will determine whether MMI performance predicts residency performance. Ó 2014 Elsevier Inc. , Keywords—graduate medical education; residency selection; Multiple Mini-Interview; professionalism; communication INTRODUCTION Selection of appropriate residency candidates is a high- stakes process for both the training program and appli- cant. In medical school admissions, traditional measures of applicant quality, such as interviews, medical college admission tests, and grade-point average, have fared poorly in predicting medical school performance (1À4). Current literature in emergency medicine (EM) suggests that the best predictors of residency performance include clerkship grades and quality of medical school attended (5). However, research at a Canadian Family Medicine residency suggests that although interviews and application files can correctly predict outstanding res- idents, they are insensitive for identifying potential ‘‘problem’’ residents (4). RECEIVED: 27 January 2013; FINAL SUBMISSION RECEIVED: 23 July 2013; ACCEPTED: 23 August 2013 537 The Journal of Emergency Medicine, Vol. 46, No. 4, pp. 537–543, 2014 Copyright Ó 2014 Elsevier Inc. Printed in the USA. All rights reserved 0736-4679/$ - see front matter http://dx.doi.org/10.1016/j.jemermed.2013.08.119