Clinical Evaluation Exercise (MiniCEX)

The Clinical Evaluation Exercise (miniCEX) assesses clinical skills, attitudes and behaviours in a secondary care setting. It’s one of the tools used to collect evidence for your Trainee ePortfolio, as part of the Workplace Based Assessment component of our MRCGP exam.

How miniCEX works

The miniCEX provides a 15-minute snapshot of how you interact with patients in a secondary care setting.

Preparing for miniCEX

Each miniCEX should represent a different clinical problem, and you should have drawn samples from a wide range of problem groups by the end of the speciality training years one and two (ST1 and ST2).

Conducting miniCEX

The miniCEX may be overseen by the clinical supervisor, the trainer or the educational supervisor, depending on the arrangements in your deanery.

The miniCEX may be observed by a staff grade doctor, nurse practitioner, clinical nurse specialist, an experienced specialty registrar (ST4 or above) or consultant. The observer should not be a peer - a fellow GP trainee or specialty trainee at a similar stage in training.

Using miniCEX feedback

The observer will give you immediate feedback and the evidence will be rated and recorded in your Trainee ePortfolio. You’ll develop a learning plan based on the strengths and developmental needs observed and record it in the Learning Log within your ePortfolio.

When you take miniCEX

You’ll be expected to undertake six observed encounters (three before each six month review, if you’re in full time training).

Observations in primary care posts

During primary care posts you’ll use the Consultation Observation Tool (COT) rather than miniCEX to record consultation observations.

miniCEX form

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