📚 Strategy Guide
MMI Tips & Strategy
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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
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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