Article Gold Open Access 2019

The development and use of a pharmacist-specific Mini-CEX for postgraduate year trainees in Taiwan

BMC Medical Education
Journal · Vol. 19 · Issue 1 · Art. 165
Abstract

Background: Clinical pharmacists must have a complex combination of academic knowledge and practical experience that integrates all aspects of practice. Taiwan's Ministry of Health and Welfare in 2007 launched the Postgraduate Year (PGY) training program to increase the standard of pharmaceutical care. This study aims to develop a pharmacist-specific Chinese-language Mini-Clinical Evaluation Exercise (Mini-CEX) to evaluate the professional development of postgraduate year trainees. Method: The specialized Mini-CEX was developed based on the core competencies of pharmacists, published literature, and expert opinion. A pilot test and evaluator workshop were held prior to the administration of the main test. Fifty-three samples were recruited. The main study was conducted at two regional teaching hospitals and a medical center teaching hospital in Taiwan between February and June 2012. The results were analyzed with the kappa statistic (inter-rater reliability) and descriptive statistics, while the Kruskal-Wallis test was used to examine the PGY trainees' Mini-CEX scores based on their performances. Results: Trainees who had recently completed PGY programs (C-PGY) and 2nd year PGY trainees (PGY2) earned excellent scores, while the 1st year PGY trainees (PGY1) earned satisfactory scores in overall performance. C-PGY and PGY2 trainees also performed significantly better than PGY1 trainees in the organization and efficiency domain, and the communication skills domain. Conclusion: This study demonstrates the feasibility of using the newly developed pharmacist-specific Chinese-language version of the Mini-CEX instrument to evaluate the core competencies of PGY trainees in clinical settings. © 2019 The Author(s).

Keywords

Author Keywords

On-the-job training Work-Based Assessment Mini-CEX PGY trainees Postgraduate year training program

Index Keywords

adult clinical competence female human male medical education procedures Humans Internship and Residency Article communication skill young adult education professional development human experiment major clinical study pharmacist Education, Pharmacy Educational Measurement pilot study Pilot Projects postgraduate student exercise Taiwan clinical evaluation feasibility study Kruskal Wallis test teaching hospital Interrater reliability Pharmacists Chinese (language) kappa statistics
Author Affiliations
Department of Public Health, Fu Jen Catholic University, New Taipei City, Taiwan
Medical Quality Department, Taipei Medical University Shuang-Ho Hospital, New Taipei City, Taiwan
School of Pharmacy, Taipei Medical University, Taipei, Taiwan, Department of Pharmacy, Taipei Medical University Hospital, Taipei, Taiwan
Department of Pharmacy, Cathay General Hospital Taiwan, Taipei, Taiwan
Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
Changhua Christian Hospital, Changhua, Changhua, Taiwan
Department of Pharmacy, Cathay General Hospital Taiwan, Taipei, Taiwan, School of Pharmacy, Taipei Medical University, Taipei, Taiwan
Funding & Acknowledgements
Ministry of Health and Welfare, MOHW
This study was supported by the Ministry of Health and Welfare, which financially supported the research design, data collection, analysis, and interpretation of data. Grant numbers were DOH100-TD-M−113-100007 (1 of 2) and DOH101-TD-M−113-100007 (2 of 2). There was no additional external funding.
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