Persepsi Mahasiswa Terhadap Pelaksanaan Mini Clinical Examination Excercise (Mini-CEX) Pada Program Pendidikan Kepaniteraan Klinik

https://doi.org/10.22146/jpki.25131

Gusti Raditya K(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 the clinical skills of students through direct observation and constructive feedback on student achievement. To test Mini-CEX well as assessment methods, it is necessary to evaluate the implementation of Mini-CEX as Mini-CEX assessment methods and benefits of the learning process, as well as the professional development of students as future doctors, in the form of assessment of students’ perceptions of the Mini- CEX implementation. The objective of this study are to validate an instrumen for measuring the level of student perceptions in the implementation of Mini-CEX in Faculty of Medicine, Universitas Gadjah Mada’s clerkship program, to know the student’s opinions about the implementation of Mini-CEX as a method of assessment in clerkship program and benefits to student learning and professional development, to know the relationship students’ Mini-CEX point to student’s perception in the implementation of Mini-CEX in clerkship program medical faculty of GMU, and to compare the perceptions of students in Mini-CEX implementation in clerkship program Medical Faculty of GMU based on the characteristics of the department.

Method: Research was conducted with a cross sectional study design. The research utilized closed questionnaires, each contained 5 likert scales. The questionnaires were given to the students who conducted clerkship in Faculty of Medicine, Universitas Gadjah Mada during the period of September 2010–March 2011. A total number of 103 students who become subjects in this study, which are consisted of 72 students in Internal Medicine Department and 32 students in Neurology Department. The correlation between student perception and Mini-CEX score was analyzed by using spearman correlation test. Mann-Whitney test was used to analyze the differences student perception between both Departments.

Results: Students who are conducting clerkship program in Internal Medicine Department and Neurology Department Faculty of Medicine Universitas Gadjah Mada agree that Mini-CEX can be as assessment and learning tools, and promote the development of student professionalism. Perceptions of students towards the implementation of Mini-CEX in clerkship are not associated with Mini-CEX score. There was no significant difference in students’ perceptions towards the implementation of Mini-CEX between Internal Medicine Department students and Neurology Department students.

Conclusion: Students perceived the Mini-CEX to be a practical assessment tool with a positive impact on their learning and professionalism development during clerkship.


Keywords


Mini-CEX, perception, assessment method, learning media, development of professionalism, internal medicine department, neurology department.

Full Text:

PDF


References

  1. Shumway JM, Harden RM. The assessment of learning outcomes for the competent and reflective physician. Medical Teacher. 2003;25(6):569–84.
  2. Norcini JJ, Blank LL, Arnold GK, Kimball HR. The mini-CEX: a preliminary investigation. Ann Intern Med. 1995;123(10):795-9.
  3. Kogan JR, Bellini LM, Shea JA. Feasibility, reliability and validity of the mini clinical evaluation exercise (Mini-CEX) in a medicine core clerkship. Academic Medicine. 2003;78:33-5.
  4. Hauer KE. Enhancing feedback to students using the mini-CEX (Clinical Evaluation Exercise). Academic Medicine. 2000;75:524.
  5. Holmboe ES, Yepes M, Williams F, Huot S. Feedback and the Mini Clinical Evaluation Exercise. J Gen Intern Med. 2004;19:558-61.
  6. 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.
  7. 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. Medical Teacher. 2005:27(1):46-52.
  8. Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE Guide No. 31. Medical Teacher. 2007; l29:855-71.
  9. Alhusni S. Aplikasi statistik praktis dengan SPSS 10. Yogyakarta: Graha Ilmu; 2003. Sugiyono. Statistika untuk penelitian. Bandung: Alfabeta; 2007.
  10. Durning SJ, Cation LJ, Market RJ, Pangaro LN. Assessing the reliability and validity of the mini clinical evaluation exercise for internal medicine residency training. Academic Medicine. 2002; 77:900-4.
  11. Wilkinson J, Crossley J, Wragg A, Mills P, Cowan G and Wade W. Implementing workplace-based assessment across themedical specialties in the United Kingdom. Medical Education. 2008;42:364-73.
  12. Norcini JJ, Blank LL, Duffy D, Fortna GS. The mini-CEX: a method for assessing clinical skills. Ann Intern Med. 2003;138:476-81.
  13. Van hell EA, Kuks JBM, Raat ANJ, Van Lohuizen, Cohen J. Instructiveness of feedback during clerkships: influence of supervisor, observation and student initiative.Medical Teacher. 2008;31(1):45-50.
  14. Nicholson S, Cook V, Naish J, Boursicot K. Feedback: its importance in developing medical student’s clinical practice. The Clinical Teacher. 2008;5(1):63-166.
  15. Malhotra S, Hatala R, Courneya CA. Internal medicine residents’ perceptions of the mini-clinical evaluation exercise. Medical Teacher. 2008;30:414–9.
  16. Hill F, Kendall K. Adopting and adapting the mini-CEX as an undergraduate assessment and learning tool. The Clinical Teacher. 2007;4:244–8.
  17. Wragg A, Wade W, Fuller G, Cowan G, Mills P. Assessing the performance of specialist registrars. Clin Med. 2003;2:131-4.
  18. Norcini JJ. The mini clinical evaluation exercise (mini-CEX). The Clinical Teacher. 2005;2(1):25-30.



DOI: https://doi.org/10.22146/jpki.25131

Article Metrics

Abstract views : 1490 | views : 3410

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Gusti Raditya K, 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