Mini-CEX Sebagai Metode Penilaian Keterampilan Klinis Mahasiswa Program Pendidikan Kepaniteraan Klinik Fakultas Kedokteran Universitas Gadjah Mada - Studi Pendahuluan

https://doi.org/10.22146/jpki.25083

Reza M. Munandar(1*), Yoyo Suhoyo(2), Tridjoko Hadianto(3)

(1) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta
(2) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta
(3) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Background: Mini-CEX was developed to assess clinical skills by direct observation. Mini-CEX as a clinical skills assessment tool had to fulfill four requirements: validity, reliability, effects on students, and practicality. The purpose of this study is to understand validity, reliability, and feasibility of Mini-CEX as a clinical skills assessment tool in medical core clerkship program at Faculty of Medicine Universitas Gadjah Mada.

Method: Seventy four clerkship students from Internal Medicine and 42 clerkship students from Neurology Department were asked to do an observed Mini-CEX encounter for minimum amount of four in Internal Medicine and two in Neurology Department in the period of September 2010 to January 2011. The validity was analyzed with Kruskal-Wallis method for Internal Medicine, and Mann-Whitney Method for neurology Department, reliability was analyzed based on G coefficient, and feasibility was analyzed using descriptive statistic.

Results: Mini-CEX’s validity is shown by p < 0,001 in Internal Medicine and p = 0,250 in Neurology Department, G coefficient for Internal Medicine and Neurology Department is 0,98 and 0,61 respectively. Feasibility in Internal Medicine and Neurology Department is 79,7 % and 100% respectively.

Conclusion: Mini-CEX is valid and reliable in Internal Medicine but not in Neurology Department. Feasibility is good for both Internal Medicine and Neurology Department.


Keywords


Mini-CEX, validity, reliability, feasibility, internal medicine, neurology department

Full Text:

PDF


References

  1. Norcini JJ. The mini clinical evaluation exercise (mini-CEX). The Clin Teach. 2005;2(1): 25-30.
  2. Norcini JJ, Blank LL, DuffyD, Fortna, GS. The mini-CEX: a method for assessing clinical skills. Ann Intern Med 2003;138:476-81. Hauer KE. Enhancing feedback to students using the mini-CEX (clinical evaluation exercise). Acad Med. 2000;75:524.
  3. Holmboe ES, Hawkins RE, Huot SJ. Effects of training in direct observation of medical residents’ clinical competence. Ann Intern Med. 2004;140:874-81.
  4. Kogan JR, Hauer KE. Brief report: use of the mini clinical evaluation exercise in internal medicine core clerkships. J Gen Intern Med. 2006;21:501-2.
  5. De lima AA, Henquin R, Thierer J, Paulin J, Lamari S, Belcastro F, & Van der vleuten CPM. A qualitative study of the impact on learning of the mini clinical evaluation exercise in postgraduate training. Med Teach. 2005;27(1):46-52.
  6. Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE guide no. 31.Med Teach. 2007;29 (9):855-71.
  7. Durning SJ, Cation LJ, Market RJ, Pangaro LN. Assessing the reliability and validity of the mini clinical evaluation exercise for internal medicine residency training. Acad Med. 2002;77:900-4.
  8. Holmboe ES, Huot S, Chung J, Norcini J, Hawkins RE. Construct validity of the mini clinical evaluation exercise (mini-CEX). Acad Med. 2003;78(8):826-30.
  9. Hatala R, Ainslie M, Kassen BO, Mackie I, Roberts JM. Assessing the mini-clinical evaluation exercise in comparison to a national specialty examination. Med Ed. 2006;40:950-6.
  10. Kogan JR, Bellini LM, Shea JA. Feasibility, reliability and validity of the mini clinical evaluation exercise (mini-CEX) in a medicine core clerkship. Acad Med. 2003;78:33-5.
  11. Wiles CM, Dawson K, Hughes TAT, Llewelyn JG, Morris HR, Pickersgill TP, Robertson NP, Smith PEM. Clinical skills evaluation of trainees in a neurology department. Clin Med. 2007;7(4):365-9.
  12. Torre DM, Simpson DE, Elnicki DM, Sebastian JL, Holmboe ES. Feasibility, reliability, and user satisfaction with PDA-basedmini-CEX to evaluate the clinical skills of third-year medical students. Teaching and Learning in Medicine. 2007;19:271-7.
  13. Weller JM, Jolly B, Misur MP, Merry AF, Jones A, Crossley JGM, Pedersen K, Smith K. Mini-clinical evaluation exercise in anesthesia training. J Anesth. 2009;102:633-41.



DOI: https://doi.org/10.22146/jpki.25083

Article Metrics

Abstract views : 1679 | views : 1518

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Reza M. Munandar, Yoyo Suhoyo, Tridjoko Hadianto

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:

 

JPKI Stats