Wake Forest Baptist Medical Center School of Medicine MMI Practice Questions

What aspects of Wake Forest's small class size and close faculty mentorship resonate with your learning style?

North Carolina's controversial Certificate of Need laws require healthcare providers to obtain state approval before expanding services or adding equipment like MRI machines or hospital beds. Opponents argue these laws restrict competition and limit access, while supporters claim they prevent unnecessary duplication and control costs. A New Bern ophthalmologist has filed a constitutional challenge, and neighboring South Carolina repealed most CON requirements in 2023. Consider the competing interests at stake and discuss whether North Carolina should maintain, modify, or eliminate its Certificate of Need requirements.

Tell me about yourself.

Why medicine?

Why Wake Forest Baptist Medical Center School of Medicine?

Do you think it's ever ethical to lie to a patient?

What are physicians' ethical obligations when insurance companies deny coverage for treatments physicians deem medically necessary?

What do you think about stem cell research?

How do you handle stress?

As AI becomes better at diagnosis than human doctors, should we rely more on AI decision-making?

An economics think tank proposes legalizing the sale of kidneys to reduce transplant waiting lists. They argue that a regulated market would prevent black-market exploitation, compensate donors fairly, and save lives. Critics claim it would commodify the human body and exploit the poor. The report dismisses these objections as "emotional resistance to economic reality." Discuss the logical and ethical merits and weaknesses of this proposal.

You're managing a small rural health center during a severe flu outbreak. You have 10 doses of antiviral medication left, but 25 high-risk patients need it. Among those waiting: elderly nursing home residents, pregnant women, healthcare workers who are essential to keep the clinic running, children with asthma, and adults caring for disabled family members. How do you decide who receives the medication?

Do physicians have an ethical obligation to provide care to uninsured patients beyond emergency stabilization?

Your roommate confides in you that they have been struggling with depression and occasionally use prescription medication that was not prescribed to them. They ask you not to tell anyone. How do you respond?

What is your learning style?

You're leading a student health initiative when you discover that a fellow student leader has been embezzling small amounts of money from the organization's budget over several months (totaling about $2,000). When you confront them, they admit it but explain that their family was evicted and they needed money for food and supplies for their younger siblings. They're the first in their family to attend university and are working two jobs while maintaining a 3.9 GPA. They're devastated and ashamed, offer to pay it back over time, and beg you not to report it because it would mean expulsion and loss of their scholarship. Your organization's constitution requires reporting any financial irregularities to the dean. What do you do?

You accidentally receive an email from your supervisor that contains private performance evaluations, including criticism of a close friend. Later that day, your friend mentions feeling anxious about whether management trusts them. What do you do?

You can eliminate one color from existence. Which one and why?

You are a family physician. A teenage patient experiencing gender dysphoria asks you not to inform their unsupportive parents about treatment options. What would you do?

Tell me about a time you had to advocate for someone who wasn’t being heard.

What is the difference between sympathy and empathy?

What would you do if you won the lottery tomorrow?

The US has proposed allowing Medicare to negotiate drug prices directly with pharmaceutical companies, which is currently prohibited by law. Proponents argue this would lower costs for seniors, while opponents worry it could reduce pharmaceutical innovation. Should Medicare be allowed to negotiate drug prices? Discuss the implications of this policy with the interviewer.

Is it ethically acceptable for physicians to operate concierge practices that charge annual membership fees, effectively creating two-tier care?

You are a resident physician. A patient's insurance requires prior authorization for a medication they need urgently. The authorization process typically takes 3-5 days, but the patient is in significant pain now. The insurance company's after-hours line says there's nothing they can do until business hours tomorrow. What would you do?

What would you do if a patient's family requests you not tell the patient about their diagnosis?

Should patients have the right to request a healthcare provider of a specific gender, race, or cultural background?

You're working at an organization when you discover that your mentor—someone who has been instrumental in your development, advocated for you repeatedly, and is genuinely kind—has been quietly discriminating against certain job applicants based on protected characteristics. They're subtle about it (finding 'legitimate' reasons to reject candidates), but the pattern is clear. When you carefully raise concerns, they become defensive and hurt, saying you've misunderstood and that they've 'always supported diversity.' You have documented evidence, but reporting it would likely end their career and damage your own reputation by association. They're also dealing with a family crisis and are in a fragile state. However, their behavior is harming people and perpetuating inequality. What's your responsibility here?

There are ongoing debates in the US about implementing a single-payer healthcare system similar to Canada's, often called 'Medicare for All.' This would provide universal coverage but would require significant tax increases and would eliminate private health insurance. Do you think the US should implement a single-payer healthcare system? Consider the implications for access, quality, and cost. Discuss with the interviewer.

While volunteering at a community center, a family refuses to vaccinate their children due to religious beliefs. The father quietly tells you he disagrees but fears community backlash if he consents. What do you do?

What are your weaknesses?

Do you think pharmaceutical companies should be allowed to advertise drugs to consumers?

You overhear colleagues spreading a harmful rumor about a co-worker’s personal life. You consider reporting it, but one of the people gossiping is close to your manager. The targeted colleague is unaware but already seems isolated. How do you handle this, knowing it could affect your standing in the team?

A patient you've been working with for months asks you out on a date. How do you handle this?

Undocumented immigrants in the US often avoid seeking medical care due to fear of deportation, even for serious conditions. When undocumented patients do seek care, they typically lack insurance and cannot afford treatment. Do physicians have an ethical obligation to provide free or reduced-cost care to undocumented immigrants? What ethical principles should guide this decision? Discuss your position with the interviewer.

How do you relate to our mission?

North Carolina is projected to be short 7,725 physicians by 2030, with only 506 primary care residency slots annually and 45.2% of those residents leaving the state to practice elsewhere. The state ranks 28th nationally in physician supply and has counties like Tyrrell and Camden with no physicians at all. Given these constraints and the reality of physician loan debt, what ethical obligations do North Carolina medical schools have to prioritize in-state residency placement and retention over allowing graduates complete freedom to practice wherever they choose?

Can compassion be taught?

If you could add one law to the laws of physics, what would it be?

During a public health crisis, when is it appropriate to mandate masks, lockdowns, or quarantines? Where should individual freedom end?

Should healthcare institutions implement mandatory unconscious bias training for all staff and students?

The Emergency Medical Treatment and Labor Act (EMTALA) currently requires emergency departments to provide stabilizing treatment to anyone regardless of ability to pay. However, uninsured patients often receive large bills they cannot pay, creating financial strain for both patients and hospitals. Do physicians have an ethical obligation to provide care to uninsured patients beyond emergency stabilization? What are the limits of this obligation? Discuss with the interviewer.

Should people with unhealthy lifestyles (e.g., smokers, heavy drinkers) have reduced access to certain treatments?

Where do you see yourself in 10 years?

You are a resident physician shadowing in the emergency department when a patient arrives unconscious after a car accident. Their wallet contains a 'Do Not Resuscitate' card, but their adult child, who just arrived, is frantically demanding that everything possible be done to save them. The child says, 'My parent was depressed when they signed that—they didn't really mean it. You have to help them!' The attending physician looks to the team for input before proceeding. Meanwhile, the patient's condition is deteriorating and a decision needs to be made quickly. What factors would you consider? What would you do?

You are a physician leading an international medical brigade treating patients in a remote village. Your team has limited medication supplies—specifically, you have enough antibiotics for two patients, but five patients present with bacterial infections that would benefit from treatment. Among them: a pregnant woman with a kidney infection, an elderly man with pneumonia, a child with a severe skin infection, a young adult with an infected surgical wound, and a middle-aged farmer who is the sole income earner for an extended family of eight. Your team member wants to save the medication for 'potentially more critical future cases' since you're there for another week, but the patients in front of you are suffering now and their conditions could worsen without treatment. If you use the antibiotics now, you'll have none left if an emergency arises later. How would you approach this situation? What would you consider?

How will you handle burnout and being overwhelmed?

What will you do if you do not get into medical school?

Describe a situation where you had to maintain professionalism under difficult or frustrating circumstances.

How many golf balls fit in an airplane?

Healthcare students learn procedures on real patients. Is this ethical, given that students are less skilled?

Should gender-affirming care be available to minors? What factors should be considered?

Is healthcare a right or a privilege?

Tell me about a time when you recognized a personal limitation or weakness that was affecting your performance. What did you do about it?

Walk me through a period when you were overwhelmed with responsibilities. How did you use to get through it?

Describe a situation where you had to navigate cultural differences in a team or work environment.

Should childhood vaccinations be mandatory for school attendance, or should parents have the right to refuse?

What do you do if a colleague has a substance abuse problem?

You are a medical student. An undocumented immigrant patient needs ongoing treatment for a chronic condition. They're terrified to return for follow-up appointments because they fear deportation. What do you do?

Why do you want to go to school in Winston-Salem?

What ethical considerations should guide North Carolina's approach to medical debt forgiveness, given that the state has one of the highest rates of adults reporting medical debt and plans to forgive $4 billion for 2 million residents?

You are a medical student on clinical rotation. You witness a nurse making a medication error. When you point it out, they become defensive. The attending is unreachable for 30 minutes. What do you do?

Tell me about your lowest grade.

What is an ethical dilemma you have faced?

Tell me about a time when you were impacted by miscommunication.

What are your thoughts on the role of private vs. public healthcare?

What is the biggest problem in healthcare today?

Should North Carolina implement mandatory service requirements for physicians who receive state-funded medical education, similar to military service obligations?

If you had to be a piece of furniture in a hospital, what would you be?

Should the US transition to a single-payer healthcare system?

Describe a moment when you connected with someone who was going through a difficult time.

A coworker asks you to clock them in when they'll be 30 minutes late, saying their supervisor is 'unreasonably strict' and they might get fired for being late again. What do you do?

Should medical school be tuition-free in the US?

What was your most challenging experience?

What makes you special?

The American Medical Association describes medically futile treatments as those having 'no reasonable chance of benefiting the patient.' Even when continued medical interventions for a dying patient will be futile, families sometimes insist that care be continued. In some states, futility laws authorize doctors to overrule the patient's family. Do you believe that a physician should have the authority to overrule a family's wishes if treatment is medically futile? What ethical principles are at stake? Discuss your opinion with the interviewer.

A 16-year-old you recognize as your neighbor's daughter requests emergency contraception at your clinic. She's terrified and begs you not to tell her strict religious parents. She mentions her boyfriend is 19 (potential statutory rape). When you discuss reporting requirements, she threatens self-harm if anyone finds out. What are your competing obligations? What do you do first? What if she insists the relationship is consensual?

Tell me about a time you had a disagreement with a teammate, supervisor, or friend.

You're at a party and a friend insists on driving herself home, even though she has been drinking. What do you do?

Tell me about a time you changed your mind after learning new information.

A friend owes you $200 from three months ago and keeps avoiding the topic. Now they're posting on social media about an expensive concert they just attended. How do you address this?

Who should receive an organ transplant: a convicted felon or an uninsured mother?

What draws you to Wake Forest's integrated curriculum that combines basic sciences with early clinical exposure?

Tell me about a time you experienced a team conflict and how you resolved it.

A viral blog post asserts that "organic diets cure cancer," citing several testimonials from individuals who claim remission after eliminating processed foods. The post criticizes oncologists for "profiting from chemotherapy" and argues that "pharmaceutical science ignores nature's cures." The author includes references to "a study" without citation, and dismisses contradictory data as "corporate propaganda." Evaluate the strength of the arguments presented. What logical or ethical issues arise in promoting such claims to vulnerable populations?

Describe a time you had to respect someone's autonomy even when you disagreed with their choice

You’re volunteering at a community mental-health clinic. During a family dinner, your brother proudly mentions that he just hired a new employee named Rachel. You realize it’s a patient from your clinic who has a history of manic episodes that recently caused workplace disruptions. What do you do?

What was the most difficult decision you have ever had to make?

Tell me about a time you failed.

If you were a soup, what kind would you be?

What would you do if a team member isn’t contributing on a group project?

If you could have dinner with anyone, who and why?

What community service activities have you done?

What would you do if a patient refused treatment?

The US is experiencing a primary care physician shortage, particularly in rural areas. Some have proposed expanding the role of nurse practitioners to practice independently without physician oversight, while physician groups argue this could compromise care quality. Should nurse practitioners be allowed to practice independently in all states? Consider the implications for access and quality of care. Discuss with the interviewer.

What attracts you to Wake Forest's emphasis on training physician leaders and advocates?

How would you contribute to Wake Forest's mission of improving health in underserved communities?

You’re catching a ride home from a friend who begins texting while driving. When you ask them to stop, they brush you off and say, “Relax, I do this all the time.” How do you respond?

You discover a colleague has been embellishing their credentials—claiming degrees from prestigious schools when they actually graduated from less-known programs. They're exceptionally good at their job, patients love them, and outcomes are excellent. But they lied on their application. Do you report it? What if they came from poverty and believed (possibly correctly) they'd never get hired without prestigious credentials?

Prior authorization requirements have become increasingly burdensome in the US, with physicians spending hours obtaining insurance approval for treatments and medications. Some states have proposed legislation limiting or streamlining prior authorization. Should there be restrictions on insurance companies' ability to require prior authorization? Discuss this policy with the interviewer.

What would you do if a group member isn't doing their part?

Should the US implement stronger regulations on pharmaceutical pricing?

A grateful patient leaves a $100 gift card and a thank-you note at the front desk addressed specifically to you. What do you do?

How does Wake Forest's commitment to diversity and inclusion align with your values and experiences?

How should North Carolina address the geographic maldistribution of physicians where urban areas have adequate coverage but 14 counties have experienced persistent primary care shortages since 2004?

If you could choose one superpower what would it be?

If animals could talk, which species would be the rudest?

What do you think are important qualities for a doctor?

You are a chief resident. You notice an intern consistently dismisses female patients' pain as 'anxiety' while taking male patients' identical symptoms seriously. This intern reports to you. What do you do?

What are three words people who know you would use to describe you?

You’re working in a research lab when you discover that your supervisor has failed to report a conflict of interest—he’s consulting for the company funding the study. You depend on him for a strong reference for grad school. What do you do?

A close friend in your study group admits they copied answers from another student on a recent exam but asks you not to tell anyone. How do you respond?

If you were a fruit, which one would you be and why?

What are Wake Forest Baptist Medical Center School of Medicine's values?

How might the transition to medical school affect you.

Should gene editing technologies like CRISPR be used to enhance human traits (not just treat disease) in future generations?

Tell me about a time you exhibited leadership.

A colleague you respect makes a dismissive comment toward a patient from a marginalized background. You know confronting them could damage your working relationship. What do you do?

What would you do if a coworker is taking credit for your work on a group project.

Describe a situation where you made a mistake that affected others. What did you do?

Should lifestyle choices (smoking, obesity, non-compliance) affect priority for organ transplants?

You discover a popular local business (a major employer and your organization's biggest donor) is illegally dumping chemicals likely causing elevated cancer rates. You have preliminary but not conclusive data. Going public might cause panic and lawsuits that destroy your organization's funding (affecting 500 families). Waiting for conclusive evidence (2-3 years) means more exposure. What do you do?

What role should technology and AI play in the future of healthcare?

How does Wake Forest's emphasis on primary care and rural health align with your career goals?

Should North Carolina prioritize facility fees that hospitals charge for outpatient services to maintain 24/7 emergency readiness, or should patient advocates' concerns about inflated medical bills take precedence?

Is it ethical for pharmaceutical companies to charge high prices for life-saving medications?

A hospital press release promotes its new "AI-assisted triage system," which ranks patients by predicted survival rate to maximize efficiency. The administration reports shorter wait times and fewer administrative errors. However, some staff have noticed that patients from minority backgrounds are systematically ranked lower, potentially due to bias in the training data. Hospital leadership insists that "the algorithm is objective" and that "efficiency is our ethical duty." Critically analyze this justification. What ethical concerns and reasoning flaws might you identify?

Given North Carolina's ranking as 41st safest state for retirees partly due to a relative lack of hospital beds, how should the state balance Certificate of Need restrictions with the healthcare infrastructure needs of its growing elderly population?

Should there be federal regulations limiting the growth of corporate ownership of physician practices?

Tell me about a skill or knowledge area where you've shown significant improvement over time. What was your learning process?

You are a hospital administrator. You discover the hospital schedules longer appointments for privately insured patients than those with public insurance. What do you think about this? What would you do?

You accidentally see a text on your roommate's phone suggesting they're cheating on their long-term partner, who is also your friend. What, if anything, do you do?

Should healthcare workers strike if working conditions are unsafe for them or their patients?

North Carolina recently expanded Medicaid coverage to over 600,000 residents, enrolling people at twice the expected rate. However, concerns exist that the federal trigger clause could dissolve the expansion if federal matching funds drop below 90%. Healthcare advocates worry about coverage stability while fiscal conservatives question long-term affordability. How should North Carolina balance the immediate healthcare needs of newly covered residents against potential future funding uncertainties that could leave them without coverage again?

If you were a kitchen appliance, which one would you be and why?

Indigenous communities often have distrust of mainstream healthcare. How should the healthcare system address historical harms and build trust?

You’re walking out of a coffee shop when you notice someone drop their wallet. You pick it up and realize there’s a large amount of cash inside, but no ID. You also notice the person quickly leaving in a taxi before you can call out. What do you do?

What are the ethical obligations of physicians when pharmaceutical companies offer payments for prescribing or promoting their medications?

Teach me something.

How many rubber ducks would it take to fill this room?

You are a physician working in a rural clinic when a family brings in their 8-year-old daughter for a routine checkup. While examining her, you notice patterns of bruising on her arms and legs that concern you—some appear to be in different stages of healing. When you gently inquire, the parents explain that she's very active in gymnastics and 'always covered in bruises from practice.' They seem like a loving family and their explanation is plausible. However, the pattern and location of some bruises are atypical for gymnastics injuries. Your clinic partner, who has practiced in this small community for 20 years, is close friends with this family and has never had concerns. You're new to the clinic and don't want to damage relationships or make false accusations, but you're also aware that abuse can happen in any family and that failing to report suspected abuse has serious consequences. What would you consider? What are your next steps?

In the US healthcare system, physicians working in for-profit hospitals may face pressure to maximize revenue through increased patient volume, ordering more procedures, or admitting patients who could be treated outpatient. When hospital administration pressures physicians to make decisions that increase revenue but may not be in patients' best interests, what are the physician's ethical obligations? Discuss with the interviewer.

What are your strengths?

Do you believe diversity is important in a healthcare setting? Why or why not?

Who is your role model?

A team project wins an award. You and a peer did equal work, but only you were mentioned in the press release. Your supervisor congratulates you publicly. Correcting the record may jeopardize your relationship with them. What do you do?

How do you study?

How would you explain the internet to someone from the 1800s?

You're on a scholarship committee choosing between two equally qualified finalists: Candidate A overcame homelessness and foster care (first in family to attend university), Candidate B has a disability and spent years advocating for accessibility (worked three times harder than peers for same grades). You can only choose one. Another committee member reveals Candidate A's essay was heavily edited by a mentor, while B's is entirely their own work. Who do you choose?

What do you do for fun?

What specific aspects of Wake Forest's Pass/Fail grading system attract you to our program?

Many rare diseases affect too few people for pharmaceutical companies to profitably develop treatments. Should governments mandate research into rare diseases, redirect funding from common diseases, or accept that resources must be allocated where they help the most people?

Dr. Sharma often prescribes vitamin supplements to patients complaining of low energy. She knows there is no clear evidence of deficiency, but believes "it can't hurt and might make them feel cared for." Consider the ethical issues raised by Dr. Sharma's actions. What professional obligations might conflict here?

What is your biggest fear?

How would you take advantage of Wake Forest's strong research opportunities in translational medicine?

What would you do if a colleague comes to work smelling of alcohol?

You are a medical student on clinical rotation. You accidentally access the wrong patient chart and see that your roommate's parent has a serious illness. Your roommate seems stressed but hasn't mentioned anything. What would you do?

A classmate you barely know asks to copy your homework, explaining they've been dealing with a family emergency and haven't had time to complete it. What do you do?

You are a physician in a for-profit hospital system. Administration has set a productivity target requiring you to see 30 patients per day to meet revenue goals. You're currently seeing 22 patients per day and spending adequate time with each. Your supervisor implies that your contract renewal depends on meeting these targets. You're concerned that seeing more patients will compromise care quality. What would you do? What would you consider?

What would you do if a colleague of yours made a mistake and doesn't want to tell the patient?

You see a friend post misleading health information on social media that’s getting lots of attention. How do you handle it?

What would you do if someone in a group project falsified data?

A government report suggests reducing hospital electricity usage by lowering air conditioning levels, switching to biodegradable single-use instruments, and restricting high-energy medical imaging for non-urgent cases. Officials claim this is necessary to meet carbon neutrality goals. Critics warn that such policies could endanger patient safety and comfort. Critically examine this policy's reasoning. How should public health balance environmental responsibility and patient care?

Medical school in the US is extremely expensive, with graduates often carrying $200,000+ in debt. Some have proposed making medical education free or significantly subsidized in exchange for service requirements in underserved areas. Should the US provide free or subsidized medical education in exchange for service commitments? Consider the implications for physician distribution and healthcare access. Discuss with the interviewer.

Should physician reimbursement shift from fee-for-service to value-based models?

You are a physician. A patient refuses a blood transfusion due to religious beliefs, even though it's medically necessary and they'll likely die without it. Their family is pressuring them to accept treatment. What do you do?

What would you do if a teenager confides they're being abused at home but begs you not to tell anyone?

What interests you about Wake Forest's longitudinal clinical experiences starting in the first year?

Convince me that a potato is the most important invention in human history.

How would you fix the healthcare system?

Describe a time when you identified an unfair policy or practice and took action to address it.

You are a primary care physician. A patient with Medicare comes in needing a specialist. The only specialists accepting new Medicare patients have 6-month waits, while private-pay specialists can see them next week. The patient's condition requires timelier care but they can't afford out-of-pocket costs. What would you do?

What is one of your strengths in a leadership role?

In times of resource scarcity—such as limited ICU beds or transplant organs—some argue younger patients should be prioritized because they have more potential years of life. Others claim all lives should be valued equally, regardless of age. Discuss the ethical implications of using age as a factor in allocating scarce medical resources.

Should healthcare professionals be required to receive certain vaccinations?

What controversial healthcare topic are you passionate about?

Tell me about a time when you had to explain a complex scientific concept to someone without a science background. How did you approach it?

What would you do if you caught a classmate cheating?

You are a medical student. A patient with terminal cancer asks you directly, 'How long do I have?' You haven't discussed prognosis with the attending yet. How do you respond?

North Carolina has struggled with healthcare access in rural areas, leading to higher premature death rates and the state ranking 30th nationally in health outcomes. Private equity firms have increased their presence in North Carolina healthcare, with some arguing they bring needed capital and efficiency while critics worry about prioritizing profits over patient care. What role should private equity play in addressing North Carolina's healthcare challenges, and how can the state ensure patient welfare remains the priority?

If you could instantly master one skill, what would it be?

What are physicians' ethical obligations when hospital policies prioritize revenue over patient welfare?

What is your favorite movie?

If your life were a movie, what would the theme?

What would be the worst superpower to have?

What is your biggest regret?

Describe a time working with someone you did not like.

You discover a classmate is using AI to generate their reflective essays about patient interactions—essays meant to develop empathy and self-awareness. The AI-generated reflections are actually better written and more insightful than most students' authentic ones. They're getting top marks and genuinely learning from reading what the AI produces. What do you do?

How does Winston-Salem's location and community appeal to you as a place to study medicine?

What would you do if your employer forced you to work over Thanksgiving weekend, interfering with your family plans?

Should students from disadvantaged backgrounds receive preferential admission to health professions programs?

Insurance companies in the US sometimes deny coverage for treatments that physicians believe are medically necessary. Physicians must then decide whether to appeal the decision, recommend the patient pay out-of-pocket, or pursue alternative treatments that may be less effective. Do physicians have an ethical obligation to advocate for their patients with insurance companies, even when it requires significant time and effort? Discuss the ethical considerations with the interviewer.

How should North Carolina address healthcare disparities affecting Latino residents who have high uninsured rates but paradoxically some of the best health outcomes in the country?