Impact of a Simulated Mini-CEX on Clinical Performance During a Real-World Mini-CEX
2026년 6월 18일 업데이트: Mhamed Sami Mebazaa, Mongi Slim Hospital
Impact of a Simulated Mini-CEX on Clinical Performance During a Real-World Mini-CEX: A Multicenter Study in Anesthesiology and Intensive Care Medicine
Modern medical education is based on competency-based learning and the use of formative assessment tools in real clinical settings, such as the Mini-Clinical Evaluation Exercise (mini-CEX).
However, the impact of a prior simulated mini-CEX experience on subsequent performance in real clinical settings remains insufficiently studied, particularly among medical students in anesthesiology-intensive care (DCEM3).
This study aimed to assess the effect of a simulated mini-CEX on performance during a real mini-CEX in pre-anesthetic consultation.
연구 개요
상태
아직 모집하지 않음
개입 / 치료
상세 설명
We conducted a prospective, multicenter interventional study over 4 weeks in three anesthesiology-intensive care departments in Tunis.
Volunteer DCEM3 students were assessed by trained anesthesiology faculty using the mini-CEX tool.
The intervention consisted of a structured two-step assessment of pre-anesthetic consultation: a standardized simulation followed by a real clinical encounter.
Performance was evaluated using a 7-domain mini-CEX checklist, including direct observation, scoring, and immediate formative feedback.
The primary outcome was the overall mini-CEX score.
Secondary outcomes included domain-specific scores, inter-rater reliability, individual progression, and participant satisfaction.
연구 유형
중재적
등록 (추정된)
18
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
- 이름: Mhamed Sami Mebazaa, professor
- 전화번호: 00216 22252589
- 이메일: msmebazaa@gmail.com
연구 연락처 백업
- 이름: Ben Haj youssef, assistant
- 전화번호: 00216 96874336
- 이메일: amani.benhajyoussef@fmt.utm.tn
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
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- 고령자
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예
설명
Inclusion Criteria:
- Fifth-year medical students (DCEM3) enrolled at the Faculty of Medicine of Tunis within the acute medicine program.
- Students completing their clinical clerkship during the second semester of the 2025-2026 academic year in one of the three participating anesthesiology and intensive care departments.
- Students who voluntarily agree to participate and have provided written informed consent.
Exclusion Criteria:
- Students who do not complete the entire educational curriculum (absence from either of the two assessments).
- Students who have already received similar training.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 다른
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: DCEM3 students
Fifth-year medical students in the second cycle during their internship in anesthesiology and intensive care.
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Mini-CEX educational assessment during pre-anesthetic consultation: Volunteer fifth-year medical students were assessed by trained anesthesiology faculty using the mini-CEX tool.
The intervention consisted of a structured two-step assessment of pre-anesthetic consultation: a standardized simulation followed by a real clinical encounter.
다른 이름들:
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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students' overall performance
기간: Through study completion, up to 4 weeks
|
measured by the mean score on the Mini-CEX checklist, compared between simulated consultation and real consultation. The overall performance is assessed using the unabbreviated Mini-Clinical Evaluation Exercise (Mini-CEX) checklist. The global score is measured on a 9-point Likert scale, ranging from 1 (insufficient/unsatisfactory performance) to 9 (exceptional/exemplary performance). Higher scores indicate a better clinical performance and greater student autonomy. |
Through study completion, up to 4 weeks
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Scores for each domain
기간: at the and of each Mini-CEX , Through study completion, up to 4 weeks
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Scores for each domain (history taking, physical examination, clinical judgment, communication skills, professionalism, organization and efficiency, and overall clinical performance).
Measured by the Mini-Clinical Evaluation Exercise (Mini-CEX) checklist, compared between the simulated consultation (baseline) and the real clinical consultation.
The checklist uses a 9-point Likert scale where 1 represents the lowest performance (insufficient) and 9 represents the highest performance (exceptional).
Higher scores indicate a better clinical outcome.
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at the and of each Mini-CEX , Through study completion, up to 4 weeks
|
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Inter-rater reproducibility of Mini-CEX
기간: at the end of the simulated Mini-CEx, Through study completion, up to 4 weeks
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Inter-rater reproducibility was evaluated using the Intraclass Correlation Coefficient (ICC
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at the end of the simulated Mini-CEx, Through study completion, up to 4 weeks
|
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Individual performance gain
기간: at the end of the internship, Through study completion, up to 4 weeks
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Individual performance gain (delta between simulated and real Mini-CEX scores) Calculated as the change score between the real clinical consultation and the simulated consultation (Real score minus Simulated score) using the unabbreviated Mini-Clinical Evaluation Exercise (Mini-CEX).
The original Mini-CEX scale ranges from a minimum value of 1 (insufficient performance) to a maximum value of 9 (exceptional performance).
The resulting performance gain score ranges from -8 to +8.
A higher or positive score indicates a better outcome (improvement/performance gain), a score of 0 indicates no change, and a negative score indicates a decrease in performance.
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at the end of the internship, Through study completion, up to 4 weeks
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Learner and faculty satisfaction
기간: at the end of internship, Through study completion, up to 4 weeks
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Learner and faculty satisfaction, as well as their recommendation for the use of the Mini-CEX throughout the curriculum, assessed using a Likert scale.
Assessed via a post-internship questionnaire completed by both students (learners) and professors (faculty) regarding their satisfaction with the Mini-Clinical Evaluation Exercise (Mini-CEX) and their recommendation for its integration throughout the curriculum.
Responses are evaluated on a 5-point Likert scale, ranging from a minimum score of 1 (Strongly disagree / Very dissatisfied) to a maximum score of 5 (Strongly agree / Very satisfied).
Higher scores indicate a better outcome, representing higher levels of satisfaction and a stronger recommendation for curriculum implementation.
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at the end of internship, Through study completion, up to 4 weeks
|
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The time required to complete the consultation
기간: at the end of each Mini-Cex, Through study completion, up to 4 weeks
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The time required to complete the consultation (measured in minutes)
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at the end of each Mini-Cex, Through study completion, up to 4 weeks
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연구 주요 날짜
연구 시작 (추정된)
2026년 6월 2일
기본 완료 (추정된)
2026년 6월 26일
연구 완료 (추정된)
2026년 6월 26일
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2026년 6월 2일
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2026년 6월 18일
처음 게시됨 (실제)
2026년 6월 23일
연구 기록 업데이트
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2026년 6월 23일
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