Your Medical School Interview: Ways to Wing It

If you're doing interviews with multiple schools, you'll inevitably encounter an interviewer who has gone rogue. They might ask something completely bizarre because they're new at this or (and this is rare) in a terrible mood that you must ignore and overcome. Try not to visibly react to either. Instead, try this:

"Can you repeat that?"

If you're unclear on what they are talking about, ask for a repetition. Often, they won't just repeat what they've said but explain it differently, more clearly. If they repeat it verbatim, at least you'll have had 20 seconds to absorb it. If you did understand the question, you can ask for a repeat to give yourself that 20 seconds. Travel back to that childhood spelling bee. Sometimes you asked for the judges to use the word in a sentence because you were looking for contextual clues. Other times, you were buying yourself some think-time. Revisit that strategy.

You could also respond with: “That's an interesting question. I want to think about that for a moment.": Slight flattery, followed by a second to gather yourself. We had a client who was asked what she would do if she did not become a doctor. She took a beat and confidently answered a question she had not seen coming.

Keep Calm and Carry On

Interviewing is a nerve-wracking process. Ninety-nine percent of interviewers will encourage you to relax. They want to know you, not grill you. Then there is that one percent…

An interrogative interviewer might be testing your ability to maintain your composure. Or they might be a jerk who loves being a jerk. It doesn't matter. What matters is your focus on why you'd be an excellent addition to their school and a top-notch physician.

Once, an interviewer interjected as a client shared a college experience to say: "I've never even heard of where you went to college." Without displaying any negative emotion or slamming another school to praise her own, she explained that it was the college that offered her the most academic scholarship money and that she'd had so many hands-on experiences there. She was even credited on a professor's academic paper. Her response was calm and detailed because she'd utilized her brainstorm notes about her formative experiences so often when preparing her application. She nailed it: She was able to naturally remind this guy of her academic scholarship, prove her practicality, and mention a noteworthy accomplishment. Even her interview adversary had nothing negative to say about this response.

Related:

What to Expect in Your Traditional Medical School Interview: Wildcard Questions

The Medical School Interview: Don’t Forget, You’re Interviewing Them Too.

Your Medical School Group Interview: A Team Sport

Medical and Legal Associations Express Disappointment in Supreme Court Ruling on Affirmative Action

Last week the Supreme Court ended Affirmative Action in its 6-3 ruling against UNC and Harvard. The ruling determined that the schools, which used race as a component in admissions decisions, did not adequately justify their use of race and violated the Equal Protection Clause of the 14th amendment. Chief Justice John Roberts wrote, “Eliminating racial discrimination means eliminating all of it.”

The court left some room for nuance noting that a candidate may discuss race in terms of how it played a role in their development. “A benefit to a student who overcame racial discrimination, for example, must be tied to that student’s courage and determination,” Roberts wrote. “In other words, the student must be treated based on his or her experiences as an individual—not on the basis of race.”

Nationally, many in the medical and legal communities shared their disappointment in the decision and noted their belief that it will negatively impact diversity. Below, we’ve provided highlights of some of the statements released after the decision.

• American Medical Association (AMA): “Today’s decision by the U.S. Supreme Court undermines decades of progress centered on the educational value of diversity, and will reverse gains made in the battle against health inequities. This ruling restricts medical schools from considering race and ethnicity among the multiple factors in admissions policies and will translate into a less diverse physician workforce. Diversity is vital to health care, and this court ruling deals a serious blow to our goal of increasing medical career opportunities for historically marginalized and minoritized people.” Full statement available here.

• Association of American Medical Colleges (AAMC): “We are deeply disappointed with the U.S. Supreme Court’s decision to dismantle its longstanding precedent in the 2003 case, Grutter v. Bollinger, which had recognized student body diversity as a compelling interest permitting the limited consideration of race in admissions. Today’s decision demonstrates a lack of understanding of the critical benefits of racial and ethnic diversity in educational settings and a failure to recognize the urgent need to address health inequities in our country.” Full statement available here.

• American Medical Student Association (AMSA): “In accordance with our Preamble, Purposes and Principles, AMSA remains steadfast in its unwavering commitment to advocating for racial equity in education and healthcare. As future physicians committed to justice and equality, we are profoundly outraged and decry the restriction of affirmative action. We strongly support increased representation of minority students in all levels of education, including colleges and medical schools. By fostering diversity and inclusion, institutions have the power to create more empathetic and inclusive learning environments. Moreover, it has been repeatedly evidenced that diversity within the healthcare workforce and medical education system improves healthcare outcomes.” Full statement available here.

• American Bar Association (ABA): “The U.S. Supreme Court has ruled that the admissions programs at Harvard University and the University of North Carolina violate the equal protection clause of the 14th Amendment. The ABA has a long history of supporting affirmative action and the consideration of race as one of many factors in law school admissions. We believe it is imperative that colleges, universities and state legislatures find alternative ways to create a diverse and talented student body. Law schools are training grounds for lawyers and play an important role to ensure a diverse bench and bar, which are critical to minimizing implicit bias and inspiring greater public faith in the rule of law.” Statement available here.

• AccessLex Center for Legal Education: Executive Director, Aaron Taylor, told Reuters that the decision, "deprives schools of one of the most effective tools for fostering student diversity."

• Law School Admission Council (LSAC): President, Kellye Testy, told Reuters that the decision will negatively impact law schools’ ability to keep up diversity levels. “All of us in legal education, at bar associations, and in practice are going to have to redouble efforts to make sure the entire pre-law to practice pipeline is better,” she said.

Let’s Talk About CASPer. Medical School Admissions

To gauge an applicant’s ability to critically evaluate a complex scenario and employ sound judgment and effective communication skills, a growing number of allopathic medical schools (currently, more than 40) have turned to CASPer. 

What in the world is CASPer?

CASPer (Computer-based Assessment for Sampling Personal Characteristics) is a situational judgment test that a school might ask you to take before interview season. As of 2022, it takes between 100 to 120 minutes to complete. The test presents you with 15 scenarios and follow-up questions about them. Some of the scenarios will be about real-life experiences that you've had. (These Qs are similar to Secondary prompts and interview questions.) Other scenarios will ask you to take on a role. For example: "You're a store manager and someone is trying to return something without a receipt." The CASPer raters use your answers to assess your empathy, ethics, self-awareness, motivation, teamwork, and communication skills, among other qualities. 

The test is presented in two sections—a typed response section and a video response section. The exact length of and balance between these sections has changed from year to year, but this is what it is like right now. 

In the typed response section, there are three written and six video-based scenarios. You'll have five minutes to answer three questions about each in writing. (If you finish early, you can hit the submit button; your answers will automatically submit at the five-minute mark whether you're finished answering or not.) Focus on content over perfect grammar. The raters know this is tightly timed and they want to see your personality and critical thinking more than a flawless polish. After you've answered five scenarios, you'll have the option of taking a five-minute break. Take it. There's no pausing this party once it's started. At the end of the section, there will be another optional ten-minute break. Take it—you might need some of that time to prepare for the next section.

In the video response section, you'll be presented with two written scenarios and four video-based scenarios. For each, you will respond by video. You'll be asked three questions and give a one-minute video response to each. At the one-minute mark, your video will automatically upload. Altus Assessments, which owns CASPer, notes that many applicants run over their video answer time and it's not a big deal. If it happens, let it go, and reset your brain for the next prompt. Being calm and collected in the next video is going to make more of a statement than your "oops."

Are my CASPer results going to keep me out of med school?

Not every school requires the test, and it alone is not used to weed out prospective students. It's more like a school is lining up who you presented in your application next to who you appear to be according to CASPer. They're looking for great disparities between these two things. For example, if your application showed you as a modern-day saint, and your CASPer score for empathy was middling at best, that's a little interesting. Maybe you're a person who checked off a list of the right things to do before medical school and you're not actually aligned with the school's values. An introverted applicant who is shy in their interview could benefit from a strong CASPer score that shows they have the other qualities needed to be a top student and doctor.

A complete practice test is available, as is a sample test for video answers only. Your answers won't be reviewed by anyone at Altus. This is just so you can get used to the test's format. The takealtus.com website has information about other ways to prepare for your test day.