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

Condition(s) studied

Investigational drug(s) / intervention(s)

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.

Study 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.

Eligibility

Primary outcome measure(s)

• Independent Clinical Competence of Occupational Therapy Interns — Assessment conducted at the eighth week of internship fieldwork.
  The primary outcome is the assessment of occupational therapy interns' independent performance during fieldwork, measured by combined scores of the Mini-Clinical Evaluation Exercise (Mini-CEX) and Entrustable Professional Activities (EPAs). The Mini-CEX evaluates seven core clinical competencies, scored from 1 to 9 per item, with higher scores indicating better clinical performance. EPAs assess competence based on supervision levels, scored from 1 to 5, where higher scores reflect greater independence and readiness for unsupervised clinical practice. This combined assessment captures interns' clinical skills, decision-making, and preparedness for independent work.

Trial sites (1)

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