Document Detail


Mini-CEX as a workplace-based assessment tool for interns in an emergency department--does cost outweigh value?
MedLine Citation:
PMID:  23039836     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The mini-clinical evaluation exercise (mini-CEX) has been proposed as a method to address the deficiencies of in-training assessment for junior doctors. Aim: Our study aimed to determine the feasibility and value of adding mini-CEX assessments to the existing assessment processes for an intern cohort in the emergency department (ED).
METHODS: Interns undertook four mini-CEX assessments with senior ED medical officers, in addition to their standard in-training assessment processes. Assessment results and time taken to perform the mini-CEX assessments were recorded. Interns and assessors completed a survey regarding their perceptions of the mini-CEX assessment process.
RESULTS: The total time taken for mini-CEX assessments during the study period was 36.51 h. If extrapolated over a year this would represent an additional direct cost to the ED of more than $A 80,000 per year. No additional interns were identified as underperforming through the addition of the mini-CEX. The mini-CEX assessment process was perceived as generally positive. Both interns and assessors felt that it provided a valid assessment of intern performance, and enabled timely and specific feedback. Significant practical difficulties in arranging and conducting mini-CEX assessments in the workplace were identified.
CONCLUSION: There was a significant cost to the ED as a result of adding mini-CEX encounters to interns' performance assessment. No change in summative outcome occurred for this study cohort.
Authors:
Victoria Brazil; Leanne Ratcliffe; Jianzhen Zhang; Lorna Davin
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-10-08
Journal Detail:
Title:  Medical teacher     Volume:  34     ISSN:  1466-187X     ISO Abbreviation:  Med Teach     Publication Date:  2012  
Date Detail:
Created Date:  2012-12-11     Completed Date:  2013-05-20     Revised Date:  2013-10-08    
Medline Journal Info:
Nlm Unique ID:  7909593     Medline TA:  Med Teach     Country:  England    
Other Details:
Languages:  eng     Pagination:  1017-23     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Royal Brisbane and Women’s Hospital, Butterfield Street, Herston Q 4006, Australia. victoria.brazil@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Checklist*
Emergency Service, Hospital*
Feasibility Studies
Hospitals, Teaching
Humans
Medical Staff, Hospital*
Program Evaluation / methods*
Queensland
Questionnaires
Comments/Corrections
Comment In:
Med Teach. 2013 Sep;35(9):789   [PMID:  23641919 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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