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Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249


VAZQUEZ, Martín et al. Evaluation of Pediatric postgraduate students' clinical competences with the Mini-Clinical Evaluation Exercise (Mini-CEX). Arch. Pediatr. Urug. [online]. 2018, vol.89, n.1, pp.21-25. ISSN 0004-0584.

Formative assessment is one of the cornerstones of the teaching-learning process in Pediatric training. The Mini Clinical Evaluation Exercise (MiniCEX) is one of the tools available for direct observation to assess performance-based clinical skills.The study aims to describe the use of MiniCEX for the evaluation of Pediatrics fellows and to evaluate its reliability. 76 observations were performed to 38 students of Pediatrics during a 6 months rotation in a secondary care setting. Observations were carried out simultaneously and independently by 2 clinical teachers. Scores were obtained for each competency evaluated, the higher ones being professionalism, clinical judgement, patient and family education and counseling and overall clinical care. The tool was positively accepted by both teachers and students. Average observation time was 21 minutes, and feedback accounted for 12 minutes. Reliability and inter-observer agreement for the different skills evaluated were very satisfactory. Finally, our experience with the MiniCEX performed to Pediatric students proved it is not only a feasible and reliable tool to assess clinical skills, attitudes and behaviors, but also it is well accepted by teachers and students.

Keywords : Educational measurement; Clinical competence; Graduate education; Pediatrics.

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