Metode Penilaian untuk Perilaku Profesional: The Professionalism Mini-Evaluation Exercise (P-MEX) Sebuah Alternatif?

Yoga Pamungkas Susani(1*)

(1) Fakultas Kedokteran Universitas Mataram, Mataram
(*) Corresponding Author


Background: Due to higher attention on professionalism of doctor, greater concern in medical education should be placed on the development of the qualities of professional behavior. Assessment of professional behavior for medical students becomes very essential. However, there is still confusion in selecting and implementing assessment methods. This study aimed to provide an overview of professional behavior assessment and considerations in implementing assessment method especially P-MEX.

Method: Relevant literatures are selected as basis of recommendations in P-MEX and professional behavior assessment.

Results: P-MEX was discussed using the framework of 7 criteria for good assessment, related to the validity, consistency, equivalence, feasibility, educational effect, catalytic effect and acceptability. Professionalism is multidimensional and one method of assessment cannot give reliable representation of students’ behavior, for that reasons combination of assessment tools is required. The assessment must valid and reliable also. Many methods for assessing professional behavior have been developed, one of them is the Professionalism Mini-Evaluation Exercise (P-MEX), which format is based on Mini-Clinical Encounter Exercise (mini-CEX). This article will describe the outline about professional behavior definition, methods of assessment especially P-MEX, whether P-MEX is a good alternative for assessing professional behavior.

Conclusion: P-MEX can be considered as one of assessment method to be applied in assessing student’s professional behavior. However, adapting the instrument to be ready to use here requires a process that can maintain the validity and reliability would be better if the instrument is tailored to Indonesian context.



Professionalism, professional behavior, assessment, P-MEX, mini-CEX

Full Text:



  1. Boelen C. The five-star doctor: an asset to health care reform? [document on the internet]. World Health Organization, Geneva, Switzerland [cited 2009 Oct 23]. Available from: HRDJ_1_1_02.pdf
  2. Kenny N. Searching for doctor good: virtues for the twenty-first century. In: Kenny N, Shelton W, editors. Advances in bioethics. Lost virtue: professional character development of medical education, volume 10. Amsterdam: Elsevier Ltd; 2006.
  3. Arnold L. Assessing professional behaviour: yesterday, today, and tomorrow. Academic Medicine. 2002; 77(6): 502-15.
  4. Cruess SR, Cruess RL. The cognitive base of professionalism. In: Cruess RL, Cruess SR, Steinert Y, editors. Teaching medical professionalism. New York: Cambridge University Press; 2009.
  5. Wilkinson TJ, Wade WB, Knock LD. A Blueprint to assess professionalism: results of a systematic review. Academic Medicine. 2009; 84(5):551-8.
  6. Professional behavior, teaching, assessing and coaching students. In: Van Luijk SJ, editor. Final report. Project Team Consilium Abeundi appointed by the NL Council of Medical Deans of the Dutch Federation of University Medical Centers. Maastricht: Universitaire Pers Maastricht; 2005.
  7. Stern DT. A framework for measuring professionalism. In: Stern DT, editor. Measuring medical professionalism. New York: Oxford University Press; 2006.
  8. Cruess R, Mcllroy H, Cruess S, Ginsburg S, Steinert Y. The professionalism mini-evaluation exercise: a preliminary investigation. Academic Medicine. 2006;81:S74-S78.
  9. Durning S, Cation LJ, Markert RJ, Pangaro LN. Assessing the reliability and validity of the mini evaluation exercise for internal medicine residency training. Acad Med. 2002; 77:900–4.
  10. Norcini J, Anderson B, Bollela V, Burch V, Costa MJ, Duvivier R, Galbraith R, Hays R, Kent A, Perrott V, Roberts T. Criteria for good assessment: consensus statement and recommendations from the Ottawa 2010 Conference. Med Teach. 2011;33(3):206-14.
  11. Tsugawa Y, Tokuda Y, Ohbu S, Okubo T, Cruess R, Cruess S, Ohde S, Okada S, Hayashida N, Fukui T. Professionalism mini-evaluation exercise for medical residents in Japan: a pilot study. Medical Education. 2009; 43:968-78.
  12. Chandratilake M, Mcaleer S, Gibson J. Cultural similarities and differences in medical professionalism: a multi-region study. Medical Education.2012; 46:257–66.
  13. Hodges BD, Ginsburg S, Cruess R, Cruess S, Delport R, Hafferty F, et al. Assessment of professionalism: recommendations from the Ottawa 2010 Conference. Med Teach. 2011;33(5):354-63.


Article Metrics

Abstract views : 1609 | views : 4770


  • There are currently no refbacks.

Copyright (c) 2017 Yoga Pamungkas Susani

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