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Assessing Ethical Judgment and Character- and Morality-Related Performance in Health Professions Admissions: A Systematic Review of the Multiple Mini-Interview

  • Anatomy & Biological Anthropology
  • Abbr : Anat Biol Anthropol
  • 2026, 39(3), pp.285~300
  • DOI : 10.11637/aba.2026.39.3.285
  • Publisher : 대한체질인류학회
  • Research Area : Medicine and Pharmacy > Anatomy
  • Received : August 31, 2026
  • Accepted : September 29, 2026
  • Published : June 30, 2026

안준무 1,  Lee SeungHee ORD ID 1,  KIM SEON KYOUNG ORD ID 2

1서울대학교 의과대학 의학교육학교실
2동의대학교 한의과대학 의학교육학교실

Accredited

ABSTRACT

Anatomy education provides an early educational context in which health professions students encounter human dignity, respect for life, and professional responsibility through the donated human body. This raises a preceding question for admissions: how can ethical judgment and character- and morality-related performance be observed before students enter educational settings in which respect for human dignity must be enacted in practice? This systematic review examined the validity of the multiple mini-interview (MMI) as a structured approach to observing such performance, rather than judging character as a fixed attribute. Six databases were searched on 9 July 2026, identifying 952 records; 46 full texts were assessed and 45 publications were included. Of these, 33 primary empirical studies constituted the principal evidence base, 11 systematic reviews contextualized the synthesis, and 1 station-construction guide informed design considerations. MMI stations clustered into four ethically salient categories-ethical dilemmas, interpersonal integrity, empathic communication, and public responsibility-interpretable in relation to autonomy, justice, honesty, responsibility, compassion, and the common good. Multi-station, multi-rater MMIs generally showed greater reliability than traditional interviews, and performance was associated with selected proximal outcomes, including clinical and licensing-examination performance. However, evidence that admission-stage ethical or moral performance predicts sustained ethical behavior in clinical practice remained insufficient. Online and generative-AI applications raised additional issues regarding fairness across applicant groups, construct clarity, response authenticity, and human review and accountability. Thus, the MMI is better understood as a structured assessment that samples ethical judgment and related professional performance than as a measure of completed moral character. As an interpretive implication, admissions assessment may be aligned with subsequent education in human dignity, medical ethics, and professionalism, including formative encounters with the donated human body in anatomy education. The review was registered in PROSPERO (CRD420261446189).

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