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Cited by 21Medical Education and AdmissionsGlobal Health Workforce IssuesDiversity and Career in Medicine

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Multiple mini-interview scores of medical school applicants with and without rural attributes

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Raghavan, Malathi, Martin, Bruce, Burnett, Margaret, Aoki, Fred, Christensen, Heather, MacKalski, Barbara, Young, Deborah, Ripstein, Ira·2013·Rural and Remote Health
DOI 10.22605/rrh2362
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Abstract

INTRODUCTION: Students from rural areas are under-represented in medical schools. Concerns have been raised about rural applicants' qualifications relative to those of their urban counterparts, and the impact such potential differences in competitiveness may have on their under-representation. Although studies have reported no differences in Grade Point Average (GPA) and Medical College Admission Test (MCAT) scores between applicants with and without rural attributes, to date no study has assessed if performance on the multiple mini-interview (MMI) varies between the two groups. METHODS: The MMI scores of 1257 interviewees for admission to the MD program at the Faculty of Medicine, University of Manitoba, in years 2008 to 2011, were studied for an association with graduation from a rural high school and attributes in the following three domains: rural connections, employment in rural areas, and rural community service. RESULTS: There were 205 (16.3%) rural high school graduates among interviewed applicants. Rural high school graduates scored significantly lower (mean of 4.4 on a scale of 1 to 7; p < 0.05) than urban high school graduates (4.6). Among rural-attribute domains, those with rural community service alone had the highest MMI scores (4.9) while those with rural connections alone had the lowest scores (4.3; p = 0.016). After adjusting for demographics, GPA, and MCAT scores in a multiple linear regression model, rural-attribute domains were not significant predictors of an applicant's MMI score. However, graduation from a rural high school was significantly associated with decreased MMI scores (a 0.122 decrease in predicted MMI scores on a scale of 1 to 7). CONCLUSION: Despite graduates from rural and urban high schools having comparable GPA, there exists a rural-urban divide in MMI scores that could exacerbate the under-representation of rural students in medical schools. Aboriginal applicants can also potentially be disproportionately affected, as they were more often from rural high schools than from urban high schools. Future studies need to determine systematic and institutional reasons, if any, for the differential in MMI scoring that can affect admission decisions for some rural applicants. It is also to be noted that the magnitude of difference is small enough that it may ultimately be irrelevant for future physician performance and practitioner outcomes.

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Metadata

Authors
Raghavan, M., Martin, B., Burnett, M., Aoki, F., Christensen, H., MacKalski, B., Young, D., & Ripstein, I.
Affiliations
University of Manitoba (CA)
ORCID
Venue
Rural and Remote Health
Publisher
Rural and Remote Health
Published
2013-04-09
Volume
13
Issue
2
Pages
2362-2362
ISSN
1445-6354 (ISSN-L)
DOI
10.22605/rrh2362
OpenAlex
W2147863947
Cited by
21
References
19
Citations by year
2025: 1 · 2024: 2 · 2023: 3 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 3 · 2014: 1
FWCI
1.37
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Rural and Remote Health (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Education › Medical Education and Admissions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
  • Social Sciences › Gender Studies › Diversity and Career in Medicine
Keywords
multiple mini-interviews, medical school admissions, rural-urban divide, rural community services, rural employment, interview scores
MeSH terms
College Admission Test, Humans, Interviews as Topic, Job Application, Professional Competence, Rural Health, Schools, Medical

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