Brief report: Use of the mini-clinical evaluation exercise in internal medicine core clerkships
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INTRODUCTION: Direct observation of medical students’ clinical skills is important, but occurs infrequently. The mini-clinical evaluation exercise (mCEX) is a tool developed for use with internal medicine (IM) residents that can be used to promote direct observation of medical students’ clinical skills. It is unknown how many IM core clerkships in the United States use the mCEX or how it has been implemented.
METHODS: Questions about use of the mCEX were incorporated into an online annual survey distributed to the 114 IM clerkships belonging to Clerkship Directors in Internal Medicine, a national organization of individuals responsible for teaching IM to medical students.
RESULTS: The survey response rate was 83%. Twenty-eight percent (N=27) of respondents use the mCEX in their clerkship. The mean number of required mCEX encounters is 2.3 (SD 1.6). The mCEX is used for formative assessment (68%) more than summative assessment (11%). Ward attendings are the most common mCEX evaluators (72%).
DISCUSSION: The mCEX is being used to promote direct observation of medical students’ clinical skills in a significant minority of IM core clerkships. The mCEX is 1 tool for facilitating feedback from both faculty and residents on trainees’ developing skills.
- Liaison Committee on Medical Education. LCME accreditation standards. Available at: http://www.lcme.org/fucntionslist.htn. Accessed January 2005.
- Holmboe ES. Faculty and observation of trainees’ clinical skills: problems and opportunities. Acad Med. 2004;79:16–22. CrossRef
- Kassebaum DG, Eaglen RH. Shortcomings in the evaluation of students’ clinical skills and behaviors in medical school. Acad Med. 1999;74:842–9. CrossRef
- Kernan WN, Holmboe E, O’Connor PG. Assessing the teaching behaviors of ambulatory care preceptors. Acad Med. 2004;79:1089–94. CrossRef
- Howley LD, Wilson WG. Direct observation of students during clerkship rotations: a multiyear descriptive study. Acad Med. 2004;79:276–80. CrossRef
- Medical School Graduation Questionnaire: all schools report. 2004. Available at: http://www.aamc.org/data/gq/allschoolsreports/2004. pdf. Accessed January 2005.
- Norcini JJ, Blank LL, Arnold GK, Kimball HR. The mini-CEX (clinical evaluation exercise): a preliminary investigation. Ann Intern Med. 1995;123:795–9.
- Norcini JJ, Blank LL, Duffy FD, Fortna GS. The mini-CEX: a method for assessing clinical skills. Ann Intern Med. 2003;138:476–81.
- Durning SJ, Cation LJ, Markert RJ, Pangaro LN. Assessing the reliability and validity of the mini-clinical evaluation exercise for internal medicine training. Acad Med. 2002;79:900–4. CrossRef
- Hauer KE. Enhancing feedback to students using the mini-CEX (clinical evaluation exercise). Acad Med. 2000;75:524. CrossRef
- Kogan JR, Bellini LM, Shea JA. Feasibility, reliability, and validity of the mini-clinical evaluation exercise (mCEX) in a medicine core clerkship. Acad Med. 2003;78:S33–5. CrossRef
- Lane JL, Gottlieb RP. Structure clinical observations: a method to teach clinical skills with limited time and financial resources. Pediatrics. 2000;105(part 2):93–7.
- Greenberg LW. Medical students’ perceptions of feedback in a busy ambulatory setting: a descriptive study using a clinical encounter card. South Med J. 2004;97:1174–8. CrossRef
- Rolfe IE, Sanson-Fisher RW. Translating learning principles into practice: a new strategy for learning clinical skills. Med Educ. 2002;36:345–52. CrossRef
- Issenberg SB, McGaghie WC. Clinical skills training-practice makes perfect. Med Educ. 2002;36:210–11. CrossRef
- Hasnain M, Connell KJ, Downing SM, et al. Toward meaningful evaluation of clinical competence: the role of direct observation in clerkship ratings. Acad Med. 2004;79:S21–4. CrossRef
- Watson RT. Rediscovering the medical school. Acad Med. 2003;78:659–65. CrossRef
- Brief report: Use of the mini-clinical evaluation exercise in internal medicine core clerkships
Journal of General Internal Medicine
Volume 21, Issue 5 , pp 501-502
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- clinical skills
- undergraduate medical education
- medical students
- clinical competence
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