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Clinical Evaluation Exercise (Mini-CEX) Advance Directives: Determining Code Status


Clinical Evaluation Exercise (Mini-CEX) Advance Directives: Determining Code Status

University of Washington School of Medicine
Jaqueline Raetz, AGSF, Erika Roshanravan, AGSF
POGOe Id: 
Date Posted: 
Date Reviewed/Updated for Clinical Accuracy: 

This product is a mini-CEX form and faculty guide designed to use with a learner during an actual patient encounter. Code status discussions are often difficult and performed in non-ideal settings. For example, many residents must discuss code status with a patient he or she has just met in the inpatient setting when the patient is acutely ill. These conversations often don’t go well and therefore faculty support of the learner is paramount. The mini-CEX provides a concrete form on which to document resident competency in discussing code status.

Educational objectives: 

Learners using this mini-CEX will:

  1. Demonstrate competence in introducing and gaining permission to discuss code status.
  2. Demonstrate competence in assessment of a patient’s understanding of his or her illness.
  3. Demonstrate competence in recommending code or no code status to a patient based on his or her goals, values, and the medical context.
  4. Demonstrate appropriate documentation of code status and the conversation surrounding the decision.
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Learning resource types: 
Estimated time to complete: 
30 minutes
Conflict of Interest Disclosure: 
No, I (we) have nothing to disclose.
Already Expired Email Date: 
Wednesday, February 28, 2018 - 6:56am
Already Expired Email 1 month date: 
Thursday, March 15, 2018 - 5:35pm
Expired Email Date: 
Friday, March 30, 2018 - 9:23pm
Contact Person/Corresponding Author:
Dr. Jaqueline Raetz

Suggested Citation:
Dr. Jaqueline Raetz and Dr. Erika Roshanravan. Clinical Evaluation Exercise (Mini-CEX) Advance Directives: Determining Code Status. POGOe - Portal of Geriatrics Online Education; 2012 Available from:


Submitted by serena.chao on

This is a nice tool, short and sweet but includes the important skills related to this conversation. Thank you!