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Tutor-demonstrated feedback in the mini-clinical evaluation exercise.

Madhur Bhattarai1, Sean McAleer2

  • 1Chitwan Medical College.

Mededpublish (2016)
|December 11, 2023
PubMed
Summary
This summary is machine-generated.

Tutor-demonstrated feedback (TDF) in mini-clinical evaluation exercises (mini-CEX) improved trainee performance and satisfaction. This method offers a valuable, supervised learning approach for medical education.

Keywords:
AssessmentPACESfeedbackfeedforwardlearning by observationlearning for assessmentmini-CEXpeer-assessmentsupervised learning eventsteaching for assessment

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Area of Science:

  • Medical Education
  • Clinical Skills Assessment

Background:

  • The mini-clinical evaluation exercise (mini-CEX) is a tool for assessing clinical performance and providing feedback.
  • Implicit elements in mini-CEX assessments can limit learning effectiveness.
  • Tutor observation and demonstration offer a crucial reference standard for trainees.

Purpose of the Study:

  • To evaluate the feasibility and educational impact of tutor-demonstrated feedback (TDF) within the mini-CEX framework.
  • To investigate TDF as a method for supervised learning and formative assessment in medical training.

Main Methods:

  • Final year residents conducted mini-CEX encounters with unfamiliar patients, observed by peers and a tutor.
  • Tutors demonstrated appropriate clinical behaviors following resident performance.
  • Peers rated resident performance before and after TDF using peer-assessment ratings (PARs) and peer-satisfaction ratings (PSRs).

Main Results:

  • High response rates (95%) and reliable peer-assessment ratings (PARs reliability .77-.93) were achieved.
  • PARs significantly decreased post-TDF, indicating more critical evaluation, while mean PSRs significantly increased, showing higher satisfaction.
  • Mean observation time decreased significantly over the study period, suggesting increased efficiency.

Conclusions:

  • Tutor-demonstrated feedback (TDF) is feasible and demonstrates a positive educational impact in mini-CEX.
  • TDF represents a novel approach to supervised learning and formative assessment in clinical training.
  • Further investigation into TDF within the mini-CEX is warranted.