Factors influencing the educational impact of Mini-CEX and DOPS: A qualitative synthesis.

INTRODUCTION: The educational impact of Mini-CEX and DOPS varies greatly and can be influenced by several factors. However, there is no comprehensive analysis and synthesis of the described influencing factors. METHODS: To fill this gap, we chose a two-step approach. First, we performed a systematic literature review and selected articles describing influencing factors on the educational impact of Mini-CEX and DOPS. Second, we performed a qualitative synthesis of these factors. RESULTS: Twelve articles were included, which revealed a model consisting of four themes and nine subthemes as influencing factors. The theme context comprises "time for Mini-CEX/DOPS" and "usability of the tools", and influences the users. The theme users comprises "supervisors' knowledge about how to use Mini-CEX/DOPS", "supervisors' attitude to Mini-CEX/DOPS", "trainees' knowledge about Mini-CEX/DOPS", and "trainees' perception of Mini-CEX/DOPS". These influence the implementation of Mini-CEX and DOPS, including "observation" and "feedback". The theme implementation directly influences the theme outcome, which, in addition to the educational impact, encompasses "trainees' appraisal of feedback". CONCLUSIONS: Our model of influencing factors might help to further improve the use of Mini-CEX and DOPS and serve as basis for future research.