Abstract

MEGALE, Luiz; GONTIJO, Eliana Dias  and  MOTTA, Joaquim Antônio César. Avaliação de competência clínica em estudantes de medicina pelo Miniexercício Clínico Avaliativo (Miniex). Rev. Bras. Educ. Med. [online]. 2009, vol.33, n.02, pp.166-175. ISSN 1981-5271.

Evaluation of clinical skills is an essential stage in medical training and should be conducted through direct observation of students’ performance in real situations. The current study aims to determine the reproducibility and internal consistency of the Mini-Clinical Evaluation Exercise (mini-CEX), a tool for evaluating clinical skills that consists of observation by a faculty member while the student conducts a focused history and physical examination in the actual clinical setting. At the end of the examination, the faculty member provides feedback on the student’s performance, thus establishing the training valuation. Twelve videos were produced that illustrate students’ performance while treating patients in the Pediatrics Ward of the UFMG University Hospital. Twenty-four faculty members from the Department of Pediatrics, with an average of 25 years’ teaching experiences, watched the films individually, scoring the various skills according to the Mini-CEX parameters. The intraclass correlation coefficient was 0.71, with a 95% confidence interval and Cronbach’s alpha of 0.84, indicating good reproducibility and internal consistency for the Mini-CEX. The satisfaction score with the instrument was 7.5 for faculty and 8.3 for interns, on a 9-point scale. The findings highlight the importance of further research to evaluate the reproducibility and applicability of the Mini-CEX.

Keywords : Clinical Competence; Medical Education; Evaluation; Intern.

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