Assessing the mini-Clinical Evaluation Exercise in comparison to a national specialty examination
Article first published online: 20 SEP 2006
Volume 40, Issue 10, pages 950–956, October 2006
How to Cite
Hatala, R., Ainslie, M., Kassen, B. O., Mackie, I. and Roberts, J. M. (2006), Assessing the mini-Clinical Evaluation Exercise in comparison to a national specialty examination. Medical Education, 40: 950–956. doi: 10.1111/j.1365-2929.2006.02566.x
- Issue published online: 20 SEP 2006
- Article first published online: 20 SEP 2006
- Received 29 July 2005; editorial comments to 25 October 2005, 7 March 2006; accepted for publication 29 March 2006
- *clinical clerkship;
- clinical competence/*standards;
Purpose To evaluate the reliability and validity of the Mini-Clinical Evaluation Exercise (mini-CEX) for postgraduate year 4 (PGY-4) internal medicine trainees compared to a high-stakes assessment of clinical competence, the Royal College of Physicians and Surgeons of Canada Comprehensive Examination in Internal Medicine (RCPSC IM examination).
Methods Twenty-two PGY-4 residents at the University of British Columbia and the University of Calgary were evaluated, during the 6 months preceding their 2004 RCPSC IM examination, with a mean of 5.5 mini-CEX encounters (range 3–6). Experienced Royal College examiners from each site travelled to the alternate university to assess the encounters.
Results The mini-CEX encounters assessed a broad range of internal medicine patient problems. The inter-encounter reliability for the residents' mean mini-CEX overall clinical competence score was 0.74. The attenuated correlation between residents' mini-CEX overall clinical competence score and their 2004 RCPSC IM oral examination score was 0.59 (P = 0.01).
Conclusion By examining multiple sources of validity evidence, this study suggests that the mini-CEX provides a reliable and valid assessment of clinical competence for PGY-4 trainees in internal medicine.