scholarly journals Acceptability and feasibility of mini-clinical evaluation exercise as a formative assessment tool for workplace-based assessment for surgical postgraduate students

2017 ◽  
Vol 63 (2) ◽  
pp. 100 ◽  
Author(s):  
MK Joshi ◽  
T Singh ◽  
DK Badyal
2019 ◽  
Vol 6 (6) ◽  
pp. 2248
Author(s):  
Pankaj M. Buch

Background: Student’s assessment is a systemic process of determining the extent to which the student has achieved the desired competency. Mini–Clinical Evaluation Exercise (Mini-CEX) is an assessment tool applicable in broad range of settings. Very little data is available in Indian settings about Mini-CEX in undergraduate. This study has been undertaken to understand its role in formative assessment.Methods: In this interventional study 47 students and 7 faculty of pediatrics participated. Students were assessed for two encounters of Mini-CEX. Assessment was as per Mini-CEX rating form followed by feedback.Results: Mean score range for different competency of data gathering were 1.76 to 2.5 during first mini-CEX and 4.38 to 5.14 during second Mini-CEX. Difference was significant (Cohen’s d >0.8). More than 90% of students felt that Mini-CEX is better way to assess clinical skills and would like to be assessed by Mini-CEX. One to one interaction was most important advantage felt about Mini-CEX. Though nearly all faculties felt that Mini-CEX is a better way for assessment half of them disagree to continue using it in future due to time constraints.Conclusions: In this study we found Impact of Mini-CEX in formative assessment is significant to improve clinical competency at undergraduate level. Improvement in Mini-CEX scores in consecutive encounter signifies its role even as Teaching Learning tool. Need to consider issues about its feasibility for Undergraduate level in settings with limited staff strength.


2020 ◽  
Vol 54 (1) ◽  
pp. 39-43
Author(s):  
Shilpa Chawla Jamenis ◽  
Shilpa Pharande ◽  
Sheetal Potnis ◽  
Prakhar Kapoor

Introduction: The mini CEX (Clinical Evaluation Exercise) is a workplace-based assessment tool intended to assess the clinical performance and a range of other skills such as communication skills, clinical judgment, professionalism, efficiency, and the overall clinical care while directly observing a real patient encounter. The clinical sessions are followed by structured feedback sessions between the assessors and the trainees. Mini CEX focuses on the actual performance and not just knowledge. This leads to better learning as well as helps to develop and strengthen the doctor–patient bond. Materials and Methods: 8 staff members and 9 orthodontic postgraduate students volunteered to participate in this study after the orientation session was taken to sensitize them about the same. An informed consent was taken from all of them. All the students had 2 sessions with all the assessors. As per the protocol of Mini CEX, immediate feedback about their performance was given to the students after each session. Feedback was also obtained from the assessors and the students after the completion of the exercise. This feedback allowed the assessors and the students to give their views on the exercise. Result: Mean scores of all the students significantly improved in the second session as compared to the first encounter. This was attributed to the feedback which they obtained from the assessors immediately after the session, which helped them improvise on various aspects of patient care. The students themselves felt that the exercise helped them learn better. Conclusion: Mini CEX can hence be considered as a valid formative assessment tool which when routinely used could enhance the learning experience, improve the communication skills of the students, as well as improve the doctor–patient bond.


Surgery ◽  
2011 ◽  
Vol 150 (2) ◽  
pp. 272-277 ◽  
Author(s):  
Luise I.M. Pernar ◽  
Sarah E. Peyre ◽  
Laura E.G. Warren ◽  
Xiangmei Gu ◽  
Stuart Lipsitz ◽  
...  

2016 ◽  
Vol 28 (3) ◽  
pp. 113-120 ◽  
Author(s):  
Sabrina Lau Yanting ◽  
Annushkha Sinnathamby ◽  
DaoBo Wang ◽  
Moses Tan Mong Heng ◽  
Justin Leong Wen Hao ◽  
...  

2019 ◽  
Author(s):  
Bruno Machado Silva ◽  
Marcos Rassi ◽  
Edna Pereira

Abstract Objective Mini-Clinical Evaluation Exercise (Mini-CEX) is a strategy for performing and documenting direct observation and formative assessment of clinical skills. This assessment method promotes identify deficiencies in history taking, physical examination and counseling skills. Furthermore, Mini-CEX is easy to implement and less cost. Thus, our objective was to evaluate the performance of orthopaedic residents in while conducting clinical examinations. Methods Mini-CEX was applied by three faculties in four different moments. The instrument was adapted by the authors for use in orthopaedics, with the development of descriptors for each evaluated skill. Supervisors were trained to use the Mini-CEX by the principal investigator through teaching materials and discussions, with standardization of the instrument descriptors. Results The mean scores obtained in the 4 evaluations for each of the 21 residents reveal improvement in the performances of residents in all skills assessed from the first to the fourth meeting. Conclusions We have found that the performance of orthopaedic residents presented a satisfactory evolution, with progressive improvement in all skills.


2020 ◽  
Vol 15 (1) ◽  
pp. 23
Author(s):  
Sonal Singh ◽  
Anuj Singhal ◽  
Shankar Subramanian ◽  
ArunKumar Yadav ◽  
Anup Hallapanavar ◽  
...  

Author(s):  
Kailash Charokar ◽  
Anil Kapoor

Introduction: The common practice prevalent in most of the Postgraduate (PG) teaching institutes is that while the PGs are clinically evaluating the patients for the traditional long case, they are mostly not directly observed by the faculty. The presentation of the case by PGs is the main focus of assessment. Workplace Based Assessment (WPBA) tools assess the clinical competence of students at the ‘does’ level of Miller’s pyramid, while they perform in a real setting. Aim: To assess the feasibility, acceptability and effectiveness of Mini-Clinical Evaluation Exercises (Mini-CEX) for the PGs in Surgery. Materials and Methods: This educational intervention study was conducted in the General Surgery Department, over a period of one year. Sixteen PGs of 1st, 2nd, and 3rd-year residency participated in the study, and 13 faculty as assessors. The Mini-CEX was conducted and the abim.org proforma was used to record the observations by the faculty. The perceptions of the PGs and faculty were obtained at the end of the study using a predesigned validated feedback questionnaire. The change in the level of acquisition of clinical skills of the PGs was evaluated using the group mean, median and rank. The Friedman test was applied to calculate the statistical significance at p<0.05 using Statistical Package for the Social Sciences (SPSS) version 20. Results: A total of 124 Mini-CEX encounters were conducted over a period of one year. The mean satisfaction score for the Mini-CEX encounters was 7.3±0.88 and 6±0.89 on the global rating (0-9) among the PGs and faculty respectively. While 14 PGs (87.5%) accepted that Mini-CEX was easy to conduct as compared to the traditional long case. Ten faculty (76.5%) accepted that it was feasible to conduct with the prevailing professional workload. Twelve PGs perceived that Mini-CEX was an effective tool for improving clinical skills. Statistically significant (p-value <0.05) improvement was found in the competencies of medical interviewing, physical examination, counseling skills, and professionalism. Conclusion: Mini-CEX was acceptable to the PGs and faculty. It was found to be an effective and formative assessment tool for learning clinical skills in a supportive workplace-based environment for clinical skills improvements


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