學院	醫學院
系所	職能治療學系
題名	A survey of the use of the mini-CEX in occupational therapy for clinical supervisors and trainees
作者	Liu, Y-C., Lee, Y-C., Huang P-C., Su, W-C., Huang,Y-F., Hsu,W-Y., Lee,I-H., & Lin, K-C*.
期刊名稱	Journal of Taiwan Occupational Therapy Research and Practice
發表日期	2023
著作性質	原著
語文	中文
關鍵字	pallied health education; occupational therapy; postgraduate training program; mini-CEX
摘要	Objective: The post-graduate year training is implemented to ensure the quality of occupational therapy (OT) postgraduate year (PGY) education. The mini-Clinical Evaluation Exercise (mini-CEX) is a work-based assessment to evaluate competency in OT clinical training. The perspectives of OT PGY supervisors and trainees on the utility of the mini-CEX are important but remained understudied in Taiwan. This study aimed to investigate the perspectives of OT supervisors and trainees and their discrepancy in experiences in the use of the mini-CEX for OT PGY training. Methods: An online survey was distributed to OT supervisors and trainees who participated in OT PGY training programs. The survey comprised of five sections: demographic information, the experience in using the mini-CEX, the practicality in using the mini-CEX in clinical settings, the “use attitude” items in the fieldwork education questionnaire, and the “use behaviors” in the mini-CEX. Results: A total of 90 surveys were returned, and 58 and 32 from OT supervisors and trainees were analyzed. Over 70 percent of the OT supervisors and trainees agree that time and personnel support were sufficient when using the mini-CEX. Most OT supervisors and trainees agree that use of the mini-CEX in consideration of the training goals benefited competence training and the scoring system was fair, objective and consistent. A large proportion of the PGY trainees agrees that mini-CEX was a practical and appropriate assessment for OT competence training and the mini-CEX is a fair, objective and consistent scoring system. This percentage of agreement was significantly higher than that of the supervisors. However, a significant higher percentage of supervisors agrees that they need further training for appropriate use of the mini-CEX. The percentage of the PGY trainees who expressed the need for training was lower. There were no significant differences between the supervisors and the trainees regarding the easiness of rating on the mini-CEX. Conclusion: Most PGY supervisors and trainees in occupational therapy agree that the mini-CEX was a practical and appropriate assessment for PGY training. Further research may extend to validate findings of this survey study.