Nair Balakrishnan R, Alexander Heather G, McGrath Barry P, Parvathy Mulavana S, Kilsby Eve C, Wenzel Johannes, Frank Ian B, Pachev George S, Page Gordon G
University of Newcastle, Newcastle, NSW, Australia.
Med J Aust. 2008 Aug 4;189(3):159-61. doi: 10.5694/j.1326-5377.2008.tb01951.x.
To evaluate the feasibility, reliability and acceptability of the mini clinical evaluation exercise (mini-CEX) for performance assessment among international medical graduates (IMGs).
DESIGN, SETTING AND PARTICIPANTS: Observational study of 209 patient encounters involving 28 IMGs and 35 examiners at three metropolitan teaching hospitals in New South Wales, Victoria and Queensland, September-December 2006.
The reliability of the mini-CEX was estimated using generalisability (G) analysis, and its acceptability was evaluated by a written survey of the examiners and IMGs.
The G coefficient for eight encounters was 0.88, suggesting that the reliability of the mini-CEX was 0.90 for 10 encounters. Almost half of the IMGs (7/16) and most examiners (14/18) were satisfied with the mini-CEX as a learning tool. Most of the IMGs and examiners enjoyed the immediate feedback, which is a strong component of the tool.
The mini-CEX is a reliable tool for performance assessment of IMGs, and is acceptable to and well received by both learners and supervisors.
评估迷你临床评估练习（mini-CEX）用于国际医学毕业生（IMGs）绩效评估的可行性、可靠性和可接受性。
设计、地点和参与者：2006年9月至12月在新南威尔士州、维多利亚州和昆士兰州的三家大都市教学医院进行的观察性研究，涉及28名IMGs和35名考官的209次患者诊疗。
使用概化（G）分析评估mini-CEX的可靠性，并通过对考官和IMGs的书面调查评估其可接受性。
八次诊疗的G系数为0.88，这表明对于十次诊疗，mini-CEX的可靠性为0.90。几乎一半的IMGs（7/16）和大多数考官（14/18）对mini-CEX作为一种学习工具感到满意。大多数IMGs和考官都喜欢即时反馈，这是该工具的一个重要组成部分。
mini-CEX是评估IMGs绩效的可靠工具，学习者和督导者都可以接受且评价良好。
