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FEM: Revista de la Fundación Educación Médica
On-line version ISSN 2014-9840Print version ISSN 2014-9832
Abstract
BANOS, Josep E.; GOMAR-SANCHO, Carmen; GUARDIOLA, Elena and PALES-ARGULLOS, Jordi. Use of Mini Clinical Evaluation Exercise (mini-CEX) in medical students. FEM (Ed. impresa) [online]. 2015, vol.18, n.6, pp.417-426. ISSN 2014-9840. https://dx.doi.org/10.4321/S2014-98322015000700010.
In recent years the use of work-based assessments has been increasingly recommended to evaluate clinical skills, as they allow for the evaluation of performance in the context of clinical practice. Among these tools, one of the most recommended is the Mini Clinical Evaluation Exercise (mini-CEX). This method was developed to be used in physicians-in-training and has good reliability and validity properties. Even when mini-CEX has also been used in medical students, a review of its value in undergraduates is lacking. This review is mainly based on a search of the articles indexed in Medline, Embase, Biosis Previews or Current Contents databases in September 2014. References were selected for articles which included the following terms: 'mini clinical evaluation exercise', 'mini-CEX' or 'mcex'. Duplicates between databases were eliminated; as a result, a total of 168 articles were retrieved. Articles that dealt with the use of mini-CEX in medical students were reviewed (n = 34) and those that included empirical data were further analysed (n = 21). These studies confirm that this tool is useful and feasible to assess medical students and has adequate psychometric properties in different domains of validity and reliability. It is also well-accepted by students and tutors and may be used both in formative and summative evaluations. The present review shows that mini-CEX is also a good tool to assess clinical skills of medical students. The importance of giving adequate feedback and the alignment in the scores of tutors are the most critical points to be considered in the implementation of mini-CEX in undergraduate students.
Keywords : Assessment tools; Medical students; Mini-CEX.