Introduction of mini-clinical evaluation exercise in teaching dental radiology-A pilot study.
assessment tool
dental education
dental radiology
mini-CEX
work-based assessment
Journal
European journal of dental education : official journal of the Association for Dental Education in Europe
ISSN: 1600-0579
Titre abrégé: Eur J Dent Educ
Pays: England
ID NLM: 9712132
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
13
09
2019
revised:
22
05
2020
accepted:
02
06
2020
pubmed:
20
6
2020
medline:
15
12
2020
entrez:
20
6
2020
Statut:
ppublish
Résumé
Workplace-based assessments are methods that can be applied for assessing competence and performance. One of these methods is the mini-clinical evaluation exercise (mini-CEX). This study was conducted to determine the role of mini-CEX in students' performance assessment on panoramic X-ray reporting at dental radiology course. A workshop as training for the assessors and the participants was conducted before the primary test. All participants (n = 36) were randomly allocated into six groups. Each group had three seminars in which every student reported a panoramic X-ray. Students were directly observed and rated by an assessor on a modified mini-CEX rating form. Then, a self-assessment of the students and a systematic feedback session were performed. Finally, the students and the assessors were evaluated for the acceptability and satisfaction with this tool. The mean duration of the assessment and the feedback decreased significantly from the first seminar to the third seminar (P < .0001). Comparison of the results of the mini-CEX of all three assessments showed that students displayed a significantly better performance in evaluating the upper jaw and the soft tissue (P < .05). There was no significant improvement for the other aspects of the rating form. Overall, both students and assessors reported a high level of satisfaction in using the mini-CEX rating form. Due to the objectivity and transparency of the assessment, the mini-CEX helped to improve the performance on reporting panoramic X-rays. Besides that, the structured feedback had major impact on the improvement. Overall, the assessors and the participants reported a high level of satisfaction using the rating form. Therefore, the mini-CEX may be an effective method for performing workplace-based assessments to evaluate students' performance on reporting panoramic X-rays.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
695-705Informations de copyright
© 2020 The Authors. European Journal of Dental Education published by John Wiley & Sons Ltd.
Références
Miller A, Archer J. Impact of workplace-based assessment in doctors’ education and performance: a systematic review. BMJ. 2010;341:c5064.
Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE Guide No. 31. Med Teach. 2007;29:855-871.
Norcini JJ, Blank LL, Arnold GK, Kimball HR. The mini-CEX (clinical evaluation exercise): a preliminary investigation. Ann Intern Med. 1995;123:795-799.
Wragg A, Wade W, Fuller G, Cowan G, Mills P. Assessing the performance of specialist registrars. Clin Med. 2003;3(2):131-134.
Crossley J, Jolly B. Making sense of work-based assessment: ask the right questions, in the right way, about the right things, of the right people. Med Educ. 2012;46:28-37.
Carr S. “The foundation programme assessment tools: an opportunity to enhance feedback to trainees? Postgrad Med J. 2006;82:576-579.
Holmboe ES, Huot S, Chung J, et al. Construct validity of the miniclincial evaluation exercise (MiniCEX). Acad Med. 2003;78:826-830.
Sadler R. Formative assessment and the design of instructional systems. Instruct Sci. 1989;18:119-144.
Gibbs G. Using assessment strategically to change the way students learn. In: Brown S (Ed.) Assessment Matters in Higher Education. Choosing and using Diverse Approaches. Buckingham: Society for Research into Higher Education and Open University Press; 1999.48-50.
Shepard LA. The role of assessment in a learning culture. Educ Res. 2000;29:4-14.
Branch WT, Paranjape A. Feedback and reflection: teaching methods for clinical settings. Acad Med. 2002;77:1185-1188.
Kogan JR, Holmboe ES, Hauer KE. Tools for direct observation and assessment of clinical skills of medical trainees: a systematic review. JAMA. 2009;302:1316-1326.
Kogan JR, Hatala R, Hauer KE, Holmboe E. Guidelines: the do’s, don’ts and don’t knows of direct observation of clinical skills in medical education. Perspect Med Educ. 2017;6:286-305.
Frank JR, Snell LS, Cate OT, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32:638-645.
Norcini JJ, Blank LL, Duffy FD, Fortna GS. The mini-CEX: a method for assessing clinical skills. Ann Intern Med. 2003;138:476-481.
Behere R. Introduction of mini-CEX in undergraduate dental education in India. Educ Health. 2014;27:262-268.
Al-Jewair T, Kumar S. Review and application of the mini-clinical evaluation exercise (Mini-CEX) in advanced orthodontic education: a pilot study. J Dent Educ. 2019;83(11):1332-1338.
Kumar V, Gadbury-Amyot CC. Predoctoral curricular revision for dental radiographic interpretation competence based on OSCE results. J Dent Educ. 2019;83(10):1233-1239.
Lele SM. A mini-OSCE for formative assessment of diagnostic and radiographic skills at a dental college in India. J Dent Educ. 2011;75(12):1583-1589.
Soemantri D, Dodds A, Mccoll G. Examining the nature of feedback within the Mini Clinical Evaluation Exercise (Mini-CEX): an analysis of 1427 Mini-CEX assessment forms. GMS J Med Educ. 2018;35:Doc47.
Baldwin LJL, Jones CM, Hulme J, Owen A. Use of the learning conversation improves instructor confidence in life support training: an open randomised controlled cross-over trial comparing teaching feedback mechanisms. Resuscitation. 2015;96:199-207.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77-101.
Wei CJ, Lu TH, Chien SC, et al. The development and use of a pharmacist-specific Mini-CEX for postgraduate year trainees in Taiwan. BMC Med Educ. 2019;19:165.
Lörwald AC, Lahner FM, Mooser B, et al. Influences on the implementation of Mini-CEX and DOPS for postgraduate medical trainees' learning: a grounded theory study. Med Teach. 2019;41:448-456.
Govaerts MJB, Van de Wiel MWJ, Schuwirth LWT, Van der Vleuten CPM, Muijtjens AMM. Workplace-based assessment: raters’ performance theories and constructs. Adv Health Sci Educ. 2013;18(3):375-396.
Gingerich A, Regehr G, Eva KW. Rater-based assessments as social judgments: rethinking the etiology of rater errors. Acad Med. 2011;86:S1-S7.
Veloski J, Boex JR, Grasberger MJ, Evans A, Wolfson DB. Systematic review of the literature on assessment, feedback and physicians' clinical performance: BEME Guide No. 7. Med Teach. 2006;28:117-128.
Lörwald AC, Lahner FM, Nouns ZM, et al. The educational impact of Mini-Clinical Evaluation Exercise (Mini-CEX) and Direct Observation of Procedural Skills (DOPS) and its association with implementation: a systematic review and meta-analysis. PLoS One. 2018;13:e0198009.
Weston PS, Smith CA. The use of Mini-CEX in UK foundation training six years following its introduction: lessons still to be learned and the benefit of formal teaching regarding its utility. Med Teach. 2014;36:155-163.
Sabey A, Harris M. Training in hospitals: what do GP specialist trainees think of workplace-based assessments? Educ Primary Care. 2011;22:90-99.
Bindal T, Wall D, Goodyear H. Trainee doctors' views on work-place-based assessments: are they just a tick box exercise? Med Teach. 2011;33:919-927.
Kumar V, Gadbury-Amyot C. A case-based and team-based learning model in oral and maxillofacial radiology. J Dent Educ. 2012;76:330-337.