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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.
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]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Internal medicine residents' perceptions of the Mini-Clinical Evaluation Exercise.
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  Data: <searchLink fieldCode="AR" term="%22Malhotra%2C+Samir%22">Malhotra, Samir</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hatala%2C+Rose%22">Hatala, Rose</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> rhatala@mac.com</i><br /><searchLink fieldCode="AR" term="%22Courneya%2C+Carol-Ann%22">Courneya, Carol-Ann</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. May2008, Vol. 30 Issue 4, p414-419. 6p. 1 Diagram, 1 Chart.
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  Data: *<searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Residents+%28Medicine%29%22">Residents (Medicine)</searchLink><br />*<searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Internal+medicine%22">Internal medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+medical+staff%22">Hospital medical staff</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Vancouver+%28B%2EC%2E%29%22">Vancouver (B.C.)</searchLink><br /><searchLink fieldCode="DE" term="%22British+Columbia%22">British Columbia</searchLink>
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  Data: 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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  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=32747028
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      – SubjectFull: Focus groups
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      – SubjectFull: Vancouver (B.C.)
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      – TitleFull: Internal medicine residents' perceptions of the Mini-Clinical Evaluation Exercise.
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              M: 05
              Text: May2008
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              Y: 2008
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