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

TL;DR

This paper explores combining problem-based learning and mini-CEX to improve neurology training for medical students.

Contribution

The paper proposes integrating PBL and mini-CEX in neurology clerkships to enhance clinical skills and competency.

Findings

PBL improves knowledge, self-directed learning, and student engagement.

Mini-CEX provides real-time assessment and feedback, beneficial when combined with PBL.

Combined use shows synergistic benefits in other specialties but lacks neurology-specific evidence.

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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