Review of mini-clinical evaluation exercise (Mini-cex) in a psychiatry clerkship

Edwin Meresh, David Daniels, Aparna Sharma, Murali Rao, Kaushal Mehta, David Schilling

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


Background: Direct observation of medical students with actual patients is important for the assessment of clinical skills including interviewing and counseling skills. This article describes medical students’ experience of mini-clinical evaluation exercise (mini-CEX) during their clerk-ship in consultation psychiatry. Materials and methods: In our center during inpatient consultation psychiatry clerkship, all rotating students are expected to complete one mini-CEX assessment as part of their clinical training. We conducted retrospective analysis of mini-CEX ratings completed from 2013 to 2016. All evaluations took place at inpatient medical setting in patients admitted with medical conditions and psychiatric comorbidities. Results: A total of 113 evaluations were reviewed. The time examiner observed the interaction of a student with the patient was 14.24 minutes (mean), and the time spent in providing feedback to the student was 9.71 minutes. Complexity of problem was rated as low in 0.88% (n=1), moderate in 50.44% (n=57), and high in 48.67% (n=55). Highest ratings were for profes-sionalism, similar to previous reports. Total score calculated by examiner showed no difference by the complexity of the patient; however, we observed a trend in higher counseling score for the high complexity group. Conclusion: Mini-CEX assessment during busy clerkship is feasible with good outcomes. Direct observation of medical trainees with actual patients is important for the assessment of performance-based clinical skills. Hospital psychiatry rotation covering various medical and surgical units offers a great opportunity for exposure in patient communication.

Original languageEnglish
Pages (from-to)279-283
Number of pages5
JournalAdvances in Medical Education and Practice
StatePublished - 2018


  • Feedback
  • Interviewing
  • Medical student
  • Mini-CEX
  • Mini-clinical evaluation exercise
  • Obser-vation


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