Exploring the Relationship Between Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) in Occupational Therapy Clinical Interns' Independent Competence

NCT ID: NCT07107542

Last Updated: 2025-08-06

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 50 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-10-08
• Study Completion Date: 2029-03-30

Brief Summary

The goal of this observational cross-sectional study is to evaluate whether the combined use of Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) can assess the independent clinical competence of occupational therapy interns at Far Eastern Memorial Hospital. The main questions it aims to answer are:

1. Does the performance on Mini-CEX correlate with the interns' ability to perform independently?

2. Does the use of EPAs provide additional insight into interns' readiness for unsupervised clinical practice?

Participants will:

1. Provide informed consent at the sixth week of their internship.

2. Undergo assessment with Mini-CEX and EPAs during their eighth week of clinical training.

3. Complete demographic questionnaires including age, gender, study habits, prior university experience, parental occupation, and residence area.

Detailed Description

Medical graduates in the healthcare field apply theoretical knowledge gained during their education combined with clinical supervision to develop professional skills necessary for patient care. To comprehensively evaluate interns' professional competence during clinical training, workplace assessment tools such as the Mini-Clinical Evaluation Exercise (Mini-CEX) are commonly used. Mini-CEX, developed by the American Medical Association, assesses seven core clinical skills over a 20 to 30-minute observation period. However, Mini-CEX alone may not fully capture the interns' ability to perform independently.

Competency-Based Medical Education (CBME) emphasizes the development of core competencies, and Entrustable Professional Activities (EPAs) have been proposed as a framework to describe tasks that trainees should be entrusted to perform unsupervised at various training stages. EPAs assess the level of supervision required, reflecting the degree of trust clinical supervisors place in trainees. In Taiwan, EPAs tailored for occupational therapy have been developed and implemented under the guidance of the Occupational Therapy Association.

This study aims to explore the relationship between Mini-CEX and EPAs in evaluating occupational therapy interns' independent clinical competence. The study will recruit 50 interns from the physiological domain of occupational therapy at Far Eastern Memorial Hospital over four years. Participants will be recruited at the sixth week of their internship, provide informed consent, and be assessed at the eighth week using both Mini-CEX and EPAs. The assessments are part of routine clinical training evaluations and take approximately 20 minutes.

Data collected will include demographic information and assessment scores. Statistical analyses will involve descriptive statistics, Pearson correlation to examine relationships between variables, and multiple linear regression to identify predictors of clinical performance, including age, gender, study habits, prior university experience, parental occupation, and residence area. Participation is voluntary and will not affect interns' clinical training or evaluation outcomes.

This study seeks to provide evidence on whether combining Mini-CEX and EPAs offers a more reliable assessment of interns' readiness for independent clinical practice, potentially informing future educational strategies in occupational therapy training.

Conditions

Entrustable Professional Activities; Mini-clinical Evaluation Exercise; Physical Occupational Therapy; Occupational Therapy Education

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

Occupational Therapy Fieldwork Interns

This group includes occupational therapy interns specializing in the physical domain who are undergoing fieldwork training at Far Eastern Memorial Hospital. Participants are recruited during their sixth week of internship and assessed at the eighth week. The study evaluates their fieldwork performance using Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) as standard assessment tools. Participation is voluntary with informed consent, and no additional interventions beyond routine fieldwork training are applied. Data collected will be used to analyze the relationship between these assessment tools and interns' readiness for independent practice.

Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) Assessment

Intervention Type: OTHER

Participants undergo standard fieldwork assessments using Mini-CEX and EPAs during their internship to evaluate fieldwork competence and readiness for independent practice. These are observational assessments without additional experimental interventions.

Interventions

Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs) Assessment

Participants undergo standard fieldwork assessments using Mini-CEX and EPAs during their internship to evaluate fieldwork competence and readiness for independent practice. These are observational assessments without additional experimental interventions.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Occupational therapy interns in the physical domain at Far Eastern Memorial Hospital
• Provide informed consent to participate

Exclusion Criteria

• None specified

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Far Eastern Memorial Hospital

OTHER

Sponsor Role: lead

Responsible Party

Chao-Yi Cheng

Occupational Therapist, Department of Rehabilitation, Far Eastern Memorial Hospital

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Far Eastern Memorial Hospital

New Taipei City, , Taiwan

Countries

Taiwan

Central Contacts

Chao Yi Cheng, MS

Role: CONTACT

xero1118@gmail.com

+886-2-8966-7000 ext. 1516

Facility Contacts

Chao Yi Cheng, MS

Role: primary

xero1118@gmail.com

+886-2-8966-7000 ext. 1516

References

Ten Cate O, Chen HC, Hoff RG, Peters H, Bok H, van der Schaaf M. Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99. Med Teach. 2015;37(11):983-1002. doi: 10.3109/0142159X.2015.1060308. Epub 2015 Jul 14.

Reference Type: BACKGROUND

PMID: 26172347 (View on PubMed)

Pinilla S, Kyrou A, Kloppel S, Strik W, Nissen C, Huwendiek S. Workplace-based assessments of entrustable professional activities in a psychiatry core clerkship: an observational study. BMC Med Educ. 2021 Apr 21;21(1):223. doi: 10.1186/s12909-021-02637-4.

Reference Type: BACKGROUND

PMID: 33882926 (View on PubMed)

Fu, C. P., Chiang, F. M., Lee, C. Y., Chi, H. Y., Wu, J. L., Lin, Y. J., Li, M. W., Chen, Y. J., Chang, W. Y., Chang, W. D., Huang, S. M., Liao, W. S., Yang, Y. C., Huang, C. K., Kuo, N. J., Liu, T. H., & Chen, Y. L. (2023). Developing the topics of entrustable professional activities in pediatric occupational therapy in Taiwan: A pilot study. Taiwan Journal of Occupational Therapy, 41(2), 91-110. https://doi.org/10.6594/tjot.202308_41(2).0001

Reference Type: BACKGROUND

Provided Documents

Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Study Documents

Document Type: Study Protocol

This document contains the study protocol and statistical analysis plan for the cross-sectional study assessing Mini-CEX and EPAs in occupational therapy interns.

View Document

Related Links

https://sites.google.com/view/femhrehab/%E6%9C%AC%E7%A7%91%E4%BB%8B%E7%B4%B9/%E9%86%AB%E7%99%82%E5%9C%98%E9%9A%8A%E4%BB%8B%E7%B4%B9

Official website of the rehabilitation research team. This site does not currently contain detailed information about this specific study. For study-related inquiries, please contact the research team directly.

Other Identifiers

114026-E

Identifier Type: -

Identifier Source: org_study_id