A mixed methods evaluation of Multiple Mini Interviews for entry into the Bachelor of Midwifery

Published:August 30, 2022DOI:



      Multiple-mini interviews (MMI) are increasingly used as part of the admission process into healthcare degrees. Evaluations have found MMIs to be a fair assessment tool in terms of reliability and validity and viewed positively by those involved in the MMI process. The use of MMIs in midwifery is novel and evaluation is lacking.


      To evaluate the use of MMIs as part of the admission process for the Bachelor of Midwifery in one Australian university.


      A basic convergent mixed methods study design was utilised. Data included linked data sets, Likert scale responses to survey questions, focus groups and open-ended survey questions. Integration took place at the interpretation and reporting stage.


      Participants viewed the MMI experience positively. The study confirmed the reliability of the MMIs as an assessment tool. Most variance in MMI scores was attributed to the candidate at 31.4 % with the interviewer and the interview station having less influence on the MMI score at 11 % and 6.4 % variance. Older applicants on average achieved higher MMI scores, and those who spoke a language other than English at home or were first in family to attend university had lower on average MMI scores. Being born overseas did not impact an applicant’s MMI score. The overall experience was seen as fair, offering further opportunity to gain entry into the Bachelor of Midwifery.


      MMIs were viewed positively and findings support the use of MMIs as part of an admissions process for the Bachelor of Midwifery.


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        • Kale S.
        • Kamble M.W.
        • Spalding N.
        Predictive validity of multiple mini interview scores for future academic and clinical placement performance in physiotherapy, occupational therapy and speech and language therapy programmes.
        Int. J. Ther. Rehabil. 2020; 27: 1-13
        • McAndrew R.
        • Ellis J.
        • Valentine R.A.
        Does a selection interview predict year 1 performance in dental school?.
        Eur. J. Dent. Educ. 2017; 21: 108-112
        • Knorr M.
        • Hissbach J.
        Multiple mini-interviews: Same concept, different approaches.
        Med. Educ. 2014; 48: 1157-1175
        • Patterson F.
        • Ferguson E.
        • Zibarras L.
        Selection into medical education and training. Understanding Medical Education: Evidence.
        Theory, Pract. 2018; : 375-388
        • Eva K.W.
        • Rosenfeld J.
        • Reiter H.I.
        • Norman G.R.
        An admissions OSCE: The multiple mini-interview.
        Med. Educ. 2004; 38: 314-326
        • Kelly M.E.
        • Dowell J.
        • Husbands A.
        • et al.
        The fairness, predictive validity and acceptability of multiple mini interview in an internationally diverse student population-a mixed methods study.
        BMC Med. Educ. 2014; 14: 1
        • Kelly M.E.
        • Patterson F.
        • O’Flynn S.
        • Mulligan J.
        • Murphy A.W.
        A systematic review of stakeholder views of selection methods for medical schools admission.
        BMC Med. Educ. 2018; 18: 139
        • Patterson F.
        • Knight A.
        • Dowell J.
        • Nicholson S.
        • Cousans F.
        • Cleland J.
        How effective are selection methods in medical education? A systematic review.
        Med. Educ. 2016; 50: 36-60
        • Eva K.W.
        • Macala C.
        • Fleming B.
        Twelve tips for constructing a multiple mini-interview.
        Med. Teach. 2019; 41: 510-516
        • Rees E.L.
        • Hawarden A.W.
        • Dent G.
        • Hays R.
        • Bates J.
        • Hassell A.B.
        Evidence regarding the utility of multiple mini-interview (MMI) for selection to undergraduate health programs: A BEME systematic review: BEME Guide No. 37.
        Med. Teach. 2016; 38: 443-455
        • Leduc J.M.
        • Rioux R.
        • Gagnon R.
        • Bourdy C.
        • Dennis A.
        Impact of sociodemographic characteristics of applicants in multiple mini-interviews.
        Med. Teach. 2017; 39: 285-294
        • Gale J.
        • Ooms A.
        • Grant R.
        • Paget K.
        • Marks-Maran D.
        Student nurse selection and predictability of academic success: The Multiple Mini Interview project.
        Nurse Educ. Today. 2016; 40: 123-127
        • Corelli R.L.P.
        • Muchnik M.A.
        • Beechinor R.J.P.
        • et al.
        Perceptions and Cost-Analysis of a Multiple Mini-Interview in a Pharmacy School Admissions Process.
        Am. J. Pharm. Educ. 2015; 79: 1-8
        • Langer T.
        • Ruiz C.
        • Tsai P.
        • et al.
        Transition to multiple mini interview (MMI) interviewing for medical school admissions.
        Perspect. Med. Educ. 2020; 9: 229-235
        • Ng K.Y.B.
        • Lynch S.
        • Kelly J.
        • Mba O.
        Medical students' experiences of the benefits and influences regarding a placement mentoring programme preparing them for future practice as junior doctors: A qualitative study.
        BMJ Open. 2020; 10: 1
        • Perkins A.
        • Burton L.
        • Dray B.
        • Elcock K.
        Evaluation of a multiple-mini-interview protocol used as a selection tool for entry to an undergraduate nursing programme.
        Nurse Educ. Today. 2013; 33: 465-469
        • Uijtdehaage S.
        • Doyle L.H.
        • Parker N.
        Enhancing the reliability of the multiple mini-interview for selecting prospective health care leaders.
        Acad. Med. 2011; 86: 1032-1039
        • Manuel R.S.
        • Dickens L.
        • Young K.
        Qualitative Analysis of Multiple Mini Interview Interviewer Comments.
        Med. Sci. Educ. 2019; 29: 941-945
        • McAndrew R.
        • Ellis J.
        Applicants' perceptions on the multiple mini-interview process as a selection tool for dental and therapy and hygiene students.
        Br. Dent. J. 2013; 215: 565-570
        • Daniel-Filho D.A.
        • Pires EMSG Paes A.T.
        • et al.
        First experience with multiple mini interview for medical school admission in Brazil: Does it work in a different cultural scenario?.
        Med. Teach. 2017; 39: 1033-1039
        • Kumar K.
        • Roberts C.
        • Rothnie I.
        • Du Fresne C.
        • Walton M.
        Experiences of the multiple mini-interview: a qualitative analysis.
        Med. Educ. 2009; 43: 360-367
        • Christensen M.K.
        • Lykkegaard E.
        • Lund O.
        • O’Neill L.D.
        Qualitative analysis of MMI raters’ scorings of medical school candidates: A matter of taste?.
        Adv. Health Sci. Educ. 2018; 23: 289-310
      1. Sheehan A., Thomson R., Pierce H., Arundell F. The impact of Multiple Mini Interviews on the attrition and academic outcomes of midwifery students. Women and Birth 2021.

      2. Universities Admission Centre N.A. About U.A.C. 2022. 〈〉.

        • Creswell J.W.
        • Creswell J.D.
        Research design: qualitative, quantitative, and mixed methods approaches. Fifth edition. ed..,. SAGE,, Los Angeles2018
      3. Moore C.T. gtheory: Apply Generalizability Theory with R. R package version 0.1.2. 2016.

        • Graneheim U.H.
        • Lundman B.
        Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness.
        Nurse Educ. Today. 2004; 24: 105-112
        • Moseholm E.
        • Fetters M.D.
        Conceptual models to guide integration during analysis in convergent mixed methods studies.
        Methodol. Innov. 2017; 10: 2
        • Callwood A.
        • Groothuizen J.E.
        • Lemanska A.
        • Allan H.
        The predictive validity of Multiple Mini Interviews (MMIs) in nursing and midwifery programmes: Year three findings from a cross-discipline cohort study.
        Nurse Educ. Today. 2020; : 88
        • Knorr M.
        • Meyer H.
        • Sehner S.
        • Hampe W.
        • Zimmermann S.
        Exploring sociodemographic subgroup differences in multiple mini-interview (MMI) performance based on MMI station type and the implications for the predictive fairness of the Hamburg MMI.
        BMC Med. Educ. 2019; 19: 243
        • Ulrich S.
        Applicants to A Nurse-Midwifery Education Program Disclose Factors that Influence Their Career Choice.
        J. Midwifery Women'S. Health. 2009; 54: 127-132
      4. Nursing and Midwifery Board of Australia. Policy: English language skills registration standard. 2019 2019 (accessed April 4th 2019).

        • Traynor M.
        • Galanouli D.
        • Roberts M.
        • Leonard L.
        • Gale T.
        Identifying applicants suitable to a career in nursing: a value-based approach to undergraduate selection.
        J. Adv. Nurs. 2017; 73: 1443-1454
        • Murphy J.A.
        • Pattin A.J.
        • Sarver J.G.
        • Seegert M.L.
        • Mertz S.
        • Blashford E.
        Interviewer perceptions during the implementation of the multiple mini-interview model at a school of pharmacy.
        Curr. Pharm. Teach. Learn. 2020; 12: 864-871
        • Baker K.D.
        • Sabo R.T.
        • Rawls M.
        • Feldman M.
        • Santen S.A.
        Versatility in multiple mini-interview implementation: Rater background does not significantly influence assessment scoring.
        Med. Teach. 2020; 42: 411-415
        • McLaughlin J.E.
        • Singer D.
        • Cox W.C.
        Candidate Evaluation Using Targeted Construct Assessment in the Multiple Mini-Interview: A Multifaceted Rasch Model Analysis.
        Teach. Learn. Med. 2017; 29: 68-74
        • Ali S.
        • Muhammad Suleman Sadiq H.
        • Mehnaz U.
        • Beg M.A.
        • Huda N.
        Multiple Mini-Interviews: Current Perspectives on Utility and Limitations.
        Adv. Med. Educ. Pract. 2019; 10: 1031-1038
        • Cameron A.J.
        • MacKeigan L.D.
        Development and pilot testing of a multiple mini-interview for admission to a pharmacy degree program.
        Am. J. Pharm. Educ. 2012; 76: 1