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Multicenter Study
. 2008 Aug 4;189(3):159-61.
doi: 10.5694/j.1326-5377.2008.tb01951.x.

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

Balakrishnan R Nair  1 , Heather G Alexander, Barry P McGrath, Mulavana S Parvathy, Eve C Kilsby, Johannes Wenzel, Ian B Frank, George S Pachev, Gordon G Page
Affiliations
Multicenter Study

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

Balakrishnan R Nair et al. Med J Aust. .

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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