Effect Evaluation on the Application of Mini-CEX on the Learning Autonomy of Students Act as Examiners
Objectives With the application of the Mini CEX scoring table,interns were assessed as both"student examiners"and"candidates"to complete clinical competency assessments and explore whether this method can enhance learning autonomy,and provide reference for improving students'learning autonomy.Methods 37 undergraduate students majoring in clinical medicine who interned in the Department of Cardiology at a certain affiliated hospital of a medical university between July 1st,2021 and May 31st,2022,were selected to participate in the Mini CEX assessment as both"student examiners"and"candidates".After the assessment,the teacher examiner immediately provided on-site feedback to the"student examiners"and candidates for a total of 30 minutes.To evaluate teaching effectiveness through distributing questionnaires.Results 36(97.3％)intern doctors and 20(100％)teacher examiners believed that Mini CEX's evaluation of clinical practice was objective,37(100％)intern doctors and 20 teachers(100％)believed that timely feedback would help improve clinical abilities,and 30(81.1％)intern doctors and 16(80％)teacher examiners believed that having students act as"examiners"can enhance learning autonomy.31 interns(83.8％)believed that there was a difference between being an"examiner"and a"candidate",while 17 teacher examiners(85％)believed that having students become"examiners"was helpful for clinical internships and could enhance learning autonomy.In terms of interview skills,communication skills,humanistic care,organizational effectiveness,and overall performance,the average scores of each group showed a trend of the latter group being better than the former group.The improvement trend in physical examination items was not significant,while there was no improvement trend in clinical judgment items.Conclusions With the application of Mini-CEX to allow students to be"examiners"could enhance learning autonomy,improve performance in medical interview skills,human care,clinical judgment,physical examination,communication skills,organizational effectiveness,and overall clinical competence.
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