MMI Interviewer Evaluation 2023

Station # *

Candidate's Name *

Interviewer's Name *

Notes Taken During Response & Advice/Feedback *

Please rate the following aspects of this participant’s performance in the scoring range below. Guidance on the meaning of these terms is provided in a separate handout. *

	Poor	Unsatisfactory/Below Average	Satisfactory/Average	Good	Excellent
1. Please score the communication skills the participant displayed during this station.	Poor1. Please score the communication skills the participant displayed during this station. Poor	Unsatisfactory/Below Average1. Please score the communication skills the participant displayed during this station. Unsatisfactory/Below Average	Satisfactory/Average1. Please score the communication skills the participant displayed during this station. Satisfactory/Average	Good1. Please score the communication skills the participant displayed during this station. Good	Excellent1. Please score the communication skills the participant displayed during this station. Excellent
2. Please score the quality of the participant’s response presented during this station.	Poor2. Please score the quality of the participant’s response presented during this station. Poor	Unsatisfactory/Below Average2. Please score the quality of the participant’s response presented during this station. Unsatisfactory/Below Average	Satisfactory/Average2. Please score the quality of the participant’s response presented during this station. Satisfactory/Average	Good2. Please score the quality of the participant’s response presented during this station. Good	Excellent2. Please score the quality of the participant’s response presented during this station. Excellent
3. Based on this brief encounter, please rate the participant’s suitability for a career in medicine in the Canadian context.	Poor3. Based on this brief encounter, please rate the participant’s suitability for a career in medicine in the Canadian context. Poor	Unsatisfactory/Below Average3. Based on this brief encounter, please rate the participant’s suitability for a career in medicine in the Canadian context. Unsatisfactory/Below Average	Satisfactory/Average3. Based on this brief encounter, please rate the participant’s suitability for a career in medicine in the Canadian context. Satisfactory/Average	Good3. Based on this brief encounter, please rate the participant’s suitability for a career in medicine in the Canadian context. Good	Excellent3. Based on this brief encounter, please rate the participant’s suitability for a career in medicine in the Canadian context. Excellent
4 .Please score the participant’s overall performance on this station.	Poor4 .Please score the participant’s overall performance on this station. Poor	Unsatisfactory/Below Average4 .Please score the participant’s overall performance on this station. Unsatisfactory/Below Average	Satisfactory/Average4 .Please score the participant’s overall performance on this station. Satisfactory/Average	Good4 .Please score the participant’s overall performance on this station. Good	Excellent4 .Please score the participant’s overall performance on this station. Excellent