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Original Research Paper

Faculty and Resident Perceptions on Mini-Clinical Examination Exercise (Mini-CEX) as an Assessment Tool in Medical and Surgical Super-Specialty Departments of a Teaching Hospital

Authors:

S. T. M. Rajan ,

Government Medical College Kozhikode, Kerala, IN
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A. Rahim,

Government Medical College Kozhikode, Kerala, IN
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Government Medical College Manjeri, Kerala
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G. Govindraj

Government Medical College Kozhikode, Kerala, IN
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Abstract

Introduction: Many teaching hospitals in India find it difficult to conduct formative assessment of residents due to limitation of resources like manpower and time. The aim of this study is to evaluate faculty and resident perceptions on the feasibility of using Mini-CEX as a formative assessment tool in medical and surgical speciality departments.

 

Settings and Design: An observational study to evaluate the performance and elicit perceptions on the Mini-CEX tool by 30 faculty and 30 residents was conducted in a large public sector tertiary care medical college, which is also a regional centre for medical education technologies (RCMET) under Medical council of India.

 

Methods: Mini-CEX conducted by standard methodology of Norcini et al. using downloadable ABIM forms. Faculty and resident feedback obtained, opinion regarding assessment recorded on a 5 point Likert score along with few open ended questions. Data obtained from 30 encounters in various clinical settings was assessed on ABIM forms, assessor (faculty) feedback form and resident feedback form. Data analysis was done using SPSS V18 statistical software package. Continuous variables were expressed as mean with standard deviation or median with interquartile range (IQR). Categorical were summarized as frequency with proportions. Paired t test used for comparison of scores.

 

Results: The overall satisfaction score on assessment process was 69.6% for faculty and 68.3% for residents. Satisfaction was higher for medical super specialty departments [6.50(SD+/-1.2)]. Clinical judgement (p value 0.012), overall clinical competence (p value 0.037) and counselling skills (p value 0.044) were best assessed. Familiarity with Mini-CEX improved assessment. 60% residents felt that the 1:1 faculty interaction and immediate feedback motivates further learning [4.23(SD+/-0.679)].

 

Conclusions: Our study demonstrates that Mini-CEX is a feasible assessment option in resource constrained super-specialty departments.

How to Cite: Rajan, S.T.M., Rahim, A. and Govindraj, G., 2020. Faculty and Resident Perceptions on Mini-Clinical Examination Exercise (Mini-CEX) as an Assessment Tool in Medical and Surgical Super-Specialty Departments of a Teaching Hospital. South-East Asian Journal of Medical Education, 14(2), pp.48–57. DOI: http://doi.org/10.4038/seajme.v14i2.219
Published on 31 Dec 2020.
Peer Reviewed

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