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Examiner differences in the mini-CEX
J J Norcini1, L L Blank, G K Arnold
1American Board of Internal Medicine, 510 Walnut St., Philadelphia, PA 19106, USA. jnorcini@abim.org
Advances in Health Sciences Education : Theory and Practice
|January 1, 1997
Summary
The mini-Clinical Evaluation Exercise (mini-CEX) provides consistent resident evaluations across different settings and examiners. Faculty were satisfied with this assessment format, indicating its value for local-level medical education.
Area of Science:
- Medical Education
- Clinical Assessment
- Resident Training
Background:
- The mini-Clinical Evaluation Exercise (mini-CEX) is a tool used for assessing resident performance.
- Variability in faculty stringency and clinical setting influence can affect assessment validity.
Purpose of the Study:
- To determine if faculty ratings in the mini-CEX format vary by examiner stringency or clinical setting.
- To assess faculty satisfaction with the mini-CEX format.
Main Methods:
- Faculty observed residents during focused history and physical examinations in inpatient, outpatient, or emergency settings.
- Faculty provided ratings and feedback after discussing diagnosis and treatment plans.
- Data from 355 mini-CEX encounters involving 88 residents and 64 attending physicians were analyzed.
Main Results:
- Examiner ratings showed minimal differences in stringency.
- Ratings were consistent across different training programs and clinical settings (inpatient, outpatient, emergency room).
- Faculty reported general satisfaction with the mini-CEX format, correlating with resident perceptions.
Conclusions:
- The mini-CEX is adaptable to various clinical situations, yielding comparable scores across different examiners and settings.
- The mini-CEX is a valuable tool for local-level resident evaluation in medical training programs.