Internal medicine residents' perceptions of the Mini-Clinical Evaluation Exercise.
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| Title: | Internal medicine residents' perceptions of the Mini-Clinical Evaluation Exercise. |
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| Authors: | Malhotra, Samir1 (AUTHOR), Hatala, Rose1 (AUTHOR) rhatala@mac.com, Courneya, Carol-Ann1 (AUTHOR) |
| Source: | Medical Teacher. May2008, Vol. 30 Issue 4, p414-419. 6p. 1 Diagram, 1 Chart. |
| Subject Terms: | *Clinical competence, *Residents (Medicine), *Focus groups, Internal medicine, Hospital medical staff, Medical care |
| Geographic Terms: | Vancouver (B.C.), British Columbia |
| Company/Entity: | University of British Columbia |
| Abstract: | Background: The mini-clinical evaluation exercise (mini-CEX) is a 30 minute observed clinical encounter which allows assessment of a resident's clinical competence with feedback on their performance. Aims: To assess residents' perceptions of the mini-CEX using qualitative methods. Methods: After introducing the mini-CEX into the University of British Columbia's Internal Medicine Residency Program, a one hour semi-structured focus group with voluntary first and second year residents was undertaken. The focus groups were conducted by an independent moderator, audio-taped, and transcribed verbatim. Using a phenomenological approach, the comments made by the focus group participants were read independently by the three authors and organized into major themes. Results: The major themes included Education, Assessment and Exam Preparation. Residents described a conflict between the mini-CEX's role as a method of assessment and its utility as an educational tool. During initial mini-CEX encounters, they perceived the assessment format as anxiety-provoking. Over time, they felt that the mini-CEX provided insight into their clinical competence. Participants believed that the mini-CEX experience would benefit them in preparation and successful completion of their national specialty exam. Conclusions: Residents' perceptions of the mini-CEX reflected a tension between the tool's dual roles of assessment and education. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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| Abstract: | Background: The mini-clinical evaluation exercise (mini-CEX) is a 30 minute observed clinical encounter which allows assessment of a resident's clinical competence with feedback on their performance. Aims: To assess residents' perceptions of the mini-CEX using qualitative methods. Methods: After introducing the mini-CEX into the University of British Columbia's Internal Medicine Residency Program, a one hour semi-structured focus group with voluntary first and second year residents was undertaken. The focus groups were conducted by an independent moderator, audio-taped, and transcribed verbatim. Using a phenomenological approach, the comments made by the focus group participants were read independently by the three authors and organized into major themes. Results: The major themes included Education, Assessment and Exam Preparation. Residents described a conflict between the mini-CEX's role as a method of assessment and its utility as an educational tool. During initial mini-CEX encounters, they perceived the assessment format as anxiety-provoking. Over time, they felt that the mini-CEX provided insight into their clinical competence. Participants believed that the mini-CEX experience would benefit them in preparation and successful completion of their national specialty exam. Conclusions: Residents' perceptions of the mini-CEX reflected a tension between the tool's dual roles of assessment and education. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 0142159X |
| DOI: | 10.1080/01421590801946962 |
