Teaching and Assessment of Clinical Skills in Interns using the Mini Clinical Evaluation Exercise (Mini-CEX) in a South Indian Medical College – a Pilot Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background and objectives: Research continues to document serious deficiencies in clinical skill among students and interns of medical colleges. Increased emphasis is now being placed on defining outcomes of medical education in terms of “performance” rather than just in terms of “competence”. Mini Clinical Evaluation Exercise (Mini-CEX) is one innovative Work Place Based Assessment (WPBA) tool to assess both of these. In this study,an attempt has been made to introduce Mini CEXfor teaching and assessing interns and to assess the perception of interns and faculties regarding mCEX. Methods: Three faculties from Department of Medicine were trained in using Mini CEX performance rating form. Thirty interns who consented to the study were divided into three groups and the faculties assessed the interns on three core skills / competencies. After assessment, faculties provided the interns a developmental feedback based on direct observation. A perception questionnaire was also used to study the perception of students and the faculty at the end of the exercise. Results: The observation and feedback took an average of 18 minutes and 6 minutes respectively. Interns were rated higher for their physical examination skills (6.2) compared to interviewing and counselling skills (5.8). Highest rating was given for professionalism (only two out of 30 interns were rated superior (7-9) in the nine point rating scale. Satisfaction with the exercise was rated by faculty as 6.9 and by students as 6.4. All interns agreed that this exercise is an effective learning method. Similarly all faculties felt that this exercise is an effective teaching and assessing method. Conclusion: There is a lot of potential for improvement of students with respect to clinical skills. This studydemonstrates that mCEX is feasible in our setting. It can be introduced for medical training to teach and assess clinical skills and apart from physical examination skills a lot of other skills can be taught and improved with this tool. Another important component of this tool is „giving feedback‟. The feedback should be constructive, task oriented, given as soon as possible and presented in a credible manner to the trainees.
Authors and Affiliations
Balamurugan . P. V, Jayapriya . B, Geetha . K, Lourdu Jafrin . A
Keywords
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- EP ID EP598043
- DOI 10.9790/0853-1605096973.
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