Effect of mini-CEX video workshop training on the evaluation variation of trainee

Abstract

Aim Mini-CEX is used in the evaluation process of medical students' clinical training.This evaluation method is workplace-based direct assessments of students' performance.The observers of mini-cex are usually senior physicians.How to minimize inter-accessor scoring variation is crucial in the practice of mini-CEX.Method by using video-workshop training model,the inter-accessor scoring variations between first-contact trainees were accessed.Data were analyzed with rank-sum test.Results 22 first-contact physicians (with ＞ 3 years' experience of attendant doctor) underwent standard videoworkshop mini-CEX training program.After 2 rounds of video demonstration,significant difference in scoring variation was found in objective item as interviewing skills,P=0.003.An insignificant increase in physical examination skills was also noticed (P=0.069).No significant differences were found in other subjective scoring items (professional/clinical judgment/organization/overall clinical skills).Conclusion video-work shop training with 2 round of standard video demo could reduce the inter-accessor variation in objective scoring item,but had no significant effects on the subjective scoring items. Key words: Mini-CEX; Training; Process evaluation ; Clinical skill ; Medical education