1
Mini Clinical Evaluation Exercise
Mini-CEX
It is mandatory for the trainee to get at least “Meets Expectations (3)” in the critical (highlighted) segment to pass
Trainee: Assessor:
Position:
Level of training Module I ____ II_____ III ____ IV____ V ____ VI____ VII____VIII____
Total Time: 10-15 Minutes Time for feedback: Minimum 5 minutes
Focus of History Exam Evaluation Consent
encounter
Please grade the following areas on the given scale*
Attitudes 1 2 3 4 5
1. Explaining the procedure before hand
2. Taking consent from the patient
3. Privacy of the patient
4. Comfort of the patient
5. Confidentiality of patient
6. Confirms proper cross infection techniques performed during the whole procedure
Remarks
Skills 1 2 3 4 5
1. Clinical judgement & decision making
2. Communication & listening skills
3. History taking skills
4. Physical examination skills
5. Organization & time management
Remarks
Feedback: Verbal feedback is the compulsory constituent of this assessment. Please use this space to record areas of strength and weaknesses and
suggestions for improvement.
Date: Trainee’s signature: Assessor’s signature:
Trainee’s comments on this Mini-CEX
Assessor’s comments on this Mini-CEX
*1=Below Expectation, 2=Border line, 3=Meets Expectations, 4=Good, 5=Excellent,
NA=Not Assessed