Preparing for the MMI at the University of Saskatchewan College of Medicine

Preparing and then truly succeeding in the Multiple Mini Interview (MMI) at the University of Saskatchewan requires more than general interview skills; it demands a deep understanding of the province's unique healthcare landscape, current events, social issues, and local health challenges.

By incorporating this knowledge into your responses, you can demonstrate your commitment to the community and your readiness to contribute meaningfully as a future physician.

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 Saskatchewan - 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 and prep for the MMI for the University of Saskatchewan:

1. Understand Saskatchewan's Unique Healthcare Policies

Birthplace of Universal Healthcare (a cool little fact)

• Historical Significance: Saskatchewan is renowned as the birthplace of Canada's universal healthcare system. In 1947, under Premier Tommy Douglas, the province introduced publicly funded healthcare, which became a model for the entire country.

• Implication for Physicians: This legacy underscores a strong provincial commitment to accessible and equitable healthcare for all residents.

Saskatchewan Health Authority (SHA)

• Consolidation Efforts: In 2017, Saskatchewan amalgamated 12 regional health authorities into the SHA to streamline services and improve patient care. (knowledge to potentially leverage)

• Integrated Service Delivery: The SHA focuses on delivering seamless healthcare services across urban, rural, and remote areas, emphasizing patient-centered care.

Unique Policy Initiatives

• Team-Based Care: Policies promote interdisciplinary teams to address complex health needs, particularly in chronic disease management.

• Primary Health Care Networks: These networks aim to improve access to primary care by connecting patients with various healthcare providers.

Tip: Discuss how you can contribute to and thrive in an integrated, team-based healthcare environment. Show appreciation for Saskatchewan's pioneering role in universal healthcare and how it shapes your values.

2. Stay Informed on Current Healthcare Policy Events

Rural and Remote Healthcare Challenges

• Physician Shortages: Rural communities face significant shortages of physicians and specialists, impacting access to care.

• Retention Programs:

  • Rural Physician Incentive Program (RPIP): Offers financial incentives to physicians who practice in underserved areas. (knowledge to potentially leverage)

  • Return-of-Service Agreements: Medical students receive support in exchange for a commitment to work in rural Saskatchewan after graduation.

• Telehealth Expansion:

  • Virtual Care: Investments in telemedicine platforms like the Saskatchewan Telehealth Network are bridging gaps in access.

  • Remote Monitoring: Programs allow patients to receive care while staying in their communities.

Tip: Express your willingness to serve in rural or remote areas. Discuss how embracing technology and innovative care models can enhance patient outcomes.

Mental Health and Addictions Strategy

• Opioid Crisis:

  • Statistics: Saskatchewan has seen a rise in opioid-related deaths, with Indigenous communities disproportionately affected.

  • Response: Implementation of harm reduction strategies, including increased availability of naloxone kits and supervised consumption services.

• Suicide Prevention:

  • Pillars for Life Strategy: A provincial plan focusing on reducing suicide rates through community engagement and culturally appropriate interventions.

Tip: Highlight the importance of mental health integration into primary care. Discuss how you would approach substance use disorders with compassion and evidence-based practices.

3. Engage with Relevant Social Issues

Indigenous Health and Reconciliation

• Health Disparities:

  • Chronic Diseases: Higher prevalence of diabetes, heart disease, and mental health issues among Indigenous populations.

  • Access to Care: Barriers include geographical isolation, cultural differences, and systemic racism.

• Truth and Reconciliation Commission (TRC) Calls to Action:

  • Call #19: Emphasizes closing the gaps in health outcomes between Indigenous and non-Indigenous communities.

  • Call #22: Advocates for recognizing the value of Indigenous healing practices.

• Miyo Māhcihowin (“Good Health and Well-being”):

  • SHA Initiative: A strategy to improve Indigenous health through collaboration, cultural responsiveness, and addressing social determinants of health. (knowledge to potentially leverage)

Tip: Demonstrate cultural humility and a commitment to lifelong learning about Indigenous cultures. Discuss how you would incorporate culturally safe practices into your care.

Social Determinants of Health

• Economic Inequality:

  • Poverty Rates: Saskatchewan has higher-than-average poverty rates, particularly in single-parent and Indigenous households.

  • Impact on Health: Economic hardship leads to food insecurity, inadequate housing, and limited access to healthcare services.

• Education and Employment:

  • Education Gaps: Lower high school completion rates in rural and Indigenous communities affect health literacy.

  • Unemployment: Job scarcity in certain regions contributes to stress and mental health issues.

Tip: Acknowledge how social determinants affect patient health. Discuss the role of physicians in advocating for policies that address these root causes.

4. Be Aware of Local Current Health-Related Topics

COVID-19 Pandemic Response

• Vaccination Campaigns:

  • Targeted Outreach: Efforts to increase vaccine uptake in hesitant populations, including door-to-door campaigns and mobile clinics.

  • Saskatchewan VaxWallet: Digital proof of vaccination initiative to facilitate safe reopening.

• Healthcare System Strain:

  • ICU Capacity: The province faced critical ICU bed shortages during surges, leading to patient transfers out of province.

  • Healthcare Worker Burnout: Staff shortages and burnout have become pressing concerns.

Tip: Reflect on the importance of public health measures, interprofessional collaboration, and resilience in the face of healthcare crises.

Chronic Disease Initiatives

• Diabetes Prevention and Management:

  • Indigenous-Led Programs: Culturally tailored interventions like the "Kisêwâtisiwin" program focus on holistic wellness.

  • Saskatchewan Pediatric Endocrinology and Diabetes Program: Supports children with diabetes through multidisciplinary care.

• Cancer Control Efforts:

  • Saskatchewan Cancer Agency: Emphasizes early detection programs, such as the Screening Program for Colorectal Cancer.

  • HPV Vaccination Program: Expanded to include boys and high-risk populations to reduce cervical and other cancers.

Tip: Discuss your interest in preventative care and patient education. Highlight the importance of early intervention in improving health outcomes.

5. Align with the University of Saskatchewan College of Medicine's Values

Social Accountability

• Mission Statement: The College is committed to improving the health and well-being of the people of Saskatchewan and beyond.

• Community Involvement:

  • Student-Led Clinics: Initiatives like the Student Wellness Initiative Toward Community Health (SWITCH) provide care to underserved populations. (knowledge to potentially leverage as a possible future medical student)

  • Global Health Committee: Encourages student participation in local and international health projects.

Tip: Share experiences that demonstrate your commitment to service and social responsibility. Express how you plan to contribute to these initiatives.

Research and Innovation

• One Health Initiative:

  • Interdisciplinary Approach: Focuses on the interconnectedness of human, animal, and environmental health.

  • Research Opportunities: Areas include infectious diseases, vaccine development, and zoonotic diseases.

• VIDO (Vaccine and Infectious Disease Organization):

  • Global Leader: Based at the University of Saskatchewan, VIDO is renowned for its work on vaccines, including COVID-19 research.

Tip: If you have research experience or interests, discuss how you can contribute to ongoing projects, emphasizing their local and global impact.

6. Prepare for Ethical Scenarios with Local Context

Resource Allocation

• Rural vs. Urban Disparities:

  • Scenario: Deciding how to allocate limited resources, such as ICU beds or specialist services, between rural and urban patients.

  • Considerations: Equity, fairness, and maximizing overall benefit.

Tip: Apply ethical principles like justice and beneficence. Show that you can navigate complex decisions with compassion and fairness.

Cultural Sensitivity in Patient Care

• Traditional Healing Practices:

  • Scenario: A patient wishes to incorporate traditional Indigenous medicine alongside conventional treatments.

  • Considerations: Respecting patient autonomy, ensuring safety, and integrating care plans.

Tip: Emphasize the importance of open communication, mutual respect, and collaborative decision-making.

7. Enhance Your Communication Skills

Language and Cultural Barriers

• Plain Language Communication:

  • Health Literacy: Tailoring your language to match the patient's understanding without using medical jargon.

  • Visual Aids: Utilizing diagrams or models to explain complex concepts.

• Use of Interpreters:

  • Access Services: Knowing how to arrange for language support when needed.

Tip: Provide examples of how you've adapted your communication style to meet diverse needs. Highlight active listening and empathy.

Building Trust

• Addressing Mistrust:

  • Historical Context: Awareness of past injustices that may affect patient trust in healthcare providers.

  • Consistency and Reliability: Following through on promises and being a dependable presence.

Tip: Discuss strategies to build rapport, such as spending extra time with patients and involving them in care decisions.

Final Thoughts

By delving deeply into Saskatchewan's healthcare policies, current events, social issues, and local health topics, you can provide insightful and tailored responses during your MMI. This depth of understanding demonstrates your genuine commitment to the community and readiness to address the unique challenges faced by the province.

Key Strategies:

• Be Specific: Reference actual programs, statistics, and policies relevant to Saskatchewan.

• Show Insight: Analyze how these factors influence healthcare delivery and patient experiences.

• Demonstrate Commitment: Reflect on how your goals align with the University of Saskatchewan's mission and values.