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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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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
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author Ferenchick, Gary S.
Foreback, Jami
Towfiq, Basim
Kavanaugh, Kevin
Solomon, David
Mohmand, Asad
author_facet Ferenchick, Gary S.
Foreback, Jami
Towfiq, Basim
Kavanaugh, Kevin
Solomon, David
Mohmand, Asad
author_sort Ferenchick, Gary S.
collection PubMed
description 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.
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spelling pubmed-28233962010-02-19 The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters Ferenchick, Gary S. Foreback, Jami Towfiq, Basim Kavanaugh, Kevin Solomon, David Mohmand, Asad Med Educ Online Feature Article 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. Medical Education Online 2010-01-29 /pmc/articles/PMC2823396/ /pubmed/20174616 http://dx.doi.org/10.3402/meo.v15i0.4276 Text en © 2010 Gary S. Ferenchick et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Feature Article
Ferenchick, Gary S.
Foreback, Jami
Towfiq, Basim
Kavanaugh, Kevin
Solomon, David
Mohmand, Asad
The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters
title The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters
title_full The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters
title_fullStr The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters
title_full_unstemmed The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters
title_short The implementation of a mobile problem-specific electronic CEX for assessing directly observed student—patient encounters
title_sort implementation of a mobile problem-specific electronic cex for assessing directly observed student—patient encounters
topic Feature Article
url 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
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