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The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters

BACKGROUND: Facilitating direct observation of medical students' clinical competencies is a pressing need. METHODS: We developed an electronic problem-specific Clinical Evaluation Exercise (eCEX) based on a national curriculum. We assessed its feasibility in monitoring and recording students�...

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Detalles Bibliográficos
Autores principales: Ferenchick, Gary S., Foreback, Jami, Towfiq, Basim, Kavanaugh, Kevin, Solomon, David, Mohmand, Asad
Formato: Texto
Lenguaje:English
Publicado: Medical Education Online 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823396/
https://www.ncbi.nlm.nih.gov/pubmed/20174616
http://dx.doi.org/10.3402/meo.v15i0.4276
Descripción
Sumario:BACKGROUND: Facilitating direct observation of medical students' clinical competencies is a pressing need. METHODS: We developed an electronic problem-specific Clinical Evaluation Exercise (eCEX) based on a national curriculum. We assessed its feasibility in monitoring and recording students' competencies and the impact of a grading incentive on the frequency of direct observations in an internal medicine clerkship. Students (n = 56) at three clinical sites used the eCEX and comparison students (n = 56) at three other clinical sites did not. Students in the eCEX group were required to arrange 10 evaluations with faculty preceptors. Students in the second group were required to document a single, faculty observed ‘Full History and Physical’ encounter with a patient. Students and preceptors were surveyed at the end of each rotation. RESULTS: eCEX increased students' and evaluators' understanding of direct-observation objectives and had a positive impact on the evaluators' ability to provide feedback and assessments. The grading incentive increased the number of times a student reported direct observation by a resident preceptor. CONCLUSIONS: eCEX appears to be an effective means of enhancing student evaluation.