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Published in: Systematic Reviews 1/2017

Open Access 01-12-2017 | Protocol

The utility of mini-Clinical Evaluation Exercise (mini-CEX) in undergraduate and postgraduate medical education: protocol for a systematic review

Authors: Sara Mortaz Hejri, Mohammad Jalili, Mandana Shirazi, Rasoul Masoomi, Saharnaz Nedjat, John Norcini

Published in: Systematic Reviews | Issue 1/2017

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Abstract

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.

Methods

Studies reporting on mini-CEX performed in undergraduate and postgraduate medical education and providing some empirical data for mini-CEX in relation to one or more of the validity, reliability, educational impact, acceptability, and cost of mini-CEX will be included in the review. No restrictions on study design or publication date or language will be handled. To ensure comprehensiveness of our search, we will use different approaches and methods. In addition to electronic search in bibliographic databases, we will conduct forward and backward searching. We will also contact leading authors in the field of mini-CEX and will search for the gray literature. Data extractions will be done independently by two coders based on a form. If there is any discordance, a third author will resolve it.
The quality assessment will be also done independently by two team members, based on critical appraisal checklists. In attempting to answer our original research questions, we will use meta-analysis or meta-synthesis.

Discussion

The findings of this study can be transferred to the medical education stakeholders such as administrators of medical schools, residency program directors, and faculty members.
We also hope that publication of this review will encourage stakeholders who have already adopted the mini-CEX to evaluate and report its different characteristics. Lastly, we expect that we can identify gap of knowledge in this field and suggest areas for future research.
Literature
1.
go back to reference Norcini JJ, Blank LL, Arnold GK, Kimball HR. The mini-CEX (clinical evaluation exercise): a preliminary investigation. Ann Intern Med. 1995;123(10):795–9. Norcini JJ, Blank LL, Arnold GK, Kimball HR. The mini-CEX (clinical evaluation exercise): a preliminary investigation. Ann Intern Med. 1995;123(10):795–9.
2.
go back to reference Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE guide no. 31. Med Teach. 2007;29(9):855–71.CrossRefPubMed Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE guide no. 31. Med Teach. 2007;29(9):855–71.CrossRefPubMed
3.
go back to reference Weston PS, Smith CA. The use of mini-CEX in UK foundation training six years following its introduction: lessons still to be learned and the benefit of formal teaching regarding its utility. Med Teach. 2014;36(2):155–63.CrossRefPubMed Weston PS, Smith CA. The use of mini-CEX in UK foundation training six years following its introduction: lessons still to be learned and the benefit of formal teaching regarding its utility. Med Teach. 2014;36(2):155–63.CrossRefPubMed
4.
go back to reference Ahmed K, Miskovic D, Darzi A, Athanasiou T, Hanna GB. Observational tools for assessment of procedural skills: a systematic review. Am J Surg. 2011;202(4):469–80. Ahmed K, Miskovic D, Darzi A, Athanasiou T, Hanna GB. Observational tools for assessment of procedural skills: a systematic review. Am J Surg. 2011;202(4):469–80.
5.
go back to reference Naeem N. Validity, reliability, feasibility, acceptability and educational impact of direct observation of procedural skills (DOPS). J Coll Physicians Surg Pak. 2013;23(1):77–82.PubMed Naeem N. Validity, reliability, feasibility, acceptability and educational impact of direct observation of procedural skills (DOPS). J Coll Physicians Surg Pak. 2013;23(1):77–82.PubMed
6.
go back to reference Van der Vleuten, CPM. The assessment of professional competence: developments, research and practical implications. Adv Health Sci Educ. 1996;1(1):41–67. Van der Vleuten, CPM. The assessment of professional competence: developments, research and practical implications. Adv Health Sci Educ. 1996;1(1):41–67.
7.
go back to reference Hawkins RE, Margolis MJ, Durning SJ, Norcini JJ. Constructing a validity argument for the mini-clinical evaluation exercise: a review of the research. Acad Med. 2010;85(9):1453–61.CrossRefPubMed Hawkins RE, Margolis MJ, Durning SJ, Norcini JJ. Constructing a validity argument for the mini-clinical evaluation exercise: a review of the research. Acad Med. 2010;85(9):1453–61.CrossRefPubMed
8.
go back to reference Ansari A, Ali SK, Donnon T. The construct and criterion validity of the mini-CEX: a meta-analysis of the published research. Acad Med. 2013;88(3):413–20.CrossRefPubMed Ansari A, Ali SK, Donnon T. The construct and criterion validity of the mini-CEX: a meta-analysis of the published research. Acad Med. 2013;88(3):413–20.CrossRefPubMed
9.
go back to reference Sandilands D, Zumbo BD. (Mis)Alignment of Medical Education Validation Research with Contemporary Validity Theory: The Mini-CEX as an Example. In: Zumbo B., Chan E. (eds) Validity and Validation in Social, Behavioral, and Health Sciences. Social Indicators Research Series. Cham: Springer. 2014;54:289–310. Sandilands D, Zumbo BD. (Mis)Alignment of Medical Education Validation Research with Contemporary Validity Theory: The Mini-CEX as an Example. In: Zumbo B., Chan E. (eds) Validity and Validation in Social, Behavioral, and Health Sciences. Social Indicators Research Series. Cham: Springer. 2014;54:289–310.
10.
go back to reference Buckley S, Coleman J, Davison I, Khan KS, Zamora J, Malick S, et al. The educational effects of portfolios on undergraduate student learning: a Best Evidence Medical Education (BEME) systematic review. BEME guide no. 11. Med Teach. 2009;31(4):282–98.CrossRefPubMed Buckley S, Coleman J, Davison I, Khan KS, Zamora J, Malick S, et al. The educational effects of portfolios on undergraduate student learning: a Best Evidence Medical Education (BEME) systematic review. BEME guide no. 11. Med Teach. 2009;31(4):282–98.CrossRefPubMed
Metadata
Title
The utility of mini-Clinical Evaluation Exercise (mini-CEX) in undergraduate and postgraduate medical education: protocol for a systematic review
Authors
Sara Mortaz Hejri
Mohammad Jalili
Mandana Shirazi
Rasoul Masoomi
Saharnaz Nedjat
John Norcini
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2017
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-017-0539-y

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