Our goal here is to make complex educational theory as practical and as accessible as possible for busy medical teachers – to stimulate you, reduce duplication of work and help you add creativity to your educational programme.
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This is a 15-20 minute snapshot of a single doctor/patient interaction in secondary care – i.e. whilst you are in a hospital post. It is designed to assess the clinical skills, attitudes and behaviours essential to providing high quality care. It will only ever be done in hospital posts (in GP posts, you do COTs instead).
You pick a case and ask a trained senior to do a mini-CEX evaluation on you. You need to do a MINIMUM of 3 per 6 months for each ST1 or ST2 hospital post. None are required in ST3 because this year should be GP based (where you will do COTs instead).
The following are categories on the assessment form. This should give you some idea of what sorts of things will be assessed.
The assessor decides what aspect ( or problem) of the clinical encounter (s)he is going to focus on. This might be:
The types of things you will be graded on will depend on the focus of the clinical encounter. You may be graded on:
For each competency assessed, you’ll be given one of the following grades:
A mark of “insufficient evidence” is always awarded to those competencies that were not tested on this occaison. However, future cases may need to be selected to help you demonstrate these.
Yes! The mini-CEX may be observed by
In all cases:
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