Mini-CEX: A Method Integrating Direct Observation and Constructive Feedback for Assessing

Alberto Alves de Lima, Cees Van der Vleuten


The mini-CEX (mini clinical evaluation exercise) is a tool

for the assessment of professional performance of residents

through direct observation of resident-patient encounter,

evaluating clinical skills and providing subsequent feedback

in the work setting. The exam focuses on the evaluation of

resident’s skills during resident-patient encounter. The evaluator

must document resident’s performance in six areas of

competence. The exam is easy to apply as it fits in real life

settings in the different clinical scenarios. The evaluation

should not take more than 20 minutes and each resident

should have 8 mini-CEX per year of training with different


Faculties should previously define the areas of competence

to evaluate and the minimum performance standards residents

should reach. All the completed forms should be used

to construct a database in order to monitor the evaluation

process and make the necessary corrections.

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Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020