Exploring the Relationship Between Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) in Occupational Therapy Clinical Interns' Independent Competence
Entrustable Professional Activities and Mini-Clinical Evaluation Exercise in a Simulated Workplace-based Assessment for Physical Occupational Therapist Intern
1 other identifier
observational
50
1 country
1
Brief Summary
The goal of this observational cross-sectional study is to evaluate whether the combined use of Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) can assess the independent clinical competence of occupational therapy interns at Far Eastern Memorial Hospital. The main questions it aims to answer are:
- 1.Does the performance on Mini-CEX correlate with the interns' ability to perform independently?
- 2.Does the use of EPAs provide additional insight into interns' readiness for unsupervised clinical practice?
- 3.Provide informed consent at the sixth week of their internship.
- 4.Undergo assessment with Mini-CEX and EPAs during their eighth week of clinical training.
- 5.Complete demographic questionnaires including age, gender, study habits, prior university experience, parental occupation, and residence area.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Oct 2025
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 11, 2025
CompletedFirst Posted
Study publicly available on registry
August 6, 2025
CompletedStudy Start
First participant enrolled
October 8, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 30, 2029
August 6, 2025
July 1, 2025
3.2 years
July 11, 2025
July 30, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Independent Clinical Competence of Occupational Therapy Interns
The primary outcome is the assessment of occupational therapy interns' independent performance during fieldwork, measured by combined scores of the Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs). The Mini-CEX evaluates seven core clinical competencies, scored from 1 to 9 per item, with higher scores indicating better clinical performance. EPAs assess competence based on supervision levels, scored from 1 to 5, where higher scores reflect greater independence and readiness for unsupervised clinical practice. This combined assessment captures interns' clinical skills, decision-making, and preparedness for independent work.
Assessment conducted at the eighth week of internship fieldwork.
Secondary Outcomes (1)
Correlation of Demographic Factors with fieldwork Competence
Data collected and analyzed at the eighth week of internship.
Study Arms (1)
Occupational Therapy Fieldwork Interns
This group includes occupational therapy interns specializing in the physical domain who are undergoing fieldwork training at Far Eastern Memorial Hospital. Participants are recruited during their sixth week of internship and assessed at the eighth week. The study evaluates their fieldwork performance using Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) as standard assessment tools. Participation is voluntary with informed consent, and no additional interventions beyond routine fieldwork training are applied. Data collected will be used to analyze the relationship between these assessment tools and interns' readiness for independent practice.
Interventions
Participants undergo standard fieldwork assessments using Mini-CEX and EPAs during their internship to evaluate fieldwork competence and readiness for independent practice. These are observational assessments without additional experimental interventions.
Eligibility Criteria
This study population consists of occupational therapy interns undergoing physical domain fieldwork at Far Eastern Memorial Hospital. Participants are typically fourth-year students engaged in clinical internship training.
You may qualify if:
- Occupational therapy interns in the physical domain at Far Eastern Memorial Hospital
- Provide informed consent to participate
You may not qualify if:
- None specified
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Far Eastern Memorial Hospital
New Taipei City, 220, Taiwan
Related Publications (3)
Ten Cate O, Chen HC, Hoff RG, Peters H, Bok H, van der Schaaf M. Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99. Med Teach. 2015;37(11):983-1002. doi: 10.3109/0142159X.2015.1060308. Epub 2015 Jul 14.
PMID: 26172347BACKGROUNDPinilla S, Kyrou A, Kloppel S, Strik W, Nissen C, Huwendiek S. Workplace-based assessments of entrustable professional activities in a psychiatry core clerkship: an observational study. BMC Med Educ. 2021 Apr 21;21(1):223. doi: 10.1186/s12909-021-02637-4.
PMID: 33882926BACKGROUNDFu, C. P., Chiang, F. M., Lee, C. Y., Chi, H. Y., Wu, J. L., Lin, Y. J., Li, M. W., Chen, Y. J., Chang, W. Y., Chang, W. D., Huang, S. M., Liao, W. S., Yang, Y. C., Huang, C. K., Kuo, N. J., Liu, T. H., & Chen, Y. L. (2023). Developing the topics of entrustable professional activities in pediatric occupational therapy in Taiwan: A pilot study. Taiwan Journal of Occupational Therapy, 41(2), 91-110. https://doi.org/10.6594/tjot.202308_41(2).0001
BACKGROUND
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Occupational Therapist, Department of Rehabilitation, Far Eastern Memorial Hospital
Study Record Dates
First Submitted
July 11, 2025
First Posted
August 6, 2025
Study Start
October 8, 2025
Primary Completion (Estimated)
December 30, 2028
Study Completion (Estimated)
March 30, 2029
Last Updated
August 6, 2025
Record last verified: 2025-07
Data Sharing
- IPD Sharing
- Will not share
This study will not share individual participant data (IPD) due to considerations related to participant privacy and confidentiality. The data collected involve sensitive personal and demographic information of occupational therapy interns, and sharing such data could risk identification despite de-identification efforts. Additionally, the study was conducted under ethical approvals that restrict data sharing beyond the research team. Aggregate results and summary findings will be made publicly available through publications and ClinicalTrials.gov, ensuring transparency while protecting participant rights.