Mini clinical evaluation exercise (Mini‑CEX): A tool for assessment of residents in department of surgery
نویسندگان
1 Department of Medicine, All India Institute of Medical Sciences (AIIMS), Bathinda, Punjab, India
2 Department of Anatomy, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, Maharashtra, India
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چکیده
BACKGROUND: The mini‑clinical evaluation exercise (mini‑CEX) is a formative assessment tooldesigned to provide feedback on skills essential to good medical care by observing an actual clinicalencounter. However, the bigger advantage of mini‑CEX is the structured feedback that it provides tothe 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 surgeryresidents volunteered for participation and five professors conducted sessions; hence, 80 mini‑CEXencounters. Seven core clinical skill assessments were done, and the performance was rated ona 9‑point scale (grouped into unsatisfactory, satisfactory, and superior). Immediate feedback tothe residents was given by the faculty. Delayed feedback from faculty and residents regarding theperception of mini‑CEX was taken. Statistical analysis was done using SPSS version 20 and analysisof variance (ANOVA) for inferential statistics.RESULTS: As planned, 80 (100%) mini‑CEX encounters were conducted. Surgery residents showedimprovement that was statistically significant in the competencies of medical interviewing skills,physical examination skills, humanistic qualities/professionalism, and counseling skills. Most of thefaculty (80%) were able to identify the gaps in the knowledge of students and areas of improvementfor 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 minand 5.68 min, respectively. The mean scores of evaluator satisfaction and resident satisfaction withmini‑CEX sessions were 6.04 and 7.49, respectively.CONCLUSIONS: Mini‑CEX improves the learning environment in residency and also leads toimprovement in medical interviewing skills, physical examination skills, humanistic qualities/professionalism, and counseling skills. It is done in the actual patient encounter and hence preparesthe resident better for dealing with patients in the future.
