MedEdPublish (Aug 2018)
Mock interviews with video-stimulated recall to prepare medical students for residency interviews
Abstract
Purpose: The residency interview is the most important factor for residency program directors when deciding on how to rank medical student applicants. With the residency match becoming increasingly competitive, it is more important than ever for students to perform well in this high-stakes interview. Video-stimulated recall (VSR) has been shown to be an effective tool for facilitating reflection on performance and behaviors. As such, we conducted mock interviews with and without video-stimulated recall to gauge its effect on student perceptions of preparedness and confidence for residency interviews. Methods: Students completed a pre-mock interview survey followed by a video recorded interview with faculty. All students received verbal feedback on their performance immediately after the interview. Students were randomized to receive their feedback from their faculty interviewer either while reviewing their video or without the video review. Post-mock interview and post-residency interview surveys were completed. Wilcoxon signed-rank was used to compare median aggregate scores between pre/post surveys. Wilcoxon rank-sum was used to compare pre/post aggregate scores between the video review vs. no-video review groups. Results: 33 of 70 students participated (47%). 14 students (42%) reviewed their video and 19 (58%) received feedback without video. Likert scores for pre- and post-mock interview and post-residency interview surveys revealed median aggregate scores of 10 (interquartile range, or IQR=8,11), 12 (IQR=12,13), and 13 (IQR=12,13) (p <0.001, p<0.001). The change in median aggregate score between pre/post-mock interview surveys in the video review group vs. no-video review group was 3 (IQR=3,5) and 1 (IQR=0,3) (p<0.01) and from pre-mock interview to post-residency interview in the video review vs. no-video review groups was 3 (IQR=3,5) and 2 (IQR=1,4) (p=0.04). Conclusions: The mock interview for residency application improved students' perceptions of preparedness and confidence. Reviewing the video of the interview while receiving verbal feedback increased students' confidence in their interview skills.
