Impact of a Simulated Mini-CEX on Clinical Performance During a Real-World Mini-CEX

NCT07663760 | Not Yet Recruiting

• 1 other identifier: Simulated mini-CEX
• Study Type: interventional
• Target: 18
• Locations: 0 countries
• Sites: N/A

Brief Summary

Modern medical education is based on competency-based learning and the use of formative assessment tools in real clinical settings, such as the Mini-Clinical Evaluation Exercise (mini-CEX). However, the impact of a prior simulated mini-CEX experience on subsequent performance in real clinical settings remains insufficiently studied, particularly among medical students in anesthesiology-intensive care (DCEM3). This study aimed to assess the effect of a simulated mini-CEX on performance during a real mini-CEX in pre-anesthetic consultation.

Conditions

Volunteers Medical Students in Anesthesiology-intensive Care

Keywords

Competence; Medical education; Anesthesiology; Assessment

Outcome Measures

Primary Outcomes (1)

• students' overall performance

  measured by the mean score on the Mini-CEX checklist, compared between simulated consultation and real consultation. The overall performance is assessed using the unabbreviated Mini-Clinical Evaluation Exercise (Mini-CEX) checklist. The global score is measured on a 9-point Likert scale, ranging from 1 (insufficient/unsatisfactory performance) to 9 (exceptional/exemplary performance). Higher scores indicate a better clinical performance and greater student autonomy.

  Through study completion, up to 4 weeks

Secondary Outcomes (5)

• Scores for each domain

  at the and of each Mini-CEX , Through study completion, up to 4 weeks

• Inter-rater reproducibility of Mini-CEX

  at the end of the simulated Mini-CEx, Through study completion, up to 4 weeks

• Individual performance gain

  at the end of the internship, Through study completion, up to 4 weeks

• Learner and faculty satisfaction

  at the end of internship, Through study completion, up to 4 weeks

• The time required to complete the consultation

  at the end of each Mini-Cex, Through study completion, up to 4 weeks

Study Arms (1)

DCEM3 students

EXPERIMENTAL

Fifth-year medical students in the second cycle during their internship in anesthesiology and intensive care.

Other: Behavioral

Interventions

Behavioral OTHER

Mini-CEX educational assessment during pre-anesthetic consultation: Volunteer fifth-year medical students were assessed by trained anesthesiology faculty using the mini-CEX tool. The intervention consisted of a structured two-step assessment of pre-anesthetic consultation: a standardized simulation followed by a real clinical encounter.

Also known as: Simulated Mini-CEX, Mini-CEX-based educational intervention

DCEM3 students

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Fifth-year medical students (DCEM3) enrolled at the Faculty of Medicine of Tunis within the acute medicine program.
• Students completing their clinical clerkship during the second semester of the 2025-2026 academic year in one of the three participating anesthesiology and intensive care departments.
• Students who voluntarily agree to participate and have provided written informed consent.

You may not qualify if:

• Students who do not complete the entire educational curriculum (absence from either of the two assessments).
• Students who have already received similar training.

Sponsors & Collaborators

• Mongi Slim Hospital: lead

Central Study Contacts

Mhamed Sami Mebazaa, professor

CONTACT

22252589; msmebazaa@gmail.com

Ben Haj youssef, assistant

CONTACT

96874336; amani.benhajyoussef@fmt.utm.tn

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor head of anesthesiology and ICU department

Model Details: Volunteer DCEM3 students were assessed by trained anesthesiology faculty using the mini-CEX tool. The intervention consisted of a structured two-step assessment of pre-anesthetic consultation: a standardized simulation followed by a real clinical encounter. Performance was evaluated using a 7-domain mini-CEX checklist, including direct observation, scoring, and immediate formative feedback.

Study Record Dates

• First Submitted: June 2, 2026
• First Posted: June 23, 2026
• Study Start: June 2, 2026
• Primary Completion: June 26, 2026
• Study Completion: June 26, 2026
• Last Updated: June 23, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share