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Validity, reliability, feasibility and satisfaction of the Mini-Clinical Evaluation Exercise (Mini-CEX) for cardiology residency training.
Med Teach. 2007 Oct; 29(8):785-90.MT

Abstract

AIMS

The purpose of the study was to determine the validity, reliability, feasibility and satisfaction of the Mini-CEX.

METHODS AND RESULTS

From May 2003 to December 2004, 108 residents from 17 cardiology residency programs in Buenos Aires were monitored by the educational board of the Argentine Society of Cardiology. Validity was evaluated by the instrument's capability to discriminate between pre-existing levels of clinical seniority. For reliability, generalisability theory was used. Feasibility was defined by a minimum number of completed observations: 50% of the residents obtaining at least four Mini-CEX's. Satisfaction was evaluated through a one to nine rating scale from the evaluators, and residents' perspectives. The total number of encounters was 253. Regarding validity, Mini-CEX was able to discriminate significantly between residents of different seniority. Reliability analysis indicated that a minimum of ten evaluations are necessary to produce a minimally reliable inference, but more are preferable. Feasibility was poor: 15% of the residents were evaluated four or more times during the study period. High satisfaction ratings from evaluators' and residents' were achieved.

CONCLUSION

Mini-CEX discriminates between pre-existing levels of seniority, requires considerable sampling to achieve sufficient reliability, and was not feasible within the current circumstances, but it was considered a valuable assessment tool as indicated by the evaluators' and residents' satisfaction ratings.

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Publisher Full Text

Authors+Show Affiliations

Alves de Lima A
Educational Department, Argentine Society of Cardiology, Azcuenaga 980 (C1115AAD), Buenos Aires, Argentina. aealvesdel.ma@fibertel.com.ar
Barrero C
No affiliation info available
Baratta S
No affiliation info available
Castillo Costa Y
No affiliation info available
Bortman G
No affiliation info available
Carabajales J
No affiliation info available
Conde D
No affiliation info available
Galli A
No affiliation info available
Degrange G
No affiliation info available
Van der Vleuten C
No affiliation info available

MeSH

ArgentinaCardiologyClinical CompetenceConsumer BehaviorEducational MeasurementHumansInternship and ResidencyReproducibility of Results

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

17917984

Citation

Alves de Lima, Alberto, et al. "Validity, Reliability, Feasibility and Satisfaction of the Mini-Clinical Evaluation Exercise (Mini-CEX) for Cardiology Residency Training." Medical Teacher, vol. 29, no. 8, 2007, pp. 785-90.
Alves de Lima A, Barrero C, Baratta S, et al. Validity, reliability, feasibility and satisfaction of the Mini-Clinical Evaluation Exercise (Mini-CEX) for cardiology residency training. Med Teach. 2007;29(8):785-90.
Alves de Lima, A., Barrero, C., Baratta, S., Castillo Costa, Y., Bortman, G., Carabajales, J., Conde, D., Galli, A., Degrange, G., & Van der Vleuten, C. (2007). Validity, reliability, feasibility and satisfaction of the Mini-Clinical Evaluation Exercise (Mini-CEX) for cardiology residency training. Medical Teacher, 29(8), 785-90.
Alves de Lima A, et al. Validity, Reliability, Feasibility and Satisfaction of the Mini-Clinical Evaluation Exercise (Mini-CEX) for Cardiology Residency Training. Med Teach. 2007;29(8):785-90. PubMed PMID: 17917984.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validity, reliability, feasibility and satisfaction of the Mini-Clinical Evaluation Exercise (Mini-CEX) for cardiology residency training. AU - Alves de Lima,Alberto, AU - Barrero,Carlos, AU - Baratta,Sergio, AU - Castillo Costa,Yanina, AU - Bortman,Guillermo, AU - Carabajales,Justo, AU - Conde,Diego, AU - Galli,Amanda, AU - Degrange,Graciela, AU - Van der Vleuten,Cees, PY - 2007/10/6/pubmed PY - 2008/6/21/medline PY - 2007/10/6/entrez SP - 785 EP - 90 JF - Medical teacher JO - Med Teach VL - 29 IS - 8 N2 - AIMS: The purpose of the study was to determine the validity, reliability, feasibility and satisfaction of the Mini-CEX. METHODS AND RESULTS: From May 2003 to December 2004, 108 residents from 17 cardiology residency programs in Buenos Aires were monitored by the educational board of the Argentine Society of Cardiology. Validity was evaluated by the instrument's capability to discriminate between pre-existing levels of clinical seniority. For reliability, generalisability theory was used. Feasibility was defined by a minimum number of completed observations: 50% of the residents obtaining at least four Mini-CEX's. Satisfaction was evaluated through a one to nine rating scale from the evaluators, and residents' perspectives. The total number of encounters was 253. Regarding validity, Mini-CEX was able to discriminate significantly between residents of different seniority. Reliability analysis indicated that a minimum of ten evaluations are necessary to produce a minimally reliable inference, but more are preferable. Feasibility was poor: 15% of the residents were evaluated four or more times during the study period. High satisfaction ratings from evaluators' and residents' were achieved. CONCLUSION: Mini-CEX discriminates between pre-existing levels of seniority, requires considerable sampling to achieve sufficient reliability, and was not feasible within the current circumstances, but it was considered a valuable assessment tool as indicated by the evaluators' and residents' satisfaction ratings. SN - 1466-187X UR - https://www.unboundmedicine.com/medline/citation/17917984/Validity_reliability_feasibility_and_satisfaction_of_the_Mini_Clinical_Evaluation_Exercise__Mini_CEX__for_cardiology_residency_training_ L2 - https://www.tandfonline.com/doi/full/10.1080/01421590701352261 DB - PRIME DP - Unbound Medicine ER -