CLINICAL

EVALUATION FOR TRAINEES

Direct

Observation Assessment Tool

MINI-CEXANATION
American Board of Internal Medicine

Mini-Clinical Evaluation Exercise (CEX)

- Date: O R-1 OR-2 OR-3

Evaluator: -

Resident: - Patient Problem/Dx: Setting:

O
Ambulatory Patient: Age: - Complexity:
O Low Focus: O Data Gathering
O Follow-up
O In-patient O ED O Other -
Sex:
O New O Moderate O High O Diagnosis O
Therapy
O Counseling
1. Medical Interviewing Skills (O Not observed)
123
4 5 6 UNSATISFACTORY
SATISFACTORY
7 8 9 SUPERIOR

2. Physical Examination Skills (O Not observed)

123
4 5 6 UNSATISFACTORY
SATISFACTORY
9
7 8
 SUPERIOR

3. Humanistic Qualities/Professionalism
123

456 ACTØRY UNSATISFACTORY

SATISFACTORY SATISFACTORY
7 8
SUPERIOR
9

4. Clinical Judgment (O Not observed)

123
4 UNSATISFACTORY
9
5 6 SATISFACTORY
7 8
SUPERIOR

5. Counseling Skills (O Not observed)

123
4 5 6 UNSATISFACTORY
SATISFACTORY
7 8
SUPERIOR
9

6. Organization/Efficiency (O Not observed)

123
4 5 6 UNSATISFACTORY
SATISFACTORY

UNSATIŠEACTÓRY
1
SATISFÂCTÓRY
7 8 9
SUPERIOR
7. Overall Clinical Competence (О Not observed)
123
4 5 6 UNSATISFACTORY
SATISFACTORY

sa le code
supletop"
78
SUPERIOR
9

Mini-CEX Time: Observing

Mins
Providing Feedback: —
Mins

6
7
8
9
High
Evaluator Satisfaction with Mini-CEX LOW 1
2 3 4 5 Resident Satisfaction with Mini-CEX LOW 1
2 3 4 5
6
7
8
9
HIGH
Comments:
Resident Signature
Evaluator Signature