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Medical Education

The mini clinical evaluation exercise (mini-CEX) for assessing clinical performance of international medical graduates

Balakrishnan R Nair, Heather G Alexander, Barry P McGrath, Mulavana S Parvathy, Eve C Kilsby, Johannes Wenzel, Ian B Frank, George S Pachev and Gordon G Page
MJA 2008; 189 (3): 159-161

Introduction

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Methods

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Participants

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Mini-CEX rating form

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Procedure

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Statistical analysis

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Results

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Mini-CEX ratings

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Evaluation survey

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Discussion

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Acknowledgements

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Competing interests

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Author details

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References
Abstract
Objective:

To evaluate the feasibility, reliability and acceptability of the mini clinical evaluation exercise (mini-CEX) for performance assessment among international medical graduates (IMGs).

Design, setting and participants:

Observational study of 209 patient encounters involving 28 IMGs and 35 examiners at three metropolitan teaching hospitals in New South Wales, Victoria and Queensland, September–December 2006.

Main outcome measures:

The reliability of the mini-CEX was estimated using generalisability (G) analysis, and its acceptability was evaluated by a written survey of the examiners and IMGs.

Results:

The G coefficient for eight encounters was 0.88, suggesting that the reliability of the mini-CEX was 0.90 for 10 encounters. Almost half of the IMGs (7/16) and most examiners (14/18) were satisfied with the mini-CEX as a learning tool. Most of the IMGs and examiners enjoyed the immediate feedback, which is a strong component of the tool.

Conclusion:

The mini-CEX is a reliable tool for performance assessment of IMGs, and is acceptable to and well received by both learners and supervisors.

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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377