El mini-CEX como instrumento de evaluación de la competencia clínica. Un estudio piloto en estudiantes de Medicina.

Introduction. The evaluation of clinical skills is an important part of the medical training. The present article describes the results of a pilot study that was carried out to analyze the feasibility of the implementation of the Mini-Clinical Evaluation Exercise (mini-CEX) in medical students. Subjects and methods. Mini-CEX was used in students from third, fourth and fifth year of Medical School of the University of Barcelona during their clerkship in Internal Medicine, Pneumology/Thoracic surgery, Nephrology/Urology in the academic year 2013-2014. Students completed at least one encounter and several tutors from different departments participated in the study. Results. Thirteen tutors and 27 students participated, with 64 encounters and a mean of 2.4 encounters by student. The mean time of the encounters was 8.4 min (range: 4-60 min) and of the feedback period of 8.4 min (range: 3-30 min). The mean score of students' satisfaction (9.2; range: 6-10) was higher than of the tutors (8.8; range: 7-10). Conclusions. The study showed the feasibility of mini-CEX in medical students regarding the time needed to perform it and the satisfaction of tutors and students with the experience