Mini-CEX

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Mini-CEX

Resident Name: *

PGY: *

Tutor name

Rotation: *

Date: *

YYYY

Complexity of the Case *

Settings: *

Inpatient

Outpatient

Emergenecy Room

Required

Skills *

Below Expectations

Meets Expectations

Above Expectations

History Taking:

Mental State Examination:

Communication Skills:

Professionalism:

Risk Assessment:

Management:

Over all clinical judgment and decisions:

Tutor Satisfaction with assessment:

Resident satisfaction with assessment:

Suggestions for Development: *

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