Medical School and Residency Interviews: Questions Applicants Should Ask

Years ago when I was an assistant residency director, I interviewed a candidate who asked such a detailed question about our training program that even I couldn’t answer it. I was impressed! After all, that meant she had really done her due diligence. Plus, given how much research she had done, it seemed she was considering us seriously.

Reciprocal liking is the psychological principle that we like people more when we think they like us. One way to demonstrate that you like a residency program or medical school is to show enthusiasm by knowing details about the institution. And then, according to the rules of reciprocal liking, the program or school may be more interested in your candidacy.

As you prepare for your interviews, research the institution thoroughly and prepare customized questions. Know details about the curriculum, extracurricular opportunities, research, funded experiences, geography, patient population, the neighborhood where students/residents live, and anything else especially distinctive to the institution.

Do they have an associated free clinic where you could work? Know the facility’s name. Do they have a funded international opportunity? Know the criteria for qualifying.

In reality, if you’re interested in spending at least 3 to 5 years at a program or school, it’s logical you’ll have many detailed questions you want answered. 

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Medical School and Residency Interview Practice: Is AI a Good Option?

During the pandemic, I wanted to maintain my Spanish proficiency and improve my facility with the language. A friend recommended a Spanish teacher who lived in Guatemala and offered lessons virtually. I took ten one-hour classes with the tutor, conversing with her throughout the sessions and doing homework in between. She pointed out grammatical mistakes I didn’t know I was making and highlighted subtle country-specific vocabulary. The classes were challenging, but I learned, improved, and felt satisfied after each one.

I tell this story because I recently saw a post in which one student suggested that another use AI for medical school interview practice. Like everything with AI, this approach has benefits and disadvantages.

AI is free and accessible, but it hasn’t been involved in admissions decisions and can’t offer experienced advice. So while AI can suggest endless questions, it can’t provide seasoned, nuanced feedback. AI can also be obsequious. While that might make an applicant feel less anxious about a mock interview, it’s critical to have a veteran interviewer offer strategy and feedback in a kind but effective way, like my Spanish tutor did. 

I recently heard that some people are practicing foreign language conversation with AI. Although Claude is fantastic for other tasks, I’m eager to improve, so I continue to practice with my fluent Spanish-speaking friends and family: I need to challenge myself fully and learn from subtle cues that only an experienced speaker can provide.  

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Residency and Medical School Interviews: Ain’t it the Truth?

I’ve mentioned my fondness for Your College Bound Kid, a podcast on college admissions. This week I heard a discussion that will also resonate with medical school and residency applicants:

In episode 677, host Mark Stucker (who is famously gentle) mentions that he’s still angry – twenty years later – about the following scenario: A student said that the school Mark was representing was the applicant’s first choice. Mark reports expending significant political capital to get the applicant through committee only to find out later that the candidate had told four schools the same thing. He reports he’s still salty from the experience. (The co-host he’s speaking to gasps when he tells the story.) 

Mark reminds college applicants not to overpromise. “Don’t couch things in definitive terms” is his advice, and I couldn’t agree more. Years ago, during a residency interview, an applicant promised to place my institution’s program first on his NRMP rank list. When we ranked him to Match and he didn’t, my colleagues noted that he had dissembled (although they used stronger language) and promised to remember him if he applied for any positions going forward. Of course, applicants change their minds, but institutions are understandably frustrated by empty promises. Don’t fall into the trap of making promises you might not keep during your medical school and residency interviews.

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Not Quite What I Was Planning

Years ago, I read a beautiful book called Not Quite What I Was Planning: Six-Word Memoirs by Writers Famous and Obscure edited by Larry Smith and Rachel Fershleiser. The premise, based on Ernest Hemingway’s short story, “For sale: baby shoes, never worn,” is that contributors summed up their lives in six words. Famous participants include Margaret Atwood and Stephen Colbert, among others.

I thought about the book last year when I was at my medical school reunion. A dozen of us sat around a round table and talked about what we had been up to for the last 30 years. After we finished, we concluded that the overriding theme was that all of us were doing something different than what we thought we would be doing. I found that concept refreshing, and I suspect it might reassure current students who feel burdened with big decisions. This year, “Not Quite What I Was Planning” is the theme for my college reunion’s Class Panel. 

Check out the book!

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Check out these MMI Quick Tips

Although many medical and dental school interviews remain traditional, some institutions utilize a multiple mini interview (MMI) format. The MMI leverages several timed stations to assess applicants’ interpersonal skills and judgment.

A few things to note about MMI interview questions:

1) First, read the school’s description of its format: How many minutes do you have to prepare with the prompt? How long are the stations in total and how many are there?  Should you expect role-play scenarios? Understanding the structure will help decrease stress and improve performance.

2) MMI questions are not always medically-related. You may be asked to manage an everyday problem (e.g. a disagreement at the supermarket). 

3) Schools try to assess whether you can skillfully employ important techniques and demonstrate professionalism. Underlying topics may include your ability to offer effective counseling, understand patient-doctor confidentiality, diffuse a heated situation, or admit wrongdoing.

4) Perhaps most importantly, many MMI queries overlap with “traditional” interview questions. You need to be highly prepared for conventional questions (e.g., What are your three greatest strengths?).

It’s important that you practice thoroughly before your medical or dental school interview. Even if you have excellent social skills, there are techniques you should hone to expertly manage the challenging MMI format. Contact me for personalized practice and guidance.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital. She was appointed to the Assistant Residency Director position for the Harvard Affiliated Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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Listen to Dr. Finkel’s interview on The Visible Voices podcast: 

 

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