Sira Vachatimanont^1,2
Panot Sainamthip^3,4, Talent Theparee^5,6, Aisawan Petchlorlian^7,8, Nattaya Poovorawan^5,9, Phattrawan Pisuchpen^5,10, Danai Wangsaturaka⁴ and Nijasri Charnnarong Suwanwela^5,11
1 Chulalongkorn University
2 King Chulalongkorn Memorial Hospital, Thai Red Cross Society
3 Division of Academic Affairs, Faculty of Medicine, Chulalongkorn University
4 Department of Pharmacology, Faculty of Medicine, Chulalongkorn University
5 Chulalongkorn University International Doctor of Medicine Programme (CU-MEDi), Faculty of Medicine Chulalongkorn University
6 Department of Pathology, Faculty of Medicine, Chulalongkorn University
7 Geriatric Excellent Center, Faculty of Medicine, Chulalongkorn University
8 Department of Medicine, King Chulalongkorn Memorial Hostpital
9 Medical Oncology Unit, King Chulalongkorn Memorial Hostpital
10 Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University
11 Department of Medicine, Faculty of Medicine, Chulalongkorn University

Background:
Remote multiple mini-interviews (MMIs) raises potential concerns, including viability, integrity, and validity of the MMI[1,2]. Our medical school had to conduct MMIs for candidate selections remotely for two years in adaptation to the pandemic. We presented this abstract to share our experience of administering large-scale high-stake MMIs remotely. 

Summary of Work:
Because of the COVID-19 travel restrictions, we modified our MMI by using Zoom teleconferencing software, to allow equal access to the MMI of all candidates: Seventies candidates in the first and fifties candidates in the second year. With the time constrain of 25 candidates in 3 hours, the MMI had to be delivered in two rounds of four parallel loops. To ensure integrity, we created a separate virtual meeting room for each loop and assigned a proctor to perform a one-on-one registration process, akin to the internet based TOEFL exam. We created a breakout room for each interviewer with an additional proctor to manage the time and moving candidates between breakout rooms. 

Results:
MMI interviewers were generally pleased with the experience, noting minimal intervention needed to conduct the exam. However, interviewers suggested that observation of non-verbal cues was limited due to the small field of view of webcams. Technical difficulties were minimal. 

Discussion:
Our implementation suggested that the remote MMI format is feasible despite initial concerns. The format enables the assessment of potential candidates from abroad without incurring travel expenses. A few remaining limitations may be alleviated by future technology, such as adopting a whole-body virtual reality to capture additional non-verbal cues. 

Conclusions:
Remote MMI can be a promising option for large-scale high-stake assessments and is worth further investigation and development. 

- Remote MMI is feasible for large-scale high-stake assessments, such as medical school entry selection 

- Major limitation is limited assessment of candidates’ nonverbal cues. 

References (maximum three)