Board 110 - Program Innovations Abstract Simulation in Healthcare Recruitment

Introduction/Background Developed in 2001 by McMaster University, the Multiple Mini Interview (MMI) approach is an interview format that uses short independent assessments, typically in a timed circuit, to obtain an aggregate score of a candidate’s non-cognitive skills, such as interpersonal, professionalism and ethical/moral judgment. Holland Bloorview Kids Rehabilitation Hospital, Canada’s largest paediatric rehabilitation facility, piloted a new approach utilizing simulation as an innovative way to meet recruitment needs, satisfying the need for efficiency and focus on a client and family centred approach. Holland Bloorview’s approach was to adapt MMI principles, adding simulation and working with clients and families as partners in the decision making process. Methods The interview circuit was made up of eight stations (including two rest stations) and mini interviews lasted five minutes, with a two minute preparation period preceding the interview. Of these eight stations, two were designated simulation stations. Each station consisted of one interviewer and one rater. Stations evaluated previous work related experience, communication, interpersonal, teamwork, conflict resolution and decision making skills. Behaviour management, creativity, innovation and client engagement abilities were also evaluated, with a focus on the candidate’s ability to demonstrate a link between the desired skill set and a client and family centred approach. Simulation in healthcare recruitment is leading practice in healthcare. Conclusion Eighteen candidate interviews were completed within three hours - resulting in an 83% reduction in direct interview time in comparison to traditional interview processes and a 30% increase in efficiency related to pre and post interview activities. Offers were extended within five business days following the interviews and 100% of the vacancies were filled. The simulation stations were designed to reflect job relevant scenarios. Overall, interviewers and raters believed the simulation stations to be the best measure of the candidate’s ability to manage critical interpersonal challenges inherent to the position. In our upcoming evaluation, we will be looking for positive linkages to support simulation stations as valid predictors of successful performance. At Holland Bloorview, we value the knowledge and experience of our clients and family and encourage their input and participation in decision making. Clients participated as interviewers and raters and contributed a unique perspective to the selection process. The adapted MMI approach to recruitment with simulation exercises has fostered collaboration across peer groups, integration of clients and families in decision making, built positive energy for simulation and resulted in time efficiencies. For organizations that recruit and have limited resources, this approach can facilitate positive change and foster collaboration within a unique framework. References 1. Eva, K. W., Rosenfeld, J., Reiter, H. I. and Norman, G. R. (2004), An admissions OSCE: the multiple mini interview. Medical Education, 38: 314-326. 2. Lemay, J.-F., Lockyer, J. M., Collin, V. T. and Brownell, A. K. W. (2007), Assessment of non-cognitive traits through the admissions multiple mini-interview. Medical Education, 41: 573-579. Disclosures Holland Bloorview Kids Rehabilitiation Hospital.

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