• Philip S J Weston and Caroline A Smith.
• Charing Cross Hospital , London , UK.
• Med Teach. 2014 Feb 1; 36 (2): 155-63.

BackgroundThe mini-clinical evaluation exercise (mini-CEX) is a widely used tool with a strong theoretical basis. It was introduced to UK foundation training in 2005.AimsTo assess current experiences, opinions and attitudes towards mini-CEX amongst foundation doctors, and explore what factors underpin these.MethodsData were collected from foundation trainees via an on-line questionnaire.ResultsNinety-eight per cent of respondents had used mini-CEX during FY1, however, only 32% had ever received formal teaching regarding its use. In terms of understanding of the purpose of mini-CEX, only 30% of trainees commented on there being a formative aspect or requirement for feedback. The majority of trainees did not feel that mini-CEX was a useful part of their training. The main themes were the poor attitude and understanding of assessors and difficulties finding sufficient time. However, those who had received formal teaching as students regarding the use of mini-CEX were significantly more likely as postgraduates to find it beneficial (p = 0.031).ConclusionsA more concerted effort to educate trainees and assessors regarding the correct use of mini-CEX will enhance its educational value. Increased education during undergraduate training regarding use of formative assessment may lead to more effective utilisation in the postgraduate setting.

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