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MMI ROLE PLAY TIPS: HANDLING ACTORS AND UPSET PATIENTS

Communication frameworks for emotional MMI stations — EMP and SPIKES

MMI ROLE PLAY TIPS: HANDLING ACTORS AND UPSET PATIENTS

MMI role play stations put you in the room with an actor playing a patient, relative, or colleague. You are assessed on communication and professionalism — not on "winning" the scenario or diagnosing a condition.

What Panels Are Scoring

  • Do you listen before advising?
  • Can you stay calm when someone is upset or angry?
  • Do you maintain boundaries and dignity?
  • Is your language clear and free of jargon?

These stations draw heavily on empathy and communication competencies.

Use EMP For Most Role Plays

EMP — Explore, Mirror, Partner:

  • Explore — Ask what happened from their perspective. Let them speak.
  • Mirror — Reflect emotion and concerns: "I can see this is frustrating."
  • Partner — Agree practical next steps together rather than lecturing.

Example Opening For An Upset Patient

"Thank you for telling me — I can see you are frustrated, and I want to understand what happened from your point of view. Could you walk me through what concerned you most? Once I understand that, we can talk about what I can do to help today."

When The Scenario Involves Bad News — Use SPIKES

For breaking bad news or acute distress, structure with SPIKES:

  • Setting — Privacy, sit down, minimise interruptions
  • Perception — "What do you understand so far?"
  • Invitation — "How much detail would you like?"
  • Knowledge — Clear, honest information in plain language
  • Empathy — Pause and respond to emotion
  • Strategy — Next steps and support

Practical Role Play Tips

  • You are a future doctor, not an examiner — stay in role
  • Silence is better than rushing to fill every pause
  • Do not match aggression; acknowledge feelings while keeping boundaries
  • Ask clarifying questions — it shows engagement
  • Pace yourself; stations are short but feel intense
Role play is not acting. Panels reward genuine listening and structured calm — not a performance.

Common Mistakes

  • Jumping straight to medical advice or solutions
  • Dismissing feelings ("There's nothing to worry about")
  • Using jargon with a distressed person
  • Breaking character or apologising for the scenario

Prepare With Real Follow-Ups

Role play gets harder when the actor pushes back. Practise empathy questions and communication questions in the bank, then run timed spoken practice.

Go Doctor's AI interviewer simulates real-time stations — voice-to-voice, with follow-up questions based on what you actually say. That is closer to an MMI than reading scripts alone.

Ready to practise for real?

Turn these questions into live interview practice

Use Go Doctor's AI interviewer to respond under timed pressure, get follow-up questions, and receive structured feedback before your medical school interview.

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