How students and specialists appreciate the mini-clinical evaluation exercise (mini-CEX) in Indonesian clerkships
Open Access
- 8 May 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Medical Education
- Vol. 20 (1), 1-8
- https://doi.org/10.1186/s12909-020-02062-z
Abstract
Background Cultural differences might challenge the acceptance of the implementation of assessment formats that are developed in other countries. Acceptance of assessment formats is essential for its effectiveness; therefore, we explored the views of students and specialists on the practicality and impact on learning of these formats. This study was conducted to explore Indonesian students' and specialists' appreciation of the implementation of the Mini-Clinical Evaluation Exercise (Mini-CEX) in Indonesian clerkships. Methods This study was conducted at the Universitas Gadjah Mada, Indonesia. Participants were 52 students and 21 specialists in neurology and 78 students and 50 specialists in internal medicine. They were asked to complete a 19-item questionnaire that covered the characteristics of the mini-CEX such as its practicality, and the impact on learning and professional development. We used a Mann-Whitney U test to analyse the data. Results In total, 124 students (46 from neurology and 78 from internal medicine) and 38 specialists (13 from neurology and 25 from internal medicine) participated in this study. Students and specialists were positive about the practicality of the mini-CEX and the impact of this assessment format on learning and on professional development. The Mann-Whitney U test showed that there were no significant differences between students' and specialists' opinions on the mini-CEX, except for 2 items: specialists' appreciation of direct observation (mean rank = 93.16) was statistically significantly higher than students' appreciation of it (mean rank = 77.93; z = 2.065; p < 0.05), but students' appreciation of the item that students' past mini-CEX results affected their recent mini-CEX outcomes (mean rank = 85.29) was significantly higher than specialists' appreciation of it (mean rank = 69.12; z = 2140; p < 0.05). Conclusion Students and specialists were positive about the mini-CEX in Indonesian clerkships, although it was developed and validated in another culture. We found only small differences between their appreciations, which could be explained by the patterns of specialist-student interaction in Indonesian culture as large power distance and low individualism country.This publication has 36 references indexed in Scilit:
- Workplace-Based Assessment in Cross-Border Health Professional EducationTeaching and Learning in Medicine, 2019
- Meeting international standards: A cultural approach in implementing the mini-CEX effectively in Indonesian clerkshipsMedical Teacher, 2014
- Criteria for good assessment: Consensus statement and recommendations from the Ottawa 2010 ConferenceMedical Teacher, 2011
- Adopting and adapting the mini-CEX as an undergraduate assessment and learning toolThe Clinical Teacher, 2007
- Culture, instruction, and assessmentComparative Education, 2007
- The Mini Clinical Evaluation Exercise (mini-CEX)The Clinical Teacher, 2005
- AMEE Guide No. 25: The assessment of learning outcomes for the competent and reflective physicianMedical Teacher, 2003
- The Mini-CEX: A Method for Assessing Clinical SkillsAnnals of Internal Medicine, 2003
- The assessment of professional competence: Developments, research and practical implicationsAdvances in Health Sciences Education, 1996
- The Mini-CEX (Clinical Evaluation Exercise): A Preliminary InvestigationAnnals of Internal Medicine, 1995