Preparing for the MMI at the University of Calgary

Preparing for the Multiple Mini Interview (MMI) at the University of Calgary's Cumming School of Medicine is an opportunity to showcase not just your personal qualities but also your understanding of Alberta's unique healthcare landscape. By integrating deep insights into local health policies, current events, and social issues, you can provide nuanced, thoughtful responses that set you apart. Here's how to elevate your MMI performance:

The tips and policy guidelines below should give you a base of knowledge to start to think about how you can go that extra mile in your response. Everyone's going to have a good response, however, you need to ensure your response is GREAT not just good. A good example would be where you can state "this {answer} relates to {X policy} that was implemented just {Y} months ago, I thought this was an interesting initiative in the province of Calgary - although it would have been nice to see them do {your suggestions on the policy}"

Be genuinely informed, have opinions backed by evidence and research which you can express in an articulate manner, there is no right or wrong answer, although there is always an opportunity to demonstrate extraordinary deliberation.

Here's a comprehensive guide to help you excel:

1. Navigate Alberta's Unique Healthcare Policies with Precision

Alberta Health Services (AHS) Structure

• Centralization and Its Impacts: AHS is Canada's only fully integrated provincial health system. Understand how this centralization aims to streamline services but can also lead to challenges like bureaucratic delays and regional disparities.

• Actionable Tip: In your responses, discuss specific examples of how centralization affects patient care. For instance, mention the consolidation of resources during the COVID-19 pandemic and how it facilitated or hindered the provincial response.

Bill 30: Health Statutes Amendment Act

• Privatization Debate: Bill 30 has opened doors for private surgical facilities to deliver publicly funded procedures. This is a contentious issue, with debates about potential two-tiered healthcare emerging.

• Actionable Tip: When faced with ethical scenarios, delve into the complexities of privatization. Discuss the balance between reducing wait times and the risk of compromising equitable access. Reference specific sections of the bill and their potential impact on patient care.

2. Incorporate Current Events Thoughtfully

COVID-19 Response Nuances

• Dynamic Public Health Measures: Alberta's fluctuating restrictions, especially during the Delta and Omicron waves, provide a case study in public health decision-making.

• Vaccine Rollout Challenges: Issues like vaccine hesitancy, especially in rural areas, and the province's strategies to address them are critical.

• Actionable Tip: Use these examples to discuss the importance of evidence-based medicine and adaptability. Reflect on how you, as a future physician, can contribute to public trust and effective communication during health crises.

Opioid Crisis Intensification

• Specific Statistics: Alberta saw over 1,300 opioid-related deaths in 2021, a significant increase from previous years.

• Safe Supply Programs: The province's pilot programs for safe opioid supply and their reception among healthcare professionals and the public.

• Actionable Tip: In discussions about addiction, go beyond general statements. Address the ethical implications of harm reduction strategies versus abstinence-based approaches, using Alberta's programs as concrete examples.

3. Engage Deeply with Social Issues

Indigenous Health Disparities

• Historical Context: Acknowledge the intergenerational trauma from residential schools, with recent discoveries of unmarked graves amplifying the conversation.

• Local Initiatives: Programs like the Elbow River Healing Lodge in Calgary offer culturally appropriate care to Indigenous patients.

• Actionable Tip: When discussing cultural competency, reference specific initiatives and express a commitment to reconciliation. Suggest ways to integrate traditional healing practices with Western medicine, demonstrating respect and collaboration.

Rural Healthcare Access

• Physician Distribution Gaps: Despite making up 17% of Alberta's population, rural areas are served by only 12% of the province's physicians.

• Telehealth Advancements: The increased use of telemedicine during the pandemic and its potential to alleviate rural healthcare challenges.

• Actionable Tip: Propose innovative solutions, like enhancing telehealth infrastructure or incentivizing rural practice through policy changes. Show that you understand the logistical and cultural barriers to healthcare in these communities.

4. Delve into Environmental Health Concerns

Oil and Gas Industry Impacts

• Air and Water Quality Issues: Emissions and potential contamination from fracking and oil sands operations.

• Climate Change Effects: Alberta's higher-than-average greenhouse gas emissions contribute to climate-related health risks, such as wildfires affecting respiratory health.

• Actionable Tip: Discuss the physician's role in environmental advocacy. For instance, consider how you might support patients affected by pollution-related illnesses or participate in policy discussions about sustainable practices.

5. Reflect on University of Calgary's Specific Opportunities

Leverage the Cumming School of Medicine's Focus Areas

• Indigenous Health Education: The Indigenous Health Dialogue initiative aims to integrate Indigenous health education throughout the curriculum.

• Precision Medicine and Genomics: The university's leading-edge research in personalized medicine.

• Actionable Tip: Express interest in these programs. For example, mention how you might contribute to or benefit from the Indigenous Health Dialogue, aligning your aspirations with the school's strengths.