Acceptability and Feasibility of Mini Clinical Evaluation Exercise (Mini-CEX) in the Busy Emergency Department

Figures & data

Table 1 Descriptive Analysis of Mini-CEX Questionnaire Feedback from Emergency Medicine Residents

Questionnaire Item	Strongly Agree (%)	Agree (%)	Cannot Say (%)	Disagree (%)	Strongly Disagree (%)
Aware of the competencies being assessed	5 (10.2)	32 (65.3)	2 (4.1)	10 (20.4)	0
Comfortable while being examined	13(26.5)	19 (38.8)	11 (22.4)	6 (12.2)	0
Directly observed for a specific patient	5 (10.2)	26 (53.1)	7 (14.3)	8 (16.3)	3 (6.1)
Duration of examination exercise was adequate.	3 (6.1)	22 (44.9)	11 (22.4)	13 (26.5)	0
Duration of feedback was appropriate	5(10.2)	27 (55.1)	8 (16.3)	9 (18.4)	0
Feedback made me aware of my strong points	5 (10.2)	31 (63.3)	9 (18.4)	1 (2.0)	3 (6.1)
Feedback made me aware of my weak points	6 (12.2)	32 (65.3)	4 (8.2)	7 (14.3)	0
Opportunity to express my views during feedback	3(6.1)	28 (57.1)	13 (26.5)	5 (10.2)	0
Satisfied with Mini-CEX as method of assessment	5 (10.2)	25 (51.0)	9 (18.4)	9 (18.4)	1 (2.0)
Mini-CEX enhanced my skills in medical interviewing	4 (8.2)	24 (49.0)	11 (22.4)	8 (16.3)	2 (4.1)
Mini-CEX enhanced my skills in physical examination	3 (6.1)	22 (44.9)	14 (28.6)	10 (20.4)	3 (6.1)
Mini-CEX enhanced my communication skills	4 (8.2)	25 (51.0)	12 (24.5)	7 (14.3)	0
Mini-CEX enhanced my professionalism skills	4 (8.2)	26 (53.1)	11 (22.4)	8 (16.3)	0
Mini-CEX enhanced my organization skills	4 (8.2)	26 (53.1)	11 (22.4)	8 (16.3)	0
Assessors are able to provide appropriate time during their clinical working hours.	3 (6.1)	23 (46.9)	5 (10.2)	12 (24.5)	4 (8.2)
Would it be helpful if assessed by same shift consultant multiple times	12 (24.5)	27 (55.1)	4 (8.2)	6 (12.2%)	0
Most Mini-CEX were performed during the clinical supervision shift.	6 (12.2)	30 (61.2)	8 (16.3)	4 (8.2%)	1 (2.0)

Table 2 Descriptive Analysis of Mini-CEX Questionnaire Feedback from Emergency Medicine Faculty

Questions	Strongly (%)	Agree (%)	Neither Agree Nor Disagree (%)	Disagree (%)		Strongly Disagree (%)
I got prior training on how to assess a trainee using workplace-based assessment tools.	7 (12.1)	35 (60.3)	9 (15.5)	7 (12.0)		0
I feel that this prior training about WBA has improved my own understanding of the Mini-CEX.	10 (17.2)	34 (58.6)	12 (20.6)	2 (3.5)		0
I was able to provide an appropriate time for the Mini-CEX during my clinical shift.	6 (10.3)	35 (60.3)	10 (17.2)	7 (12.1)		0
Most of the Mini-CEX were completed during the clinical supervision shift.	2 (3.5)	39 (67.2)	11 (18.9)	6 (10.3)		0
I provided appropriate feedback to the residents discussing both their weaknesses and strengths.	6 (10.3)	41 (70.6)	7 (12.1)	4 (6.9)		0
Mini-CEX has improved my own attitude towards resident training.	9 (15.5)	35 (60.3)	11 (18.9)	3 (5.2)		0
For most Mini-CEX, I directly observed the trainee for a specific patient encounter.	8 (13.8)	35 (60.3)	12 (20.7)	3 (5.2)		0
From an assessor’s perspective, briefly explain what steps can be taken to improve the Mini-CEX tool.	● There should be a specific and protected time for mini-CEX and not during a clinical shift
	● There should be a specific faculty member who are properly trained in doing mini-CEX for quality assurance.
	● Physicians who are involved in teaching and assessment should be given proper protected time than they will be able to do appropriate assessment and feedback
Time taken to complete Mini-CEX (Minutes)	0–10	10–20	20–30		>30
	17 (29.3)	31 (53.5)	8 (16.3)		2(3.5)