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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
Module VI Medical care Assessment |
| Assessment of fellow by faculty | ||
| Global rating: American Board of Internal Medicine (ABIM) Mini-CEX |
The ABIM’s Mini-CEX project is a work-in-progress designed to study the feasibility and measurement characteristics of this assessment measure. The mini-CEX is designed to provide a brief snapshot of resident attitudes, behaviors, and skills. The mini-CEX was chosen for the AAAAI toolbox for a number of reasons. First, it was designed to assess aspects of multiple competencies (patient care, professionalism, medical knowledge, interpersonal and communication skills, and practice-based learning and improvement) in a single brief measure. The project’s pilot information indicates that, “the mini-CEX provides a valid, reliable measure of clinical performance based on multiple encounters (four per year) by different examiners.” Although the mini-CEX was originally designed for use with PGY-1 internal medicine residents, the focus of the assessment is useful across years of training and specialties. One caveat is that the descriptors of competencies provided ask the rater to consider multiple behaviors in her or his assessment. Research has shown that when multiple behaviors are assessed in one question, neither those doing the assessment nor those being assessed can be sure which components are being measured. When one of the purposes of assessment is to provide feedback to learners, it is important to be able to provide specific information aimed at enhancing performance. The ABIM has granted permission for use of its core competencies by A/I training programs. The mini-CEX is an example of assessment via global rating. The ACGME, in its draft Toolbox of Assessment Methods, provides some information about the properties and uses of global rating for assessment. |
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