Sunday, January 23, 2011

Canadian Medical School Interview Questions

Big mean interviews. I'd always wanted to do a cross Canada trip. In 2009, in a way I did - only it involved many planes and me flying back and forth the nation every weekend for about a month - and even once while I was backpacking through Honduras (btw thanks, Toronto, for the short notice!).

In a few months, thousands of eager-eyed pre-meds will have been grilled by all sorts of medical "professionals" about their medical ambitions. Doesn't seem like it was so long ago that I was there myself. I still remember sitting in my living room with my wonderful roommate at the time practicing for medical school interviews.

I, of course, remember desperately googling tips and hints for schools. Wasn't easy, so here's my contribution back to the world of the pre-meds. Credentials? I did interviews at 4 Canadian schools (and even Australia as a backup) and was accepted into all but one school. So here goes:

Disclaimer: it's been several years and selection processes have surely been updated along the way.

University of Toronto:
Interview style: Panel (one 2nd year medical student, one doctor/health professional)

Unlike any of the other school I'd interviewed at, Toronto really knew my portfolio. They paired me a doctor who worked in my area of interest at the time (non-profit community health medicine). Their questions were fairly straight forward. Know your history well, strengths & weaknesses, learning experiences etc.


Other Schools: Here's a list of questions modeled after those that I actually had. No questions are actually from interviews, but they are very reflective of the ones I was asked.  Feel free to comment on how you'd answer.  I'll try to give some feedback.   

MMI Questions (good for University of Calgary, British Columbia, an Manitoba):


1. You and your best friend try out for the varsity track team. You just find out you got in, but your friend was rejected for the 3rd time. Enter the room.
2. It has been argued that wait times for organ transplants can be significantly sped up through surgeries and donations from other countries. You are a physician working with a patient who you noticed had recently gone to the Mexico to receive a liver transplant. What are the ethical issues involved?
3. You are a third year medical student involved in the research of Dr. A, a senior physician. He is testing the efficacy of a new drug on lowering cholesterol. This drug is not yet known be more effective that existing drugs on the market. He insists that you recruit patients for trials even though the clinical risks of the research are still undefined. What are the issues involved for the patients? For yourself?
4. What is the biggest accomplishment of your life? What is the biggest disappointment?
5. As medicine advances with technology, what are the pros and cons? Discuss your experience with use of technology.
6. Dr. Who is a physician for Mr. Bean and his wife. Dr. Who discovers that Mr. Bean has an STI. Mr. Bean does not wish to tell his wife . What should Dr. Who do? Explore the ethics surrounding this scenario.
7. You are a resident working in a team of several others for on call shifts. You and your partner just had a new baby. Would you re-adjust the call schedule? How? What problems do you foresee and how would you approach the problems?
8. You are a young, single doctor working in a small town of 1500. You meet an attractive male/female at the bar that you are interested in. What problems do you foresee?
9. You are a GP working in a community where the majority of patients have very little education and many are refugees from other nations. What challenges do you foresee?
10. Describe your experiences with physicians. What traits would you and/or would you not emulate?
11. Data has shown that doctors who smoke are less likely to make good role models for patients. Should doctors be allowed to smoke? Do doctors need to be role models?
12. You are a first year medical student who is doing above average in some subjects, and below average on others. What would you do in this situation? What resources would you access?
13. You are working in a clinic for street youth. A 16 year old girl comes in seeking sleeping pills that you do not think is appropriate for her. She says she will see another doctor if you do not prescribe them. What would you do?
14. You are a physician who has finished his or her day and decide it's appropriate to leave on time for the first time in months. You have promised to meet your family for dinner. You suddenly receive a phone call from Mrs. Black, a 87 year old patient in a nursing home long time, who wishes that you attend to her long-standing condition. She has been patient of yours for 15 years and refuses to see another doctor. What issues are involved? How would you approach this situation?

General MMI tips:
- Come up with personal experiences that you can apply to each of these situations. This allows you to personalize your answers. You don't a long list since each MMI station will have a new interviewer and you can always repeat experiences in your answers.
- Smile! A classmate of mine was recognized by a faculty member after she got it: "you're that girl that smiled a lot!"
- Sum up what you said at the end if you have time.
- DON'T RAMBLE! Silence is ok.

Wednesday, January 12, 2011

"coconut blood transfusion! It actually worked!"


It's been advertised like crazy. Off the Map (OTM), from the overly imaginative producers of Grey's Anatomy, fires onto cable television tonight. I'm not a follower of medical dramas whatsoever, but there was something that made me excited about this one. I've been a long time avid traveler (one continent left!) and have been been spearheading my faculty's global health department as well as gaining hands-on field experience myself. I guess it was this travel medicine bit that made me set the premiere on my iPhone calendar.

Well - my review is premature since I'm watching it as I type this (multitasking!). But let's look at the salient features of the show as well as some of the best lines I've heard on it.

Synopsis:
Young, good looking docs travel thousands of miles to re-discover why they entered medicine. Each has a different personal story, but they are bonded by their common need to run away from their life in the states. Within the first days of working, they are learn deep life lessons from the local seasoned doc and encounter riveting moments as the locals express profound gratitude for the American's altruism.

Hmmmmm...I can't even comment on this right now. I need to get a sweater to cover up my goosebumps.

Best lines:

"coconut blood transfusion! It actually worked!"
WTF?! Coconut transfusion? I can't wait to bring this up in the wards when I'm in the hospital during to an ER surgeon if we are ever low on the human donations. Just think how impressed he'll be. Sign me up for Gilligan's Island!

"I'm not a surgeon" - blond female doc
"Here, you're a surgeon........you're anything I need you to be." - the surgeon dude
I'm mentoring several groups going abroad this summer and if they pulled that on me, I'd sit them by the cow patties for a serious time out. Doctors who work outside of their skill set completely violate both basic global health ethics and medical ethics. You can't pretend to hone skills that you don't have just because you patients stem from lower resourced community. Can you imagine if a family doctor performed a triple bypass surgery on you? Yes - they WILL kill you.

"My grandma is 80 years old, but today because of you, she took her first real breath." *Tear*
Grandma reaches into bag and presents the sexy blond doc with a thank you chicken. *Insert chicken sounds*
This was actually probably the most realistic part of the show (minus the teary eyed patient). I remember a friend being presented a goat once when he was in Uganda. Back it went to the community.


Verdict?
To the 10th graders vying to be doctors, please take nothing away from this aside from the fact that doctors are obviously all gorgeous people. Apparently we are also all white (you can also be black, but only if you play a minor role in the show).

But let's take a serious look at global health and the show. My university has become a leader in filling in health gaps of lower-resourced communities. In fact, I just came back from workshop on it and am meeting the Dean of Medicine tomorrow about the future of it in our faculty.

I've been fortunate enough to learn first hand about the pillars that support the field: the ethics in working with developing nations, project development, acute disaster relief, cultural competency, needs assessment etc. OTM, like many other sugar-coated medical shows, glamorizes what medicine actually is. While doing so, it also completely distorts what it means to go abroad to practice medicine. Basic medical morals are thrown out the window and anything goes.

The show does have its merits though. For one, it fuels my fantasy that one day, medicine will actually be like that - I can save people with coconuts, fight my inner battles by saving a South American granny, and, along the way, hook up with a ton of hot young doctors who are also soul-searching.

Conclusions about OTM? I will probably stop watching the show here. It makes me angry that global health is presented in such a childish manner. But I will sleep soundly at night knowing that the public now has another reason to believe that docs working abroad are the modern sexy version of Mother Teresa.