📚 Strategy Guide

MMI Tips & Strategy

🎯

The SPIKES Protocol

For delivering bad news
  • S — Setting: Ensure privacy and comfort
  • P — Perception: Assess what the patient already knows
  • I — Invitation: Ask how much the patient wants to know
  • K — Knowledge: Share the information clearly and compassionately
  • E — Empathy: Respond to emotions with empathy
  • S — Summary: Summarize and discuss next steps

The STAR Method

For behavioral questions
  • S — Situation: Set the context with a brief background
  • T — Task: Describe your responsibility or challenge
  • A — Action: Explain the specific steps you took
  • R — Result: Share the outcome and what you learned
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Ethical Decision Framework

For ethical dilemma questions
  • Autonomy: Respect the patient's right to make their own decisions
  • Beneficence: Act in the best interest of the patient
  • Non-maleficence: Do no harm
  • Justice: Treat all patients fairly and equitably

💎 General Tips

  • 1Take a moment to think before answering — silence is okay
  • 2Structure your answer: acknowledge, analyze, conclude
  • 3Show empathy and compassion in every scenario
  • 4There's rarely one 'right' answer — it's about your reasoning process
  • 5Always consider multiple perspectives (patient, family, team, system)
  • 6Be genuine and authentic — interviewers can spot rehearsed answers
  • 7Practice with a timer to build comfort with time pressure
  • 8Avoid being judgmental — especially on ethics questions
  • 9Connect your answers to real PA practice when possible
  • 10End strong — summarize your key point clearly