What is the Best Way to Prepare for an Internal Medicine Training (IMT) Interview?

Securing a high score in your Internal Medicine Training (IMT) interview requires a structured approach focused on portfolio preparation, scenario practice, and technical readiness. Based on assessment experience, candidates who meticulously prepare their portfolio and rehearse clinical and ethical scenarios significantly increase their chances of success.

How Can You Build a Standout IMT Portfolio?

Your portfolio is a critical component of your overall interview score and often shapes the line of questioning. A well-prepared portfolio is more than a document; it's evidence of your professional journey. Key tips for creating an exceptional portfolio include:

• Conciseness: Interviewers have limited time. Ensure your portfolio is well-organized and includes only the most relevant details, such as key achievements, presentations, and audits.
• Memorability: Include specific examples that distinguish you from other candidates. This could be a quality improvement project you led or a significant award you received.
• Longevity: Treat this portfolio as a living document for your entire training career. Review and update it thoroughly before submission to ensure accuracy and comprehensiveness.

What Types of IMT Interview Questions Should You Expect?

The IMT interview typically follows a structured interview format, a systematic method where all candidates are asked the same types of questions to ensure fairness. You can expect questions across several core domains:

1. Clinical Scenario You will likely be given a short clinical scenario to read before the interview. Be prepared to discuss:

• Differential Diagnosis: Identify the most likely diagnosis and explain your reasoning.
• Management Plan: Outline appropriate and safe initial investigations and treatments.
• Communication: Demonstrate how you would explain the situation to the patient or their relatives with empathy.
• Clinical Handover: Practice how you would clearly and accurately hand over a patient's care to a colleague.

Example Question: 'A 60-year-old man with COPD is admitted with worsening shortness of breath. What is your initial diagnosis and management plan?'

2. Ethical Dilemma This section assesses your moral reasoning. Scenarios often involve patient confidentiality, consent, or conflicts with colleagues.

Example Question: 'A 13-year-old patient confides that they are sexually active. What are your next steps?'

3. Suitability and Commitment Here, interviewers assess if you are a good fit for the program. Use the STAR method (Situation, Task, Action, Result) to structure your answers, providing concrete examples of your skills, values, and career goals.

Example Question: 'What makes you a suitable candidate for IMT?'

How Should You Practice and Set Up for the Interview?

Effective preparation goes beyond studying theory.

• Mock Interviews: Practicing with a colleague, especially one also applying for IMT, provides invaluable experience. Rehearsing answers out loud builds fluency and confidence.
• Technical Setup (for virtual interviews): A professional environment is crucial.
  • Internet Connectivity: Ensure a stable connection by testing it beforehand.
  • Audio/Video: Position your camera and microphone to present yourself clearly.
  • Background: Choose a quiet, well-lit, and distraction-free space. Using a virtual blur background can be helpful.

Key preparation steps include portfolio refinement, structured practice for clinical and ethical questions, and ensuring a flawless technical setup for virtual assessments.