1. Mini-Clinical Evaluation Exercise (Mini-CEX)

2. Focused clinical interaction lasting between 5-25 minutes
No longer than 30 minutes

3. Selection
Patient new to the trainee with regard to the clinical skill being assessed.
Supervisor has some familiarity with the patient

4. Organisation Usually arranged by the trainee in advance
Occurs during individual or
clinical supervision
Trainee keeps a record

5. Focused on a specific aspect of clinical work:
Mental state examination, cognitive assessment
Risk assessment
Relevant Physical examination
Side-effect assessment

6. Talking to carer/family
Consent to treatment
Interpret laboratory tests

7. Seven assessment criteria possible :
(Focused) history taking, process
(Focused) history taking, content
Mental state examination
Physical examination skills
Communication skills
Data synthesis
Organisation/efficiency

8. Assessment (cont) 9 point scale
Midpoint “the standard to be achieved” (by the end of period of training)
Trainee should have performance deficits, measured relative to what is expected by the end of period of training!

9. ‘Formative’ Mini-CEX vs ‘Summative’ OSCE:
Some similarity to certain clinical OSCE stations but not the same
Not the careful standardisation
At the commencement rather than the end of training
Generating a ‘mark’ is not the aim,
Aim is generating feedback and
learning plan

10. Feedback What aspects were done well? Suggestions for improvement
Agreed actions/goals