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https://www.readbyqxmd.com/read/29129176/composite-reliability-of-workplace-based-assessment-of-international-medical-graduates
#1
Balakrishnan Kichu R Nair, Joyce Mw Moonen-van Loon, Mulavana Parvathy, Brian C Jolly, Cees Pm van der Vleuten
OBJECTIVE: The fitness to practise of international medical graduates (IMGs) is usually evaluated with standardised assessment tests. The performance rather than the competency of practising doctors should, however, be assessed, for which reason workplace-based assessment (WBA) has gained increasing attention. Our aim was to assess the composite reliability of WBA instruments for assessing IMGs. DESIGN AND SETTING: Between June 2010 and April 2015, 142 IMGs were assessed by 99 calibrated assessors; each was assessed in the workplace over 6 months...
November 20, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28720128/the-utility-of-mini-clinical-evaluation-exercise-mini-cex-in-undergraduate-and-postgraduate-medical-education-protocol-for-a-systematic-review
#2
Sara Mortaz Hejri, Mohammad Jalili, Mandana Shirazi, Rasoul Masoomi, Saharnaz Nedjat, John Norcini
BACKGROUND: One of the most frequently used assessment tools that measure the trainees' performance in workplace is the mini-Clinical Evaluation Exercise (mini-CEX), in which an expert observes and rates the actual performance of trainees. Several primary studies have evaluated the effectiveness of mini-CEX by assessing its educational and psychometric properties. The objective of this BEME review is to explore, analyze, and synthesize the evidence considering the utility of the mini-CEX for assessing undergraduate and postgraduate medical trainees...
July 18, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28521573/students-motivation-toward-feedback-seeking-in-the-clinical-workplace
#3
Lubberta H de Jong, Robert P Favier, Cees P M van der Vleuten, Harold G J Bok
In medical education, students are increasingly regarded as active seekers of feedback rather than passive recipients. Previous research showed that in the intentions of students to seek feedback, a learning and performance goal can be distinguished. In this study, we investigated the intentions (defined as level and orientation of motivation) of different performing students (low, average, and high performing students) to seek feedback in the clinical workplace using Self-Determination Theory. We conducted a quantitative study with students in their clinical clerkships and grouped them based on their performance...
September 2017: Medical Teacher
https://www.readbyqxmd.com/read/28272063/acceptability-and-feasibility-of-mini-clinical-evaluation-exercise-as-a-formative-assessment-tool-for-workplace-based-assessment-for-surgical-postgraduate-students
#4
M K Joshi, T Singh, D K Badyal
BACKGROUND: Despite an increasing emphasis on workplace-based assessment (WPBA) during medical training, the existing assessment system largely relies on summative assessment while formative assessment is less valued. Various tools have been described for WPBA, mini-clinical evaluation exercise (mini-CEX) being one of them. Mini-CEX is well accepted in Western countries, however, reports of its use in India are scarce. We conducted this study to assess acceptability and feasibility of mini-CEX as a formative assessment tool for WPBA of surgical postgraduate students in an Indian setting...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28159950/implementation-of-a-mini-clinical-evaluation-exercise-mini-cex-program-to-assess-the-clinical-competence-of-postgraduate-trainees-in-pediatrics
#5
Sumaira Khalil, Anurag Aggarwal, Devendra Mishra
OBJECTIVE: To implement Mini-CEX, a Workplace-based assessment tool, for formative assessment of clinical skills of final year pediatric post-graduate residents. METHODS: All final-year postgraduate residents at the Department of Pediatrics of a public medical college in India underwent mini-CEX assessment by rotation among six faculty members. Outcome was assessed by an anonymous questionnaire-based feedback from the participating students and faculty members, collected after the completion of all the mini-CEX encounters...
April 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28110625/developing-and-piloting-a-resource-for-training-assessors-in-use-of-the-mini-cex-mini-clinical-evaluation-exercise
#6
Elaine Walsh, Tony Foley, Carol Sinnott, Siobhan Boyle, W Henry Smithson
No abstract text is available yet for this article.
January 23, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28100524/making-robust-assessments-of-specialist-trainees-workplace-performance
#7
J M Weller, D J Castanelli, Y Chen, B Jolly
BACKGROUND: Workplace-based assessments should provide a reliable measure of trainee performance, but have met with mixed success. We proposed that using an entrustability scale, where supervisors scored trainees on the level of supervision required for the case would improve the utility of compulsory mini-clinical evaluation exercise (CEX) assessments in a large anaesthesia training program. METHODS: We analysed mini-CEX scores from all Australian and New Zealand College of Anaesthetists trainees submitted to an online database over a 12-month period...
February 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28030422/factors-influencing-mini-cex-rater-judgments-and-their-practical-implications-a-systematic-literature-review
#8
REVIEW
Victor Lee, Keira Brain, Jenepher Martin
PURPOSE: At present, little is known about how mini-clinical evaluation exercise (mini-CEX) raters translate their observations into judgments and ratings. The authors of this systematic literature review aim both to identify the factors influencing mini-CEX rater judgments in the medical education setting and to translate these findings into practical implications for clinician assessors. METHOD: The authors searched for internal and external factors influencing mini-CEX rater judgments in the medical education setting from 1980 to 2015 using the Ovid MEDLINE, PsycINFO, ERIC, PubMed, and Scopus databases...
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28008136/how-does-feedback-in-mini-cex-affect-students-learning-response
#9
Sulistiawati Sudarso, Gandes Retno Rahayu, Yoyo Suhoyo
Objective: This study was aimed to explore students' learning response toward feedback during mini-CEX encounter. Methods: This study used a phenomenological approach to identify the students' experiences toward feedback during mini-CEX encounter. Data was collected using Focus Group Discussion (FGD) for all students who were in their final week of clerkship in the internal medicine rotation. There were 4 FGD groups (6 students for each group). All FGD were audio-taped and transcribed verbatim...
December 19, 2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27878959/students-today%C3%A2-educators-tomorrow
#10
Keri Moore, Brett Vaughan
BACKGROUND: The article describes the use of the mini clinical examination (mini-CEX) in a pilot study to introduce peer assessment in one allied health programme to explore students' capacity as clinical educators. Preparing today's pre-professional health students to be clinical educators by engaging them in peer teaching, learning and assessment may encourage them to become tomorrow's clinical educators. CONTEXT: Peer assessment is common among many undergraduate medical and allied health programmes, and is typically used as a means of providing students with feedback on their clinical skill development...
November 22, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27833485/toward-competency-based-curriculum-application-of-workplace-based-assessment-tools-in-the-national-saudi-arabian-anesthesia-training-program
#11
Ama Boker
BACKGROUND: The anesthesia training program of the Saudi Commission for health specialties has introduced a developed competency-based anesthesia residency program starting from 2015 with the utilization of the workplace-based assessment (WBA) tools, namely mini-clinical exercises (mini-CEX), direct observation of procedural skills (DOPS), and case-based discussion (CBD). OBJECTIVES: This work aimed to describe the process of development of anesthesia-specific list of mini-CEX, DOPS, and CBD tools within the Saudi Arabian Anesthesia Training Programs...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27663452/perceptions-of-purpose-value-and-process-of-the-mini-clinical-evaluation-exercise-in-anesthesia-training
#12
Damian J Castanelli, Tanisha Jowsey, Yan Chen, Jennifer M Weller
INTRODUCTION: Workplace-based assessment is integral to programmatic assessment in a competency-based curriculum. In 2013, one such assessment, a mini-Clinical Evaluation Exercise (mini-CEX) with a novel "entrustability scale", became compulsory for over 1,200 Australia and New Zealand College of Anaesthetists (ANZCA) trainees. We explored trainees' and supervisors' understanding of the mini-CEX, their experience with the assessment, and their perceptions of its influence on learning and supervision...
December 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27651046/inter-rater-variability-as-mutual-disagreement-identifying-raters-divergent-points-of-view
#13
Andrea Gingerich, Susan E Ramlo, Cees P M van der Vleuten, Kevin W Eva, Glenn Regehr
Whenever multiple observers provide ratings, even of the same performance, inter-rater variation is prevalent. The resulting 'idiosyncratic rater variance' is considered to be unusable error of measurement in psychometric models and is a threat to the defensibility of our assessments. Prior studies of inter-rater variation in clinical assessments have used open response formats to gather raters' comments and justifications. This design choice allows participants to use idiosyncratic response styles that could result in a distorted representation of the underlying rater cognition and skew subsequent analyses...
September 20, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27629383/the-acute-care-assessment-tool-pharmacy-acat
#14
Barry Jubraj, Sheena Patel, Iram Naseem, Samantha Copp, Dimitrios Karagkounis
BACKGROUND: The Acute Care Assessment Tool (ACAT) was developed as a workplace-based assessment (WPBA) for trainee performance whilst working in acute medicine. Here, we discuss the multi-professional potential of ACAT through a pilot with foundation and senior hospital pharmacists. CONTEXT: The pharmacy profession is engaging meaningfully with foundation training for pharmacists akin to doctor foundation training, and has launched a post-foundation recognition scheme as a route to advanced generalist or specialist practice...
June 2017: Clinical Teacher
https://www.readbyqxmd.com/read/27581267/composite-reliability-of-workplace-based-assessment-for-international-medical-graduates
#15
Balakrishnan Kichu R Nair, Joyce Mw Moonen-van Loon, Mulavana S Parvathy, Cees Pm van der Vleuten
OBJECTIVE: The fitness to practise of international medical graduates (IMGs) is usually evaluated with standardised assessment tests. Practising doctors should, however, be assessed on their performance rather than their competency, for which reason workplace-based assessment (WBA) has gained increasing attention. Our aim was to assess the composite reliability of WBA instruments for assessing the performance of IMGs. DESIGN AND SETTING: Between June 2010 and April 2015, 142 IMGs were assessed by 99 calibrated assessors; each cohort was assessed at their workplace over 6 months...
September 5, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27549642/developing-and-pilot-testing-of-a-tool-for-clinicosocial-case-study-assessment-of-community-medicine-residents
#16
Manisha Gohel, Uday Shankar Singh, Dinesh Bhanderi, Ajay Phatak
BACKGROUND: Practical and clinical skills teaching should constitute a core part of the postgraduate curriculum of Community Medicine. The clinicosocial case study is a method to enhance learners' skills but there is no generally accepted organized system of formative assessment and structured feedback to guide students. A new tool based on the principles of mini-Clinical Evaluation Exercise (mini CEX) was developed and pilot tested as a 'clinicosocial case study' assessment of community medicine residents with feedback as a core component...
May 2016: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/27382581/effects-of-structured-written-feedback-by-cards-on-medical-students-performance-at-mini-clinical-evaluation-exercise-mini-cex-in-an-outpatient-clinic
#17
Fariba Haghani, Mohammad Hatef Khorami, Mohammad Fakhari
INTRODUCTION: Feedback cards are recommended as a feasible tool for structured written feedback delivery in clinical education while effectiveness of this tool on the medical students' performance is still questionable.  The purpose of this study was to compare the effects of structured written feedback by cards as well as verbal feedback versus verbal feedback alone on the clinical performance of medical students at the Mini Clinical Evaluation Exercise (Mini-CEX) test in an outpatient clinic...
July 2016: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/27141826/implementation-of-a-mini-cex-requirement-across-all-third-year-clerkships
#18
Sarang Kim, Laura R Willett, Helaine Noveck, Manish S Patel, John A Walker, Carol A Terregino
PROBLEM: Direct observation of medical students performing clinical tasks, such as eliciting a patient history or examining a patient, and the provision of feedback, are foundational to student improvement but have been reported to occur infrequently. The mini clinical evaluation exercise (mini-CEX) is a tool that can facilitate direct observation and feedback. This study assessed the impact of a mini-CEX requirement across all 3rd-year clerkships on student report of direct observation by faculty and objectively measured clinical skills...
October 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27112960/exploring-the-influence-of-gender-seniority-and-specialty-on-paper-and-computer-based-feedback-provision-during-mini-cex-assessments-in-a-busy-emergency-department
#19
Yu-Che Chang, Ching-Hsing Lee, Chien-Kuang Chen, Chien-Hung Liao, Chip-Jin Ng, Jih-Chang Chen, Chung-Hsien Chaou
The mini-clinical evaluation exercise (mini-CEX) is a well-established method of assessing trainees' clinical competence in the workplace. In order to improve the quality of clinical learning, factors that influence the provision of feedback are worthy of further investigation. A retrospective data analysis of documented feedback provided by assessors using the mini-CEX in a busy emergency department (ED) was conducted. The assessors comprised emergency physicians (EPs) and trauma surgeons. The trainees were all postgraduate year one (PGY1) residents...
March 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/26808954/training-the-assessors-a-mini-cex-workshop-for-gps-who-assess-undergraduate-medical-students
#20
Tony Foley, Elaine Walsh, Catherine Sweeney, Mark James, Bridget Maher, Siún O'Flynn
No abstract text is available yet for this article.
November 2015: Education for Primary Care
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