Alignment between learning needs and learning goals of Mini-CEX in clerkships

Montagne, Stephanie; Rogausch, Anja; Gemperli, Armin; Jucker, Patrick; Berendonk, Christoph; Beyeler, Christine (1 August 2014). Alignment between learning needs and learning goals of Mini-CEX in clerkships. In: AMEE (p. 478). International Organisation for Medical Education AMEE

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Background: Defining learning goals (LG) in alignment with learning needs (LN) is one of the key purposes of formative workplace-based assessment, but studies about this topic are scarce. Summary of Work: We analysed quantitatively and qualitatively how often trainer-student pairs identified the same LN during Mini Clinical Evaluation Exercises (Mini-CEX) in clerkships and to what degree those LNs were in line with the recorded LGs. Multilevel logistic regression models were used to predict LGs by identified LNs, controlling for context variables. Summary of Results: 512 trainers and 165 students conducted 1783 Mini-CEX (98% completion rate). Concordantly, trainer-student pairs most often identified LNs in the domains ‘clinical reasoning’ (23% of 1167 complete forms), ‘organisation / efficiency’ (20%) and ‘physical examination’ (20%). At least one ‘defined’ LG was noted on 313 student forms (18% of 1710), with a total of 446 LGs. Of these, the most frequent LGs were ‘physical examination’ (49% of 446 LGs) and ‘history taking’ (21%); corresponding LNs as well as context variables (e.g. clinic size) were found to be predictors of these LGs. Discussion and Conclusions: Although trainer-student pairs often agreed in their identified LNs, many assessments did not result in an aligned LG or a LG at all. Interventions are needed to enhance the proportion of (aligned) LGs in Mini-CEX in order to tap into its full potential not only as a ‘diagnostic’ but also as an ‘educational tool’. Take-home messages: The sparseness of LGs, their dependency on context variables and their partial non-alignment with students’ LNs raise the question of how the effectiveness of Mini-CEX can be further enhanced.

Item Type:

Conference or Workshop Item (Abstract)

Division/Institute:

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)

UniBE Contributor:

Montagne, Stephanie; Rogausch, Anja; Jucker, Patrick; Berendonk, Christoph and Beyeler, Christine

Subjects:

300 Social sciences, sociology & anthropology > 370 Education
600 Technology > 610 Medicine & health

Publisher:

International Organisation for Medical Education AMEE

Language:

English

Submitter:

Eveline Götschmann-Meile

Date Deposited:

13 Apr 2015 10:16

Last Modified:

08 Sep 2017 17:49

BORIS DOI:

10.7892/boris.62331

URI:

https://boris.unibe.ch/id/eprint/62331

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