Mini-clinical evaluation exercise in anaesthesia training
Open Access
- 31 March 2009
- journal article
- research article
- Published by Elsevier in British Journal of Anaesthesia
- Vol. 102 (5), 633-641
- https://doi.org/10.1093/bja/aep055
Abstract
The Mini-Clinical Evaluation Exercise (Mini-CEX) is a workplace-based assessment tool of potential value in anaesthesia to assess and improve clinical performance. Its reliability and positive educational impact have been reported in other specialities, but not, to date, in anaesthesia. In this study, we evaluated the psychometric characteristics, logistics of application, and impact on the quality of supervision of the Mini-CEX in anaesthesia training. A Mini-CEX encounter consisted of a single specialist anaesthetist observing a trainee over a defined period of time, completing an online Mini-CEX form with the trainee, and providing written and verbal feedback. We sought trainee and supervisor perspectives on its value and ease of use and used Generalizability Theory to estimate reliability. We collected 331 assessments from 61 trainees and 58 assessors. Survey responses strongly supported the positive effect of the Mini-CEX on feedback, its relative feasibility, and acceptance as a potential assessment tool. In this cohort, we found variable assessor stringency and low trainee variation. However, a feasible sample of cases and assessors would produce sufficiently precise scores to decide that performance was satisfactory for each trainee with 95% confidence. To generate scores that could discriminate sufficiently between trainees to allow ranking, a much larger sample of cases would be needed. The Mini-CEX in anaesthesia has strengths and weaknesses. Strengths include: its perceived very positive educational impact and its relative feasibility. Variable assessor stringency means that large numbers of assessors are required to produce reliable scores.Keywords
This publication has 16 references indexed in Scilit:
- Validity, reliability, feasibility and satisfaction of the Mini-Clinical Evaluation Exercise (Mini-CEX) for cardiology residency trainingMedical Teacher, 2007
- Assessing the mini-Clinical Evaluation Exercise in comparison to a national specialty examinationMedical Education, 2006
- Brief report: Use of the mini-clinical evaluation exercise in internal medicine core clerkshipsJournal of General Internal Medicine, 2006
- Current perspectives in assessment: the assessment of performance at workMedical Education, 2005
- Reliability and Validity of a Simulation-based Acute Care Skills Assessment for Medical Students and ResidentsAnesthesiology, 2003
- Feasibility, Reliability, and Validity of the Mini-Clinical Evaluation Exercise (mCEX) in a Medicine Core ClerkshipAcademic Medicine, 2003
- The Mini-CEX: A Method for Assessing Clinical SkillsAnnals of Internal Medicine, 2003
- Assessing the Reliability and Validity of the Mini—Clinical Evaluation Exercise for Internal Medicine Residency TrainingAcademic Medicine, 2002
- Enhancing Feedback to Students Using the Mini-CEX (Clinical Evaluation Exercise)Academic Medicine, 2000
- The Mini-CEX (Clinical Evaluation Exercise): A Preliminary InvestigationAnnals of Internal Medicine, 1995