Competency Based Fellowship Program
(CBFP)
Mini-Clinical Evaluation
Exercise
(Mini-CEX)
Competency Based Fellowship Program
(CBFP)
• Focused clinical interaction lasting
between 5-25 minutes
• No longer than 30 minutes
Competency Based Fellowship Program
(CBFP)
Selection
• Patient new to the trainee with regard to
the clinical skill being assessed.
• Supervisor has some familiarity with the
patient
Competency Based Fellowship Program
(CBFP)
Organisation
• Usually arranged by the trainee in
advance
• Occurs during individual or
clinical supervision
• Trainee keeps a record
Competency Based Fellowship Program
(CBFP)
Focused on a specific aspect of clinical
work:
• Mental state examination, cognitive
assessment
• Risk assessment
• Relevant Physical examination
• Side-effect assessment
Competency Based Fellowship Program
(CBFP)
• Talking to carer/family
• Consent to treatment
• Interpret laboratory tests
Competency Based Fellowship Program
(CBFP)
Seven assessment criteria possible :
•
•
•
•
•
•
•
(Focused) history taking, process
(Focused) history taking, content
Mental state examination
Physical examination skills
Communication skills
Data synthesis
Organisation/efficiency
Competency Based Fellowship Program
(CBFP)
Assessment (cont)
• 9 point scale
• Midpoint “the standard to be achieved” (by
the end of period of training)
• Trainee should have performance deficits,
measured relative to what is expected by
the end of period of training!
Competency Based Fellowship Program
(CBFP)
‘Formative’ Mini-CEX vs ‘Summative’ OSCE:
•Some similarity to certain clinical OSCE stations
but not the same
•Not the careful standardisation
•At the commencement rather than the end of
training
•Generating a ‘mark’ is not the aim,
Aim is generating feedback and
learning plan
Competency Based Fellowship Program
(CBFP)
Feedback
• What aspects were done well?
• Suggestions for improvement
• Agreed actions/goals