Many medical and dental schools use multiple-mini interviews (MMIs) as part of their selection process.
This article will specifically focus on MMI prioritisation stations and MMI prioritisation tasks, which are popular amongst many medical school MMIs. It will explain what they are, how to answer them well, and give specific examples demonstrating how to approach these stations.
MMIs enable medical schools to see students in a variety of different situations, as the stations used in MMIs can vary from typical Q and A style to role-play scenarios. It also allows for a fairer interview process as students are evaluated by multiple interviewers.
Combine your reading here of medicine interview questions and model answers with medicine interview tutoring or 1-1 mock interviews to ensure even greater success in your interviews.
Prioritisation Stations: A Summary
Prioritisation stations require students to prioritise tasks/actions that have been presented to them in a scenario
Prioritisation stations assess communication skills, decision-making skills, time-management, critical thinking skills and understanding of ethical principles
The best way to improve on prioritisation questions is to practise, whether on your own, with a tutor or a friend/parent
Be prepared for your decisions to be questioned by your interviewer
General reading about medicine will help you gain confidence in answering the clinical-style questions, but remember that you are not yet a medical student so will not be expected to know the ins and outs of medicine!
👉🏻 Read more: Ultimate Medicine Interview Preparation Guide
What is an MMI Prioritisation Task?
This task is often presented throughout MMI as an “outside of the box” station. You will be asked to list objects or events in order of importance or priority, along with a justification of your answer.
Remember, there are no right or wrong answers; your explanation of why you have ranked your list the way you have is more important than the actual order generated.
Examples of prioritisation exercises include:
You are going on holiday with a suitcase of 30 items. At the airport, you are told the suitcase is above the weight limit and 15 items must be removed and left behind. In this hypothetical scenario, all 30 objects weigh the same and do not influence the number of items that have to be removed. How would you decide which items to leave behind?
This task requires you to be able to prioritise those items that are important to you. You may wish to prioritise them in any way you deem suitable. You could prioritise by:
How sentimental the item is for you (eg photograph of a loved one could be extremely important)
How valuable the item is in terms of price
How often you will use the item (eg sunscreen will be used every day but a novelty inflatable beach ball may be used once or twice)
How necessary it is on the holiday (eg passport is vital but flip flops can be bought on holiday)
There is no right answer here.
👉🏻 Read more: Answering Medical Ethics Questions
Example MMI Prioritisation Tasks
Here are 5 Example MMI Prioritisation Tasks:
Medical Equipment Prioritisation: You are a doctor in a remote clinic, and a supply helicopter is on its way. You have the option to request only three out of ten available medical equipment items. Which ones would you choose and why?
Island Survival Task: You find yourself stranded on a deserted island. You have access to ten different items but can only choose three to use for your survival. List the items you'd choose and explain your reasoning.
Space Mission Selection: You're the leader of a space mission to establish the first colony on Mars. Out of a list of ten professionals with different skills, you have to select four to accompany you. Who would they be and why?
Resource Allocation in a Pandemic: You are in charge of distributing limited medical resources during a pandemic outbreak. You have details of eight patients, including their age, medical history, and current health condition. You can only allocate resources to four of them. Which ones would you prioritise and why?
Historical Preservation Task: A fire has broken out in a museum, and you can only save three out of ten priceless artefacts. Which items would you choose to save and why?
👉🏻 Read more: Ultimate Medicine Interview Preparation Guide
MMI Prioritisation Tasks Structure
Students are given the scenario that will be used in the station, either verbally or written in front of them. Sometimes, the scenarios will be accompanied by a photograph or picture.
Students are given time to read the scenario, and then they will either be prompted within the written explanation, or by their interviewer, to discuss how they would deal with the given situation.
Example prompts include:
Which patient would you see first?
Talk through the steps you would take if you were faced with this situation.
Out of the eight people described in this scenario, you can only prioritise four of them. Who would you pick and why?
👉🏻 Read more: 280 Medical School Practice Interview Questions
Why are Prioritisation Stations used in MMIs?
Prioritisation stations are used by medical schools to assess a variety of key skills in students.
Decision-making - students must be able to make decisions and justify them in this station
Time management - MMI stations typically last between 5 and 10 minutes, so students will have to act quickly in this station
Communication - students must be able to effectively communicate their decisions to their examiner and answer any follow-up questions
Critical thinking - evaluation skills are key for prioritisation stations, especially when it comes to assessing the consequences of the actions that have been prioritised
Ethical understanding - some prioritisation stations will require the application of ethical principles that are vital for future medical students to understand
👉🏻 Read more: NHS Core Values
MMI Prioritisation Stations: 9 Top Tips To Succeed
Prioritisation stations can seem quite daunting, as there is a lot to consider in a small time frame. The following tips can help with approaching these stations.
Navigating the MMI prioritisation station can be a challenge, but with the right approach, you can excel. Here are some common missteps to steer clear of and ways to shine:
1) Start With Your Rationale (Key Tip)
It is very easy to start by simply stating your order and your justification. The best answers, however, will explain the rationale for their selection.
They may say something like: “The main thing that I would like to prioritise is patient safety and trust in the patient-doctor relationship. Therefore I would start with XXX which would allow XXX”. This is a key tip for MMI Prioritisation stations.
2) Verbalise Your Thoughts
In decision-making moments, it's essential to transparently convey your thought process. This not only showcases your analytical abilities but also builds trust. Consider a situation where you're asked to allocate a limited supply of water during a severe drought. It's not just about how much you give to which area, but the rationale behind the distribution. Is it based on population density, agricultural needs, or proximity to water sources?
Communicating the factors that influence your decisions provides a window into your analytical and empathetic thinking. Always be forthcoming with your reasoning to ensure clarity and understanding.
3) Embrace Adaptability
During some MMI prioritisation stations, the interviewer might question your decisions post-selection. If they present a compelling argument for an alternative choice, it's commendable to acknowledge their perspective.
While it might be tempting to staunchly defend your initial choices, demonstrating adaptability in light of new insights portrays you as open-minded rather than rigid.
4) Prioritise Patient Safety Always
When faced with dilemmas, always prioritise the well-being and safety of the patient. This might mean making tough decisions or sacrifices, but as a future medical professional, the patient's health and safety should always be at the forefront of your considerations - and as per tip 2, make sure that you verbalise that you are doing this.
5) Stay Informed and Updated
The medical field is ever-evolving, and new guidelines or protocols can emerge. Ensure you're up-to-date with the latest medical practices and guidelines. This knowledge can be invaluable in MMI scenarios, allowing you to make decisions that align with current best practices.
6) Expect The Unexpected
Some interviewers may not interrupt you as you discuss your answer, however, some may interject to ask you more about your choices or how you prioritised a certain patient/action. Try not to be put off by this and instead see it as an opportunity to showcase more of your knowledge and skills in adaptability
7) Justify Your Answers
When discussing how you would prioritise certain actions/people, you must be able to say WHY. Ensure that each of your points is backed up with sound reasoning to secure a better score on prioritisation stations
8) Practise, practise, practise
Find scenarios online, in books, or use the ones below. Recording yourself and listening back can help with developing your communication, time-keeping and justification skills
9) Body language
Ensure that you come across as engaging in these stations. It can be easy to fidget and talk quickly during prioritisation stations as there can be a lot of content to cover in your answers. However, it is better to talk at a good pace and cover fewer points in-depth than it is to cover more points that lack discussion and justification.
👉🏻 Read more: Answering Medical Ethics Questions
👉🏻 Read more: Medicine Interview Topics
Articulating Thoughts During MMI Prioritisation Stations
In Multiple Mini Interviews (MMI), vocalising your decision-making process during prioritisation tasks offers a clear insight into your analytical skills. This transparency not only underscores proficiency in MMI scenarios but also highlights strategic thinking.
This helps the interviewer follow your thought process - which is exactly what they are looking for here.
It is absolutely vital that you do this in MMI Prioritisation Exercises.
For instance, explaining why an umbrella might be prioritised over a water bottle demonstrates foresight.
Actively articulating thoughts can also help avoid common MMI missteps, emphasising a methodical approach. In the competitive world of medical admissions, clear communication during MMIs showcases a deep commitment to patient-focused care.
👉🏻 Read more: MMI Medicine Interview Tips Guide
Top 3 Common Mistakes in MMI Prioritisation Tasks and How to Avoid Them
1) Overthinking and Overcomplicating Decisions
Mistake
Many candidates fall into the trap of overthinking scenarios, leading them to make decisions that are overly complex or not directly related to the given situation. This can result in a lack of clarity and can make justifications harder to articulate.
How to Avoid
Always start with the basics. Break down the scenario into its core components and prioritise based on immediate needs and safety. Remember, sometimes the simplest solution is the best one.
Practice with a variety of scenarios to hone your instinct for prioritising effectively without overcomplicating things.
2) Failing to Justify Choices Clearly
Mistake
Even if a candidate makes the right choices, failing to explain their reasoning can leave interviewers unconvinced. Some candidates assume that the right choice is evident without explanation.
How to Avoid
Always verbalise your thought process. This not only shows that you're making informed decisions but also demonstrates your communication skills. Think of the "why" behind each choice you make and be prepared to explain it.
Practising with peers or mentors can help you get feedback on the clarity and effectiveness of your justifications.
3) Sticking Rigidly to Initial Choices
Mistake
Some candidates, when challenged on their decisions, become defensive or rigid, refusing to consider alternative perspectives or new information presented by the interviewer.
How to Avoid
Stay open-minded and adaptable. If an interviewer presents a new piece of information or a different perspective, take a moment to consider it and be willing to adjust your choices if necessary. This demonstrates flexibility, a key trait for medical professionals who often have to adapt to new information in real time.
Remember, it's not about being right from the start, but about making the best decisions with the information available.
👉🏻 Read more: 7 Tips to Ace Your Medical School Interview
Practising Prioritisation Stations
Prioritisation stations can be difficult to practise, as they take quite a bit of time to make up. However, there are multiple examples available below for you to use in your practice.
If you have a tutor with The UKCAT People, contact your tutor a few days before your session and see whether they can create some example Prioritisation stations for you to practise in your sessions.
Overall, the best way to practise is to:
Record yourself when practising - ideally audio and visual so you can analyse your body language as well. This will help with understanding how fast you talk and how much content you can typically cover in answers
Attempt prioritisation scenarios multiple times - this will help you get more concise in your explanations and learn buzzwords/phrases that work well for certain types of scenarios
Seek feedback - if you have a tutor, ask them for in-depth feedback when you practise prioritisation stations. If you know you need to work on something specifically, ask them to focus on that area when giving feedback
Use the examples below as frameworks for creating your own scenarios - you can change the scenarios slightly to create new practice material
👉🏻 Read more: Top Tips for Medicine Interviews
👉🏻 Read more: Medical Ethics Questions at Your Medicine Interview
MMI Prioritisation Exercise Example Questions For Medicine Interviews
Below are some example prioritisation examples, with advice on how to go about them.
Accident and Emergency
You are a foundation doctor working in A&E. Three patients have arrived with different illnesses/injuries. Please prioritise their treatment based on their conditions.
45-year-old patient with a deep cut on their leg that is bleeding heavily
30-year-old patient who has broken his arm
80-year-old patient with chest pain and slight difficulty breathing
Advice:
Demonstrate that you have assessed how severely unwell each patient is. You are not expected to know in-depth about this. For this scenario, you could explain that patient 3 is experiencing life-threatening symptoms due to his pain and not being able to breathe properly
In A&E scenarios, prioritise patients by how serious their symptoms are. In this scenario, patient 3 or patient 1 looks like they will need immediate help. Make sure to justify who you pick as the main priority, as the interviewer may try to change your mind.
Never forget the patient safety is always the priority.
Consider other factors in your answer, like age and any other illnesses mentioned. This will demonstrate to your interviewer that you are taking in the whole picture. For example, you could say that patient 3, due to his old age, needs to be seen immediately.
Ensure that you don’t ignore the least critical patient. In this scenario, patient b seems to be the most stable. Make sure you explain to the interviewer why you think this to demonstrate that you haven’t forgotten about them.
Community Health
You have the opportunity to design a community-based health programme for a local neighbourhood. The neighbourhood has several pressing health needs: high rates of diabetes, obesity and mental health disorders. There is limited funding and therefore currently only one health initiative can be funded. Which health problem would you choose to tackle in the health programme?
Advice:
This is a scenario where any answer is correct and therefore full justification is more important than ever
If you decided to fund an obesity-based healthcare initiative, you need to explain why NOT the others. For example, you could explain how managing obesity plays a big role in type II diabetes care and thus will help with this help problem also
Explain why the immediate health risks of your chosen condition are more important or need more attention than the health risks of the others. For example, if you picked obesity, explain that the link between heart disease and obesity is very strong and thus a healthcare initiative may help with morbidity related to obesity
Transplant ethics
Two patients need an organ transplant but only one organ is available. Both patients are of similar age, have similar medical backgrounds and their chances of survival without the transplant are very similar. You have been tasked with deciding which patient gets the transplant. How do you decide?
Advice:
This type of scenario is slightly different because it requires you to describe your thinking process in more detail
Talk about factors other than those that have been mentioned - have they had a previous transplant, how old are they, do they have families that will be impacted
It is important to discuss ethical principles in your answer, especially with regard to justice in this case
Ultimately, the interviewer will be looking for you to understand how hard it is to make these decisions, so it is also important that you discuss this
Below are some further MMI Prioritisation practice examples for you to use in your interview preparation:
Multi-disciplinary team: Hospital teams consist of many different professionals. For example, consultants, junior doctors, nurses, nurse specialists, physios etc. Discuss the different people present in hospitals and decide which three roles you think are the most important.
COVID ventilators: During the COVID pandemic, there were inadequate numbers of ventilators and thus they had to be rationed and given to those most in need. How would you decide, in a ward full of COVID-positive patients, who gets a ventilator?
👉🏻 Read more: Answering Medical Ethics Questions
👉🏻 Read more: 280 Medical School Practice Interview Questions
Frequently Asked Questions
What is the purpose of the MMI prioritisation station in UK medical school interviews?
It evaluates a candidate's ability to make decisions under constraints, showcasing their critical thinking and effective prioritisation skills.
Why do UK medical schools test prioritisation skills during interviews?
Medical professionals often face situations where they must make quick, accurate decisions in high-pressure environments. Prioritisation skills are crucial for handling such scenarios effectively.
Can you provide examples of tasks in MMI prioritisation stations?
Tasks might involve choosing essential items for a trip, determining the order of treating patients in an emergency or managing tasks in a busy clinical environment.
Is patient safety a key consideration in these tasks?
Absolutely. In any clinical scenario, ensuring the safety and well-being of patients should always be the top priority.
Is there a single correct answer in MMI prioritisation tasks?
Not necessarily. While some answers might be more appropriate than others, the rationale and thought process behind choices are often more important than the choices themselves.
What strategies can help candidates excel in MMI prioritisation stations?
Key approaches include verbalising thought processes, ensuring patient-centric decisions, and understanding that multiple answers might be valid if justified correctly.
What pitfalls should candidates be wary of during these stations?
Common missteps include rushing decisions, being inflexible when presented with feedback, and not aligning choices with medical professional standards.
How does the prioritisation station reflect real-world medical scenarios?
In real-world settings, medical professionals frequently face situations with limited resources or time. This station simulates such scenarios, assessing a candidate's capacity to handle them.
Are there techniques to help verbalise decision-making processes effectively?
A running commentary on why certain choices are made, the pros and cons considered, and potential implications can offer interviewers insight into a candidate's thought process.
How can aspiring medics best prepare for MMI prioritisation tasks?
Practice with diverse scenarios, always keeping patient welfare in mind, and seeking feedback on decision-making rationale can be immensely beneficial.
Conclusion
If you have an upcoming MMI, you will likely encounter a prioritisation station. Therefore, it is important to have a good understanding of how to deal with them.
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