Objective: To evaluate the feasibility, reliability and acceptability of the mini clinical evaluation exercise (mini‐CEX) for performance assessment among international medical graduates (IMGs).
Design, setting and participants: Observational study of 209 patient encounters involving 28 IMGs and 35 examiners at three metropolitan teaching hospitals in New South Wales, Victoria and Queensland, September–December 2006.
Main outcome measures: The reliability of the mini‐CEX was estimated using generalisability (G) analysis, and its acceptability was evaluated by a written survey of the examiners and IMGs.
Results: The G coefficient for eight encounters was 0.88, suggesting that the reliability of the mini‐CEX was 0.90 for 10 encounters. Almost half of the IMGs (7/16) and most examiners (14/18) were satisfied with the mini‐CEX as a learning tool. Most of the IMGs and examiners enjoyed the immediate feedback, which is a strong component of the tool.
Conclusion: The mini‐CEX is a reliable tool for performance assessment of IMGs, and is acceptable to and well received by both learners and supervisors.
Although it has an important role in maintaining medical standards, little is known about the work of the Australian Medical Council (AMC) by members of the medical profession. A non-statutory standards authority, the AMC accredits medical schools in Australia and New Zealand, examines overseas-trained doctors for registration purposes and advises Medical Boards and Health Ministers on registration issues. The AMC, in consultation with Specialist Medical Colleges and others, is currently working on a number of initiatives to ensure standards of medical training and practice, including procedures to recognize new specialties and to accredit externally specialist education and training courses.
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