Teamwork Stations Where You Give Instructions Blind
You can see the diagram. Your partner cannot. Instruction giving stations look like a party game and are really a test of sequencing, checking and staying calm when it goes wrong.
You are given a diagram, a shape made of blocks, or a pattern on a card. Your partner has the same materials and a barrier between you, or they are simply facing away. You have a few minutes to talk them into reproducing it, and you are not allowed to show them anything.
It feels like a party game and candidates often treat it as one, which is the mistake. Nothing in an MMI circuit is there for entertainment. This station is a very efficient way of finding out whether you can transfer complex information to someone who cannot see what you can, under time pressure, without getting frustrated. That is a description of half of clinical communication.
Why this station exists
Think about who does this in a hospital. Someone handing over a patient at the end of a shift. Someone explaining a procedure to a person who has never seen one. Someone describing a wound over the phone to a colleague who cannot look at it. In every case the speaker holds a picture the listener does not have, and the cost of assuming otherwise is real.
So the assessor is not counting how much of the shape got built. They are watching how you structured the information, whether you checked, and what you did when it went wrong.
Orient before you describe
The single biggest difference between candidates is whether they start with detail or with orientation. Weak candidates begin immediately with the first piece. Strong candidates spend fifteen seconds establishing the frame.
Orientation covers three things. What the finished thing roughly is, so they have a mental container to put pieces into. How many parts or steps there are, so they can pace themselves. And where the starting point sits, so every later instruction has an anchor.
This is the same reason a doctor says what a conversation is going to be about before starting it. People absorb detail far better once they know the shape it belongs to.
Agree a shared language early
Left and right are the classic disaster. If you are facing each other, your left is their right, and neither of you will notice for ninety seconds. Fix it in advance: agree that directions are from their point of view, and say so out loud.
Do the same for names. If there are coloured or shaped pieces, agree what you are calling each one before you use it. Two seconds of naming saves thirty seconds of confusion, and the assessor can hear you doing it.
One instruction at a time
Under time pressure people speed up by batching, delivering three steps in one breath. It feels faster and it is much slower, because a listener who loses step two silently guesses at step three, and now you are debugging.
Give one action, wait for confirmation, then give the next. It is slower per step and much faster overall. It also produces the rhythm assessors are listening for: instruct, confirm, instruct.
Close the loop properly
Asking whether that makes sense is not a check. It gets a yes from everyone, including people who are completely lost, because saying no feels like admitting failure. A real check asks them to tell you something back.
- Ask them to describe what they have in front of them now.
- Ask them to repeat the instruction back before they act on it.
- Ask which piece they just picked up, rather than whether they picked up the right one.
- Ask them to tell you when they are ready, so you are not talking over their hands.
- Invite interruption at the start: tell them to stop you the moment anything is unclear, and mean it.
That last one is worth marks on its own, because it gives the other person permission to admit confusion, which most people will not do unprompted.
Language that quietly fails
Vague comparatives are the main offenders. A bit further along, slightly bigger, near the top, roughly in the middle. Each one sounds specific to you because you can see the answer. To them it is a guess.
Replace them with countable or relative anchors: two squares up from the piece you just placed, touching the edge, in the corner nearest you. Also drop any word you would not use with someone outside your degree. Technical vocabulary in this station is exactly the jargon problem that makes patients nod and understand nothing.
When it goes wrong, and it will
Discovering at minute four that the whole thing is mirrored is the standard experience, not a disaster. What happens next is the most heavily observed part of the station.
Take the blame yourself, genuinely and briefly. Say your description was not clear enough, then fix it. Do not say they misheard you, even if they did. Then go back to the last point you were both sure about rather than starting again from scratch, and slow down instead of speeding up. Frustration in your voice at this moment is the most costly thing you can do, and it is very easy to hear.
Managing the clock
Say early on how you plan to use the time, and give one time check partway through. If you are running out, prioritise out loud: tell them you are going to get the main structure right and leave the detail, and explain why. Choosing deliberately under time pressure is worth more than finishing by accident.
If you are given a short window with the material before the station starts, spend it deciding the order you will describe things in and the frame of reference you will use. Our guide to using thirty seconds of MMI reading time applies directly, because a sequencing decision made in advance is worth more than any amount of memorising detail.
What is being marked
Usually clarity, structure, checking behaviour, adaptability and how you treat the other person. Completion, if it counts at all, tends to be a small component. Our guide to how MMI scoring works in Australia explains why a half finished build with excellent checking and a patient tone can beat a completed one delivered at speed with an irritated partner.
There is also a courtesy layer people forget. Thank them, acknowledge their effort when they get something right, and do not narrate your own frustration. The person following your instructions is doing the harder job.
A drill you can actually do
Find any image with several elements, sit back to back with a friend or family member, and talk them into drawing it in four minutes. Then compare and, more importantly, ask them where they got lost. Do it three times and your instinct to orient first will be permanent.
Round that out with exposure to the other station types so nothing on the circuit feels foreign. Our set of MMI interview questions used in Australia is written as practice material rather than anything taken from a real interview, and it is enough to build a rotation from.
For the pressure itself, MasterMed's live AI interviewer runs timed MMI stations and marks you against a rubric, so you build the habit of speaking clearly while a clock runs. The first speaking station is free on the trial, no card, and the trial never converts by itself.
The core idea
You are not the one being tested on understanding. They are the one who has to understand, which makes their confusion your responsibility. Every good habit in this station comes from taking that seriously: orient them, name things, go one step at a time, ask them to tell you back, and stay warm when it falls apart.
- Interview
- MMI
- Teamwork
- Communication
- Medical School