Mini clinical evaluation exercise (Mini-CEX)

Abstract

BACKGROUND: The mini-clinical evaluation exercise (mini-CEX) is a formative assessment tool designed to provide feedback on skills essential to good medical care by observing an actual clinical encounter. However, the bigger advantage of mini-CEX is the structured feedback that it provides to the students as well as the faculty, thus helping them to make better decisions. MATERIALS AND METHODS: This study was a cross-sectional observational study. Sixteen surgery residents volunteered for participation and five professors conducted sessions; hence, 80 mini-CEX encounters. Seven core clinical skill assessments were done, and the performance was rated on a 9-point scale (grouped into unsatisfactory, satisfactory, and superior). Immediate feedback to the residents was given by the faculty. Delayed feedback from faculty and residents regarding the perception of mini-CEX was taken. Statistical analysis was done using SPSS version 20 and analysis of variance (ANOVA) for inferential statistics. RESULTS: As planned, 80 (100%) mini-CEX encounters were conducted. Surgery residents showed improvement that was statistically significant in the competencies of medical interviewing skills, physical examination skills, humanistic qualities/professionalism, and counseling skills. Most of the faculty (80%) were able to identify the gaps in the knowledge of students and areas of improvement for their teaching. However, 60% of the faculty felt that it required more effort than traditional methods. The mean time taken by the assessor for observation and feedback to residents was 12.51 min and 5.68 min, respectively. The mean scores of evaluator satisfaction and resident satisfaction with mini-CEX sessions were 6.04 and 7.49, respectively. CONCLUSIONS: Mini-CEX improves the learning environment in residency and also leads to improvement in medical interviewing skills, physical examination skills, humanistic qualities/professionalism, and counseling skills. It is done in the actual patient encounter and hence prepares the resident better for dealing with patients in the future.

Developing a competency assessment framework for medical laboratory technologists in primary healthcare settings in India

“…Of these, 89 questions were for knowledge, and the remaining 49 were for attitude. Further, we used three instruments to assess MLTs skills: observational, mini clinical laboratory evaluation, and case studies [ 28 , 29 ]. Under observation, we identified 56 skills, 13 skills under mini-clinical exercises, and five as case study exercises.…”

Assessing Residents in the Department of Surgery at a Tertiary Care Centre Using Mini-Clinical Evaluation Exercise (Mini-CEX)

“…In another research by Singh and Sharma, 25% of sessions were held in an IPD environment and 75% of sessions were held in an ambulatory setting (OPD) [ 5 ]. Half of the sessions done by Batra et al were ambulatory patients, whereas the remaining 30% involved inpatients and 20% in the ER [ 21 ].…”

“…Mini-CEX assessment in general surgery residents was also assessed by Batra et al [ 21 ]. For medical interviewing abilities, humanistic traits/professionalism, clinical judgment, counseling, and overall clinical competency, the study's mean score was 5.…”

“…According to a research, feedback content has the potential to enhance mini-CEX's usefulness as an assessment tool and provide both constructive and critical feedback [ 29 ]. Positive feedback about the use of mini-CEX in many areas of medical education has been received by numerous other researchers [ 4 , 21 , 30 , 31 ].…”

Application of Rain Classroom combined with Team-based Learning(TBL) to teaching of case discussion for residents in Department of anesthesiology

“…TBL is designed in the middle period of inattention, which improves the focus and participation of learning, and the teaching effect is better. In addition, the convenient interaction between "bullet screen" and "test" in the Rain Classroom increases the interest of the case discussion process; The teacher's guidance makes the "learning objective" clearer; The group leader's "summary" can further consolidate and sort out knowledge points, so as to deepen understanding and memory and promote the internalization of theoretical knowledge [20].Mini-CEX has been introduced into domestic and foreign medical colleges to evaluate the learning effect of clinicians [21][22][23]. According to the characteristics of anesthesia, domestic scholars have modi ed the content of the scale [24].…”