The Mini-CEX: A Method for Assessing Clinical Skills

Abstract

The measurement characteristics of the mini-CEX are similar to those of other performance assessments, such as standardized patients. Unlike these assessments, the difficulty of the examination will vary with the patients that a resident encounters. This effect is mitigated to a degree by the examiners, who slightly overcompensate for patient difficulty, and by the fact that each resident interacts with several patients. Furthermore, the mini-CEX has higher fidelity than these formats, permits evaluation based on a much broader set of clinical settings and patient problems, and is administered on site.

The modified essay question: Its exit from the exit examination?

“…This raises the question of whether or not we are capable of testing higher order thinking in a reliable and reproducible way. MCQs provide a potential option (our data offer limited support to that observation), but perhaps more resources should be targeted at more clinically realistic assessments such as OSCEs and ward-based assessments such as the mini-CEX (Norcini et al 2003) or newer types of assessment such as the Script Concordance test (Charlin et al 2000).…”

Review article: Assessment in anesthesiology education

“…[61][62][63][64] While professionalism rating scales are available 53,65 and have been employed in OSCEs and as part of peer evaluations, 66 they are often difficult to administer. Many aspects of professionalism are difficult to define, at least in terms of specific behaviours.…”

Alumnos en las consultas clínicas: Normas de estilo para un mejor aprovechamiento de las rotaciones clínicas de los estudiantes de medicina

“…Existen algunos instrumentos para la valora ción de la entrevista mediante observación directa (Tabla II) [8,9]. Otros procedimientos, como la misma explora ción física u otros procedimientos manuales, se pueden supervisar invitando al estudiante a que los repita una vez ha visto como los realizamos (con las limitaciones obvias de cada caso), y viceversa, tras realizarla el estudiante, nosotros la repetiremos y en su caso corregiremos.…”