Xiaohao Wang, Hu Li, Yi Liu, Dazhi Zhang, Dachuan Cai, Shan Zhong
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After the internship, interns and teaching physicians completed questionnaires and interviews.</p><p><strong>Results: </strong>During the internship period when Mini-CEX was implemented, significant improvements were observed in interns' clinical skills across multiple domains. For example, the average scores of interns in history taking increased from 5.12 ± 0.89 to 6.22 ± 1.01, and in physical examination from 3.97 ± 0.69 to 5.24 ± 0.86. Interns showed high acceptance and satisfaction with Mini-CEX. The implementation of Mini-CEX also improved teaching effectiveness, with enhanced teacher-student interactions.</p><p><strong>Conclusion: </strong>Mini-CEX is a feasible and effective tool for clinical skill development in infectious disease training. Its structured feedback mechanism aligns with competency-based medical education (CBME) goals. Future studies should explore its scalability across disciplines and integration with complementary assessment tools.</p>","PeriodicalId":12488,"journal":{"name":"Frontiers in Medicine","volume":"12 ","pages":"1582218"},"PeriodicalIF":3.1000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283664/pdf/","citationCount":"0","resultStr":"{\"title\":\"Enhancing clinical competency in infectious disease training: a longitudinal study of Mini-CEX implementation for medical interns.\",\"authors\":\"Xiaohao Wang, Hu Li, Yi Liu, Dazhi Zhang, Dachuan Cai, Shan Zhong\",\"doi\":\"10.3389/fmed.2025.1582218\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of the Mini-Clinical Evaluation Exercise (Mini-CEX) in assessing and improving clinical competencies among medical interns during a 4-week infectious disease rotation.</p><p><strong>Methods: </strong>Forty-six medical interns were assessed using Mini-CEX at the start and end of their rotation. The tool evaluated seven domains: history taking, physical examination, clinical judgment, humanistic care, communication skills, organizational effectiveness, and overall competence. Teaching physicians were trained uniformly before the trial. After the internship, interns and teaching physicians completed questionnaires and interviews.</p><p><strong>Results: </strong>During the internship period when Mini-CEX was implemented, significant improvements were observed in interns' clinical skills across multiple domains. For example, the average scores of interns in history taking increased from 5.12 ± 0.89 to 6.22 ± 1.01, and in physical examination from 3.97 ± 0.69 to 5.24 ± 0.86. Interns showed high acceptance and satisfaction with Mini-CEX. The implementation of Mini-CEX also improved teaching effectiveness, with enhanced teacher-student interactions.</p><p><strong>Conclusion: </strong>Mini-CEX is a feasible and effective tool for clinical skill development in infectious disease training. Its structured feedback mechanism aligns with competency-based medical education (CBME) goals. Future studies should explore its scalability across disciplines and integration with complementary assessment tools.</p>\",\"PeriodicalId\":12488,\"journal\":{\"name\":\"Frontiers in Medicine\",\"volume\":\"12 \",\"pages\":\"1582218\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-07-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283664/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fmed.2025.1582218\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fmed.2025.1582218","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Enhancing clinical competency in infectious disease training: a longitudinal study of Mini-CEX implementation for medical interns.
Objective: This study aimed to evaluate the effectiveness of the Mini-Clinical Evaluation Exercise (Mini-CEX) in assessing and improving clinical competencies among medical interns during a 4-week infectious disease rotation.
Methods: Forty-six medical interns were assessed using Mini-CEX at the start and end of their rotation. The tool evaluated seven domains: history taking, physical examination, clinical judgment, humanistic care, communication skills, organizational effectiveness, and overall competence. Teaching physicians were trained uniformly before the trial. After the internship, interns and teaching physicians completed questionnaires and interviews.
Results: During the internship period when Mini-CEX was implemented, significant improvements were observed in interns' clinical skills across multiple domains. For example, the average scores of interns in history taking increased from 5.12 ± 0.89 to 6.22 ± 1.01, and in physical examination from 3.97 ± 0.69 to 5.24 ± 0.86. Interns showed high acceptance and satisfaction with Mini-CEX. The implementation of Mini-CEX also improved teaching effectiveness, with enhanced teacher-student interactions.
Conclusion: Mini-CEX is a feasible and effective tool for clinical skill development in infectious disease training. Its structured feedback mechanism aligns with competency-based medical education (CBME) goals. Future studies should explore its scalability across disciplines and integration with complementary assessment tools.
期刊介绍：
Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate
- the use of patient-reported outcomes under real world conditions
- the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines
- the scientific bases for guidelines and decisions from regulatory authorities
- access to medicinal products and medical devices worldwide
- addressing the grand health challenges around the world
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