Influences on the implementation of Mini-CEX and DOPS for postgraduate medical trainees’ learning: A grounded theory study

Lörwald, Andrea Carolin; Lahner, Felicitas-Maria; Mooser, Bettina; Perrig, Martin; Widmer, Matthias; Greif, Robert; Huwendiek, Sören (2019). Influences on the implementation of Mini-CEX and DOPS for postgraduate medical trainees’ learning: A grounded theory study. Medical teacher, 41(4), pp. 448-456. Informa Healthcare 10.1080/0142159X.2018.1497784

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Introduction: In order for Mini-Clinical Evaluation Exercise (Mini-CEX) and Direct Observation of Procedural Skills (DOPS) to actually have a positive effect on trainees’ learning, the way in which the tools are implemented is of key importance. However, there are many factors influencing their implementation. In this study, we aim to develop a comprehensive model of such factors.

Methods: Using a constructivist grounded theory approach, we performed eight focus groups. Participants were postgraduate trainees and supervisors from three different specialties; all were experienced with Mini-CEX and/or DOPS. Data were analyzed for recurring themes, underlying concepts and their interactions using constant comparison.

Results: We developed a model demonstrating how the implementation of Mini-CEX and DOPS for trainees’ learning is influenced by 13 factors relating to four categories: organizational culture (e.g. value of teaching and feedback), work structure (e.g. time for Mini-CEX and DOPS, faculty development), instruments (e.g. content of assessment), and users (e.g. relationship between trainees and supervisors), and their interaction.

Conclusions: We developed a complex model of influencing factors relating to four categories. Consideration of this model might support successful implementation and trainees’ learning with Mini-CEX and DOPS.

Item Type:

 Journal Article (Original Article)

Division/Institute:

 04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Heart Surgery
04 Faculty of Medicine > Medical Education > Institute for Medical Education
04 Faculty of Medicine > Medical Education > Institute for Medical Education > Assessment and Evaluation Unit (AAE)
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine

UniBE Contributor:

 Lörwald, Andrea Carolin, Lahner, Felicitas-Maria, Perrig, Martin, Widmer, Matthias, Greif, Robert, Huwendiek, Sören

Subjects:

 600 Technology > 610 Medicine & health

ISSN:

 0142-159X

Publisher:

 Informa Healthcare

Language:

 English

Submitter:

 Daniel Bauer

Date Deposited:

 01 Nov 2018 16:16

Last Modified:

 27 Feb 2024 14:28

Publisher DOI:

 10.1080/0142159X.2018.1497784

PubMed ID:

 30369283

BORIS DOI:

 10.7892/boris.120811

URI:

 https://boris.unibe.ch/id/eprint/120811

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