In 2002, the Michael G. DeGroote School of Medicine at McMaster University began developing the Multiple Mini-Interview (MMI) system, to address two widely recognized problems. First, it had been shown that traditional interview formats or simulations of educational situations do not accurately predict performance in medical school. Secondly, when a licensing or regulatory body reviews the performance of a physician subsequent to patient complaints, the most frequent issues of concern are those of the non-cognitive skills, such as interpersonal skills, professionalism, resilience and ethical/moral judgment. The MMI was thus developed to assess applicants on the basis of their soft skills – communication, team work, critical thinking, ethical decision making, interpersonal relations, professionalism, resilience and empathy.