ORIGINAL RESEARCH article
Front. Med.
Sec. Healthcare Professions Education
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1492206
This article is part of the Research TopicInsights in Healthcare Professions Education: 2025View all 3 articles
The Combined Application of Mini-CEX and Check-list Scales in Enhancing Clinical Competence among Emergency and Critical Care Residents: A Comparative Study
Provisionally accepted
- 1Anhui Provincial Hospital, Hefei, China
- 2First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China
- 3Hefei No.1 People's Hospital, Hefei, Anhui Province, China
- 4Third People's Hospital of Hefei, Hefei, Anhui Province, China
- 5Suzhou Hospital of Anhui Medical University, Suzhou, Liaoning Province, China
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This study aims to explore the value of integrating the Mini-Clinical Evaluation Exercise (Mini-CEX) and Check-list Scales in the training of emergency and critical care residents. The study evaluates the effectiveness of these tools in enhancing clinical diagnostic skills, improving teaching outcomes, and optimizing clinical processes. Results: The combination of Mini-CEX andCheck-list significantly improved clinical competencies across several domains. In the control group, the overall failure rate was 2.513%, the pass rate was 70.352%, and the excellence rate was 27.136%. In contrast, the experimental group showed a reduction in the failure rate to 0%, with a pass rate of 19.598% and an excellence rate of 80.402%. The Mini-CEX scores in the experimental group were significantly higher than those in the control group (p <0.001), with marked improvements in individual competencies, especially in clinical judgment and overall clinical competence.However, the experimental group had a longer diagnosis and treatment time compared to the control group (66.985±9.126 minutes vs. 52.387±7.635minutes, p<0.05).Correlation analysis revealed significant associations between various parameters before and after using Check-list tools, indicating improved diagnostic efficiency and clinical skills. The correlation between total score and components such as medical interviewing skills, physical examination skills, and overall clinical competence was notably stronger after the use of the Check-list (p<0.05). ROC curve analysis demonstrated that all factors had good diagnostic performance, with the lowest being consultation/advice and communication skills [area under curve(AUC) 0.716, 95% CI: 0.680-0.752) and humanistic qualities /professionalism (AUC 0.733, 95% CI: 0.696-0.770), and the highest being clinical judgment (AUC 0.844, 95% CI: 0.813-0.875) and organizational skills/efficiency (AUC 0.815, 95% CI: 0.782-0.848).The integration of the Mini-CEX and Check-list significantly enhances the diagnostic and clinical skills of emergency medicine residents. This combined approach addresses the limitations of traditional training methods and provides an effective model for improving medical education and the quality of care for critically ill patients.
Keywords: Mini-CEX, Check-list, Emergency and critical care, Care Critical care education, medical training
Received: 06 Sep 2024; Accepted: 19 Jun 2025.
Copyright: © 2025 Xiaoguang, HUADONG, Shao, Zhu and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Min Shao, First Affiliated Hospital of Anhui Medical University, Hefei, 230022, Anhui Province, China
Jian Chong Huang, Suzhou Hospital of Anhui Medical University, Suzhou, Liaoning Province, China
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