Example Ethical Scenario Questions
The largest amount of MMI questions you’ll get have to do with ethics in healthcare. These ethical questions allow you to demonstrate your understanding of bioethics, as well as how you handle stressful situations.
You may be asked to role-play with someone else or simply describe your thought process of how you would react.
Here are some sample questions that may be indicative of the ethical dilemmas you can expect to be faced with:
- Role-play: You’re working in an emergency room and offer a life-saving blood transfusion to a patient. Your patient has lost enough blood that they are unconscious and unlikely to survive without the transfusion. The patient’s spouse says that transfusion is against their cultural beliefs and refuses the treatment. Discuss this with the spouse.
- Role-play: During a community health outreach program, you encounter a family that is refusing vaccinations for their children due to their beliefs. The children are at high risk for contracting preventable diseases. Enter the room and talk to the family.
- Role-play: You are working in a mental health clinic, and an aging patient with severe anxiety is scheduled for a procedure that is crucial for their health. They are extremely anxious and considering canceling the procedure. Enter the room and counsel the patient to ensure they receive the necessary care.
- Role-play: You are a physician, and you suspect that one of your colleagues is coming to work under the influence of alcohol. Speak to your colleague about your concerns and discuss the steps you will take to ensure patient safety.
- Role-play: Your patient is a minor. She feels an abortion is the right choice for their situation but asks you to keep her decision from her parents. Talk to her about patient confidentiality as well as the impact of her request.
- You are tasked with delivering a diagnosis of a terminal illness to a patient who has expressed a strong desire to know the truth about their condition. However, their family insists that you withhold this information from the patient. How would you approach this conversation?
- You are a resident physician, and you suspect that one of your colleagues is performing procedures without following accepted safety guidelines. How do you address this situation to ensure patient safety and support your fellow medical professional?
- A patient who has been experiencing chronic pain is seeking alternative medicine treatments that you believe aren’t scientifically validated and could be harmful. How do you help the patient make an informed decision while respecting their autonomy?
- During your clinical rotations, you are assigned to a ward where a patient with a language barrier needs immediate medical attention, and it’s the first time you can think of when an interpreter isn’t available. How do you ensure that the patient receives the appropriate care and understands the treatment plan?
- You are working in a busy hospital and have multiple urgent cases that require your attention simultaneously. One of the patients is a young child with a critical condition, and another is an elderly patient with severe chest pain. How do you prioritize your tasks and manage the situation?
- You are part of a team providing care to a patient with advanced dementia who is refusing to eat and drink. Their family is very distressed and insists on aggressive intervention, while the patient has an advance directive requesting no such measures. How do you navigate this dilemma?
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Example Character Development Questions
In order to demonstrate your personal character, your interviewers may ask you questions related to or unrelated to healthcare. Role play questions are possible. I’ve found there will likely be fewer character questions than there are ethical questions during the course of MMI scenarios you encounter.
Below are some example character development questions:
- Role-play: You are working in a busy hospital and have multiple urgent cases that require your attention simultaneously. Explain to your supervisor how you will prioritize your tasks and manage the situation.
- Role-play: You’re faced with a situation where you have to break bad news to a patient about their prognosis. Enter the room and have this delicate conversation with the patient.
- Role-play: You have promised your friend that you would go to their wedding. One day before the wedding, your mom has a heart attack and is hospitalized. Enter the room and talk to your friend.
- You are conducting a public health education session in a community with low health literacy. One of the participants is spreading misinformation about a common medical condition. How do you address this misinformation and ensure the group receives accurate information?
- You are assigned to a team project in medical school, and one of your teammates consistently fails to meet deadlines and contribute to the work. This is affecting the overall progress of the project. How do you handle this situation?
- You are a medical student on a surgical rotation, and you notice that the operating room team is not following proper sterile technique. How do you address this issue without disrupting the procedure?
Example Teamwork Questions
You’ll probably see fewer teamwork questions than the other two types of questions. To test how well you collaborate and problem-solve with other people, these scenarios are generally more likely to be structured as two-person teams responsible for putting something together.
For instance, there might be a printed design for a Lego design that only one of you can see. Using verbal instructions only, one person may be asked to instruct the other on how to create the design. Sometimes, you’ll give instructions to your interviewer but won’t be paired with a second interviewee.
These MMI interview questions are designed to emulate how you handle being required to communicate with another person when one or both of you lack some of the crucial information to do your part of a task. This will come up all the time as a physician!
How to Answer MMI Questions
Be authentic while demonstrating your understanding of ethical issues and strong character in healthcare. MMI questions are not trying to trick you; they’re written to ensure you have a developed sense of integrity, communication, and other soft skills vital to be a successful doctor.
Follow my ideal steps to ensure you’re answering MMI questions as best as possible:
- Make sure you understand the situation. Clarify details.
- Treat role-play scenarios like a real-life situation. Don’t joke around; take them seriously.
- Present all applicable viewpoints with empathy.
- Apply medical ethics to the situation, including autonomy, beneficence, non-maleficence, and justice.
- Propose a balanced solution.
- Reflect how and why you arrived at this solution.
Read More: How to Apply to Medical School
Preparation Tips
While there are many ways to prepare for traditional one-on-one interviews with standard follow-up questions, MMIs are so unique, so how do you prepare as an interviewee?
Below are my basic tips for MMI prep:
- Brush up on modern bioethical concepts, including autonomy, justice, beneficence, and non-maleficence.
- Research common teamwork skills and determine where you may be lacking.
- Don’t memorize questions or answers. Actually practice answering non-acting questions with friends, colleagues, or family. These mock interviews can help you with critical thinking as well as communication skills.
- Practice role-playing scenarios with your most theatrically minded peers. Get comfortable with acting out ethical situations that you might experience during MMIs. Practice demonstrating competencies on the spot.
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