Cited by 730Innovations in Medical EducationClinical Reasoning and Diagnostic SkillsSimulation-Based Education in Healthcare

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The Mini-CEX: A Method for Assessing Clinical Skills

Norcini, John J., Blank, Linda L., Duffy, F Daniel, Fortna, Gregory S.·2003·Annals of Internal Medicine

DOI 10.7326/0003-4819-138-6-200303180-00012

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Abstract

OBJECTIVE: To evaluate the mini-clinical evaluation exercise (mini-CEX), which assesses the clinical skills of residents. DESIGN: Observational study and psychometric assessment of the mini-CEX. SETTING: 21 internal medicine training programs. PARTICIPANTS: Data from 1228 mini-CEX encounters involving 421 residents and 316 evaluators. INTERVENTION: The encounters were assessed for the type of visit, sex and complexity of the patient, when the encounter occurred, length of the encounter, ratings provided, and the satisfaction of the examiners. Using this information, we determined the overall average ratings for residents in all categories, the reliability of the mini-CEX scores, and the effects of the characteristics of the patients and encounters. MEASUREMENTS: Interviewing skills, physical examination, professionalism, clinical judgment, counseling, organization and efficiency, and overall competence were evaluated. RESULTS: Residents were assessed in various clinical settings with a diverse set of patient problems. Residents received the lowest ratings in the physical examination and the highest ratings in professionalism. Comparisons over the first year of training showed statistically significant improvement in all aspects of competence, and the method generated reliable ratings. CONCLUSIONS: The measurement characteristics of the mini-CEX are similar to those of other performance assessments, such as standardized patients. Unlike these assessments, the difficulty of the examination will vary with the patients that a resident encounters. This effect is mitigated to a degree by the examiners, who slightly overcompensate for patient difficulty, and by the fact that each resident interacts with several patients. Furthermore, the mini-CEX has higher fidelity than these formats, permits evaluation based on a much broader set of clinical settings and patient problems, and is administered on site.

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Introduction to Classical and Modern Test Theory
Crocker, L. M., & Algina, J. J. (1986) · Cited by 5,090
The Dependability of Behavioral Measurements: Theory of Generalizability for Scores and Profiles
Merrifield, P. R., Cronbach, L. J., Gleser, G. C., Nanda, H., & Rajaratnam, N. (1974) · American Educational Research Journal · doi:10.2307/1162145 · Cited by 1,819
Medical Problem Solving: An Analysis of Clinical Reasoning
Elstein, A. S., Shulman, L. S., & Sprafka, S. A. (1978) · doi:10.4159/harvard.9780674189089 · Cited by 1,377
Elements of Generalizability Theory
Brennan, R. L. (1992) · Medical Entomology and Zoology · Cited by 599
Assessment of clinical skills with standardized patients: State of the art
van der Vleuten, C. P. M., & Swanson, D. B. (1990) · Teaching and Learning in Medicine · doi:10.1080/10401339009539432 · Cited by 579
The Mini-CEX (Clinical Evaluation Exercise): A Preliminary Investigation
Norcini, J. J., Blank, L. L., Arnold, G. K., & Kimball, H. R. (1995) · Annals of Internal Medicine · doi:10.7326/0003-4819-123-10-199511150-00008 · Cited by 526
Self-citation
How Well Do Internal Medicine Faculty Members Evaluate the Clinical Skills of Residents?
NOEL, G. L., Herbers, J. E., Caplow, M. P., Cooper, G. S., Pangaro, L. N., & Harvey, J. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-9-757 · Cited by 207
The inter-rater reliability and internal consistency of a clinical evaluation exercise
Kroboth, F. J., Hanusa, B. H., Parker, S., Coulehan, J. L., Kapoor, W. N., Brown, F. H., Karpf, M., & Levey, G. S. (1992) · Journal of General Internal Medicine · doi:10.1007/bf02598008 · Cited by 82
Residents’ perception of evaluation procedures used by their training program
Day, S. C., Grosso, L. J., Norcini, J. J., Blank, L. L., Swanson, D. B., & Horne, M. W. (1990) · Journal of General Internal Medicine · doi:10.1007/bf02599432 · Cited by 69
Self-citation
Clinical competence certification
Woolliscroft, J. O., Stross, J. K., & Silva, J. (1984) · Academic Medicine · doi:10.1097/00001888-198410000-00004 · Cited by 39

Show all 10 references

Research works printed but not linked: 1

Woolliscroft JO, 1984, J Med Educ, 59, 799

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Authors: Norcini, J. J., Blank, L. L., Duffy, F. D., & Fortna, G. S.
Affiliations: Foundation for Advancement of International Medical Education and Research (US)
ORCID: Norcini, John J.
Venue: Annals of Internal Medicine
Publisher: American College of Physicians
Published: 2003-03-18
Volume: 138
Issue: 6
Pages: 476-481
ISSN: 0003-4819 (ISSN-L)
1539-3704
DOI: 10.7326/0003-4819-138-6-200303180-00012
OpenAlex: W1973975145
Cited by: 730
References: 10
Citations by year: 2026: 25 · 2025: 21 · 2024: 27 · 2023: 35 · 2022: 32 · 2021: 26 · 2020: 39 · 2019: 36 · 2018: 27 · 2017: 35 · 2016: 29 · 2015: 43 · 2014: 32 · 2013: 51 · 2012: 34
FWCI: 25.06
Type: journal article
Language: en
Open access: closed
Licence: www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations: Annals of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Education › Innovations in Medical Education
Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
Social Sciences › Education › Simulation-Based Education in Healthcare
Keywords: Mini-CEX, clinical skills assessment, internal medicine residents, performance evaluation (human resources), inter-rater reliability, professionalism, physical examination, clinical judgment, standardized patients, resident competence
MeSH terms: Clinical Competence, Counseling, Educational Measurement, Female, Humans, Internal Medicine, Internship and Residency, Interviews as Topic, Male, Physical Examination, Psychometrics

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The Mini-CEX: A Method for Assessing Clinical Skills

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