Online Mini-cex Plus: A Novel Tool for the Documentation of Observed Clinical Skills Competencies that Provides Feedback with Remediation Assignments

Christof Juerg Daetwyler MD, Office of Educational Affairs, Drexel University College of Medicine
Anthony Donato, MD, Internal Medicine, The Reading Hospital and Medical Center
Gregory McGee, B.A, Office of Educational Affairs - IT, Drexel University College of Medicine

The assessment of clinical skill competencies is usually done either through observation of trainees when interacting with Standardized Patients during an OSCE (for example during CSA Step 2 at the NBME), or through direct observation of how physicians in training interact in actual patient care. In that case, an experienced physician usually documents the interaction using a written Mini-CEX format. Giving physicians prompts and behavioral anchors has been shown to increase both overall comments and accuracy of the rater, but linking trainee errors with specific, targeted remediation is limited by the evaluator’s knowledge of existing remediation methods. In spring of 2009, physicians from Drexel University College of Medicine and Reading Hospital and Medical Center came together to meld the recently validated Minicard, a prompted, behaviorally anchored version of the Mini-CEX with “doc.com”, to create a seamless online tool designed to work on smart phones for direct observation with links to targeted remediation. This tool is available for review at http://webcampus.drexelmed.edu/doccom/cex.aspx The current version is a fully functional direct observation tool that reads the assessment information into a database, saves a draft, and allows to edit the draft into a final assessment with remediation assignments and to send it of to the trainee. In the version that we’ll show at the meeting, it will also provide longitudinal data on performance changes.