Issues in assessing students in the clinical workforce : an exploratory study

The Monash Mini Case Record (MCR), based on Norcinis mini CEX, is an observed interaction between a student and a real patient in an authentic clinical setting. The assessor rates the students competence in history taking or physical examination and clinical reasoning on eight point scales. Professional / ethical behaviour within the encounter is evaluated on a four point scale. The assessor also grades the complexity of the case as low, medium or high. On completion of the student patient interaction, or her performance, and the assessor provides verbal and written feedback. Students complete both formative and summative MCRs across the academic year.<br />