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 stude...

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Main Authors: Gary S. Ferenchick, Jami Foreback, Basim Towfiq, Kevin Kavanaugh, David Solomon, Asad Mohmand
Format: Article
Language:English
Published: Taylor & Francis Group 2010-01-01
Series:Medical Education Online
Subjects:
Online Access:http://med-ed-online.net/index.php/meo/article/view/4276/5313
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author Gary S. Ferenchick
Jami Foreback
Basim Towfiq
Kevin Kavanaugh
David Solomon
Asad Mohmand
author_facet Gary S. Ferenchick
Jami Foreback
Basim Towfiq
Kevin Kavanaugh
David Solomon
Asad Mohmand
author_sort Gary S. Ferenchick
collection DOAJ
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 doaj.art-8e9f637bd6eb4a429c72ab5b8d9161032022-12-21T19:12:39ZengTaylor & Francis GroupMedical Education Online1087-29812010-01-011501910.3402/meo.v15i0.4276The implementation of a mobile problem-specific electronic CEX for assessing directly observed student–patient encountersGary S. FerenchickJami ForebackBasim TowfiqKevin KavanaughDavid SolomonAsad MohmandBackground: 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.http://med-ed-online.net/index.php/meo/article/view/4276/5313studentsmedicalclinical competenceobservationcomputershandheldclinical clerkshipinternal medicine
spellingShingle Gary S. Ferenchick
Jami Foreback
Basim Towfiq
Kevin Kavanaugh
David Solomon
Asad Mohmand
The implementation of a mobile problem-specific electronic CEX for assessing directly observed student–patient encounters
Medical Education Online
students
medical
clinical competence
observation
computers
handheld
clinical clerkship
internal medicine
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 x2013 patient encounters
topic students
medical
clinical competence
observation
computers
handheld
clinical clerkship
internal medicine
url http://med-ed-online.net/index.php/meo/article/view/4276/5313
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