Impact of a Simulated Mini-CEX on Clinical Performance During a Real-World Mini-CEX

Официальное название

Impact of a Simulated Mini-CEX on Clinical Performance During a Real-World Mini-CEX: A Multicenter Study in Anesthesiology and Intensive Care Medicine

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое Behavioral
  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.

Первичные конечные точки

• students' overall performance [Срок оценки: Through study completion, up to 4 weeks]

Вторичные конечные точки (5)

• Scores for each domain [Срок оценки: at the and of each Mini-CEX , Through study completion, up to 4 weeks]
• Inter-rater reproducibility of Mini-CEX [Срок оценки: at the end of the simulated Mini-CEx, Through study completion, up to 4 weeks]
• Individual performance gain [Срок оценки: at the end of the internship, Through study completion, up to 4 weeks]
• Learner and faculty satisfaction [Срок оценки: at the end of internship, Through study completion, up to 4 weeks]
• The time required to complete the consultation [Срок оценки: at the end of each Mini-Cex, Through study completion, up to 4 weeks]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• Students who do not complete the entire educational curriculum (absence from either of the two assessments).
• Students who have already received similar training.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Другое

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07663760 · Simulated mini-CEX

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗