Research on the Current Status and Future Governance Strategies of Mini-CEX in Standardized Resident Physician Training

  • Shiliang Xi The First Clinical Medical College, Three Gorges University, Yichang 443003, Hubei, China; Department of Pain, Yichang Central People’s Hospital, Yichang 443003, Hubei, China
  • Heqing Tang The First Clinical Medical College, Three Gorges University, Yichang 443003, Hubei, China; Department of Pain, Yichang Central People’s Hospital, Yichang 443003, Hubei, China
Keywords: Mini-CEX, Resident physicians, Standardized training, Medical education

Abstract

As a crucial assessment tool, the Mini Clinical Evaluation Exercise (Mini-CEX) has gradually garnered attention in the clinical skills training of resident physicians. With the ongoing advancement of medical education reform, Mini-CEX not only offers a fresh perspective for evaluating the clinical competence of resident physicians but also establishes a foundation for enhancing their overall quality and professional capabilities. Nonetheless, there are still certain constraints in the application of Mini-CEX, including inconsistent assessment criteria, assessor subjectivity, and inadequate feedback mechanisms. This paper will review relevant domestic and international studies, explore the practical application of Mini-CEX in standardized resident physician training, analyze its strengths and weaknesses in assessing clinical ability, and propose recommendations for future development directions. Through a thorough examination of this field, it aims to provide references and guidance for further optimizing the training model for resident physicians.

References

Johnson N, Pelletier A, Berkowitz L, 2020, Mini-Clinical Evaluation Exercise in the Era of Milestones and Entrustable Professional Activities in Obstetrics and Gynaecology: Resume or Reform? Obstet Gynaecol Can, 42(6): 718–725.

Chen S, Shen S, 2017, Application and Research Progress of Mini-CEX in Clinical Teaching Assessment. China Higher Medical Education, 2017(11): 87–88.

Shokrollahi S, Ashrafi F, Iraj B, et al., 2022, A Comparative Study of the Effects of Multimedia Training Materials on Mini-CEX Scores of Internal Medicine Residents at Isfahan University of Medical Sciences. Educ Health Promot, 11: 322.

Silva B, Fernandes M, Pereira E, 2022, Assessment of the Performance of Orthopedic Residents in Clinical Practice. Rev Bras Ortop (Sao Paulo), 57(6): 1060–1064.

Sivaraman G, Lakshmanan J, Alexander A, et al., 2024, Use of Mini-CEX as a Formative Assessment Tool in the Training of Undergraduate Medical Students in ENT: Situation Analysis and the Way Forward. Indian Otolaryngol Head Neck Surg, 76(3): 2698–2703.

Niu L, Mei Y, Xu X, et al., 2022, A Novel Strategy Combining Mini-CEX and OSCE to Assess Standardized Training of Professional Postgraduates in the Department of Prosthodontics. BMC Med Educ, 22(1): 888.

Wang Y, Chen G, Chen J, et al., 2024, The Application of Mini-CEX Combined with DOPS in the Standardized Training of Community Outpatient Residents. BMC Med Educ, 24(1): 780.

Li J, Gao J, Lv J, et al., 2011, The Use of Mini-CEX in the Training of Internal Medicine Doctors. China Higher Medical Education, 2011(09): 71–72 + 88.

Alomar A, 2022, Perception and Satisfaction of Undergraduate Medical Students with the Implementation of the Mini-Clinical Evaluation Exercise in an Orthopedic Outpatient Setting. Adv Med Educ Pract, 13: 1159–1170.

Mortaz-Hejri S, Jalili M, Masoomi R, et al., 2020, The Utility of the Mini-Clinical Evaluation Exercise in Undergraduate and Postgraduate Medical Education: A BEME Review (BEME Guide No. 59). Med Teach, 42(2): 125–142.

Zaki H, Yigit Y, Shaban E, et al., 2023, The Utility of the Mini-Clinical Evaluation Exercise in the Emergency Department: A Systematic Review and Meta-Analysis Evaluating the Readability, Feasibility, and Acceptability of Mini-CEX Utilization. Cureus, 15(8): e44443.

Shafqat S, Tejani I, Ali M, et al., 2022, Feasibility and Effectiveness of the Mini-Clinical Evaluation Exercise in an Undergraduate Medical Program: A Study from Pakistan. Cureus, 14(9): e29563.

Zhao C, Shen Y, Liu J, 2010, Results and Analysis of Clinical Skills Assessment Based on the Mini-CEX Evaluation Scale. China Higher Medical Education, 2010(08): 92–93 + 107.

Rai P, Goel A, Bhat S, et al., 2024, Assessing Residents in the Department of Surgery at a Tertiary Care Centre Using Mini-Clinical Evaluation Exercise. Cureus, 16(4): e58011.

Bashir K, Arshad W, Azad A, et al., 2021, Acceptability and Feasibility of Mini-Clinical Evaluation Exercise in the Busy Emergency Department. Open Access Emerg Med, 13: 481–486.

Bian Q, Song B, Guo Z, et al., 2010, A Brief Discussion on the Application of Mini-CEX in Standardized Residency Training. China Higher Medical Education, 2010(06): 100–101.

He Y, Wen S, Zhou M, et al., 2022, A Pilot Study of Modified Mini-Clinical Evaluation Exercises in Rotation Students in the Department of Endocrinology. Diabetes Metab Syndr Obes, 15: 2031–2038.

Erumeda N, George A, Jenkins L, 2022, Evaluating the Feedback Provided by Postgraduate Family Medicine Supervisors in the Learning Portfolios of Registrars. African Journal of Primary Health Care & Family Medicine, 14(1): e1–e10.

Cao W, 2009, Mini-CEX and the Evaluation of Residents’ Competence. Chinese Journal of Health Quality Management, 16(03): 24–27.

Li Y, Yang F, Ouyang Q, et al., 2024, Application of the Mini-CEX Evaluation Model Based on the OBE Concept in Clinical Internship Teaching in Neurology. Journal of Kunming Medical University, 45(03): 192–197.

Shi L, Liu M, Li J, et al., 2024, Research on the Application of the Mini-CEX Combined with DOPS Evaluation System in Clinical Teaching of Cariology and Endodontics. Heilongjiang Medicine and Pharmacy Journal, 47(02): 16–19.

Published
2025-10-22