학술논문
Assessing the mini-Clinical Evaluation Exercise in comparison to a national specialty examination.
Document Type
Article
Source
Subject
*CLINICAL competence
*CLINICAL clerkship
*MEDICAL competence testing
*INTERNAL medicine education
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Language
ISSN
0308-0110
Abstract
Purpose To evaluate the reliability and validity of the Mini-Clinical Evaluation Exercise (mini-CEX) for postgraduate year 4 (PGY-4) internal medicine trainees compared to a high-stakes assessment of clinical competence, the Royal College of Physicians and Surgeons of Canada Comprehensive Examination in Internal Medicine (RCPSC IM examination). Methods Twenty-two PGY-4 residents at the University of British Columbia and the University of Calgary were evaluated, during the 6 months preceding their 2004 RCPSC IM examination, with a mean of 5.5 mini-CEX encounters (range 3–6). Experienced Royal College examiners from each site travelled to the alternate university to assess the encounters. Results The mini-CEX encounters assessed a broad range of internal medicine patient problems. The inter-encounter reliability for the residents' mean mini-CEX overall clinical competence score was 0.74. The attenuated correlation between residents' mini-CEX overall clinical competence score and their 2004 RCPSC IM oral examination score was 0.59 ( P = 0.01). Conclusion By examining multiple sources of validity evidence, this study suggests that the mini-CEX provides a reliable and valid assessment of clinical competence for PGY-4 trainees in internal medicine. [ABSTRACT FROM AUTHOR]