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An exploratory pilot study of integrated mini-CEX and DOPS assessments in general medicine residency: feasibility and
Shanshan Pang1, Xia Li1, Sheng Cheng2
1Department of General Medicine, Yancheng Third People's Hospital, the affiliated hospital of Jiangsu Medical College, Yancheng, China; Department of General Medicine, Yancheng Third People's Hospital, Affiliated Hospital 6 of Nantong University, Yancheng Third People's Hospital, Yancheng, China.
Objective:
This exploratory pilot study aims to investigate the practices for enhancing clinical competence and exploring adaptive performance in General Medicine residents. It focuses on providing initial insights into how integrated assessment tools and structured feedback mechanisms are associated with the progression of clinical skills in a specific residency setting.
Methods:
A total of 30 General Medicine residents were selected for this single-arm longitudinal investigation. Subjects underwent standardized training at the General Medicine base of the Sixth Affiliated Hospital of Nantong University. Competency progression was assessed using a combination of Mini-CEX and DOPS. Each resident underwent three assessments at baseline (Month-1), mid-term (Month-4), and end (Month-7), with structured feedback provided by six calibrated senior attending physicians.
Results:
Significant improvements were observed across the three assessment stages in both Mini-CEX and DOPS scores (p < 0.0001). Repeated-measures ANOVA indicated a robust upward trajectory in clinical and procedural competencies over the seven-month training period.
Conclusion:
The integration of Mini-CEX and DOPS within a boundary-learning framework is associated with significant improvements in residents' clinical consultation and procedural proficiency. While these preliminary findings suggest that the structured feedback mechanism supports the development of core competencies, further research using validated psychometric scales is required to definitively measure the transition from routine proficiency to adaptive expertise.