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Having had a career and having been on both sides of the interview desk before med school, I would suggest that the med school interview is a lot more like a private sector job interview than you suggest, with very similar stakes.
I edited an earlier post and added the following which in light of your new post belongs here:
...why wouldn't interviewers be granted the authority to accept people on the spot? Why bother with having the adcom reconvene and review each applicant post-interview if the interview is the sole determining factor? The truth is, unlike in the business world, the interviewer at medical school is not the decision maker - hell, I have even had an interview with an MS4 this year, and I damn sure know that they have no authority to accept someone, whatever their input is worth to the adcom.
The interviewers in med school are more like some lowly staffer in the HR dept at a business interviewing a job applicant. And as anybody who has ever applied for a real job knows, you don't want to waste your time being interviewed by people who have no authority to hire you.
Rarely in med school interviews does an applicant meet with the sole decision maker in this process, unlike what usually happens in business interviews. Therefore, I disagree with you that business world and med school interviews are similar in this instance, although I agree that in both instances the stakes are quite high.
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