Enhancing Neurology Clerkship Training With Problem-Based Learning and the Mini-Clinical Evaluation Exercise (Mini-CEX)

利用问题导向学习和迷你临床评估练习(Mini-CEX)加强神经内科临床实习培训

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Abstract

BACKGROUND: Neurology clerkships are a critical stage in medical education, where students must connect theoretical knowledge with clinical practice. Traditional methods often fall short in developing clinical reasoning, procedural skills, and professional competencies. OBJECTIVE: This review examines the potential of combining problem-based learning (PBL) with the mini-Clinical Evaluation Exercise (mini-CEX) to strengthen neurology clerkship training. METHODS: We conducted a narrative review of recent studies on PBL and mini-CEX in neurology and related fields, including evidence from systematic reviews, randomized trials, and observational research. RESULTS: PBL enhances knowledge, self-directed learning, and engagement. Mini-CEX provides structured, real-time assessment with immediate feedback. When used together, they show synergistic benefits in other specialties, improving exam performance, clinical reasoning, communication, and learner satisfaction. Key challenges include faculty workload, rating variability, and limited neurology-specific evidence. CONCLUSIONS: Integrating PBL with mini-CEX offers a competency-based approach to neurology clerkships. Early evidence supports its feasibility and educational value, but further undergraduate-focused studies are needed. Successful implementation will depend on careful design, faculty training, and institutional support.

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