Table 1

Instruments used in medical education for the assessment of competence and mentioned in the article (in alphabetical order)

AbbreviationFull nameDescriptionSetting
CbDCase-based discussionCbD involves a comprehensive review of clinical case(s) between the trainee and an assessor.Workplace based
DOPSDirect observation of practical skillsDOPS requires direct observation of the trainee during a procedure, followed by a discussion and record assessing their current skill level. The number of DOPS required from a trainee varies depending on number of skills required for learning.Workplace based
MCQWritten multiple-choice questionnaireMCQ is an assessment method in which trainees are asked to select the best answer(s) from the choices offered as a list. The list includes the correct answer and several plausible but incorrect answers (distractors).Simulation based
Mini-ACEMini assessed clinical encounterThe mini-ACE has been developed from the mini-CEX and involves a single assessor observing the trainee (usually in an early career stage) while they conduct a patient assessment in any of a variety of settings. It enables a structured observation of an aspect of clinical practice.Workplace based
Mini-CEXMini-clinical evaluation exerciseThe mini-CEX was derived from the long case assessment and is a 10–20 min comprehensive assessment of the trainee–patient interaction by direct observation.Workplace based
MSFMultisource feedbackMSF is the is a comprehensive assessment of the trainee by different evaluators (eg, peers, patients, nurses, supervisors) using a questionnaire. It is most commonly used to evaluate professional behaviours.Workplace based
OSCEObjective structured clinical examinationsAn OSCE usually comprises a circuit of short (5–15 min) stations, in which each trainee is examined on a one-to-one basis with one or more objective examiner(s) and either real or simulated patients (actors or electronic patient simulators). Trainees complete all the stations in a circuit.Simulation based