Background: The script concordance test (SCT) is a new tool to assess clinical reasoning in a context of uncertainty. It was chosen for computer-based self-assessment training for neurosurgery residents.
Purpose: The aim of this work is to describe the construction of a first series of questions and provide teachers practical information needed to build a SCT.
Method: The theorical background of the SCT is explained. We review the steps we followed when writing of a series of more than two hundred questions.
Results: We present the different steps of our work, including writing clinical cases, validation of questions and elaboration of scoring systems. We explain the main difficulties we encountered.
Conclusion: The script concordance test is an interesting easy-to-construct assessment tool useful for evaluating clinical competence. This work summarizes our experience in building a SCT, which should be helpful for teachers interested in this new assessment tool, especially in neurosurgery.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/s0028-3770(04)98309-9 | DOI Listing |
Int J Appl Basic Med Res
November 2024
Director, Simulation Centre, Mahatma Gandhi Medical College Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Pondicherry - Cuddalore Road, Pillayarkuppam, Puducherry, India.
Background: Although the curriculum has changed, assessment tools are not in alignment with the new types of teaching such as early clinical exposure (ECE) and self-directed learning. Both in summative and formative assessment most commonly used tools for assessment of cognitive domain are written formats including MCQ. However, these assessment tools such as MCQ and written essays cannot assess the higher order thinking skills and clinical reasoning skills.
View Article and Find Full Text PDFTunis Med
November 2024
Department of Anaesthesia and Intensive Care, Mongi Slim Hospital. University of Tunis El Manar, Faculty of Medicine, Tunis, Tunisia.
Unlabelled: Introduction-Aim: Clinical reasoning in situations of uncertainty is a skill to be acquired from initial training. The aim of this study was to evaluate the clinical reasoning ability in a context of uncertainty of health science students using the Script Concordance Test (SCT).
Methods: This was a cross-sectional and descriptive study which included students in the third year of the National License in Anesthesia-Resuscitation, with their consent, and a panel of experts made up of ten members.
BMC Anesthesiol
October 2024
Department of Anaesthesia and Intensive Care, Rouen University Hospital, 1 rue de Germont, Rouen, 76031, France.
Background: Working long consecutive hours' is common for anaesthesia and critical care physicians. It is associated with impaired medical reasoning's performance of anaesthesiology and serious medical errors. However, no study has yet investigated the impact of working long consecutive hours' on medical reasoning.
View Article and Find Full Text PDFMedEdPORTAL
September 2024
Associate Professor of Pediatrics, Department of Pediatrics, University of Cincinnati College of Medicine; Attending Physician, Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center.
Introduction: Clinical reasoning (CR) is required for physicians. Pediatric residents often gain CR skills through experiential learning. Currently, deliberate education on CR targeted toward pediatric residents is inconsistent.
View Article and Find Full Text PDFNurs Educ Perspect
September 2024
About the Authors Marie-France Deschênes, PhD, RN, is assistant professor, Faculty of Nursing Science, Université de Montréal, Montréal, Canada, and a regular researcher, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montréal, Canada. Éric Dionne, PhD, is professor, Faculty of Education Science, University of Ottawa, Ottawa, Canada, and research chair, Institut du Savoir de l'Hôpital Montfort, Ottawa, Canada. Laura Robert-Boluda, MSc, RNAm, is a doctoral student, Faculté des Sciences de l'Education et de la Formation, Université Haute-Alsace, Mulhouse, France. The first author received a postdoctoral fellowship scholarship from the Social Sciences and Humanities Research Council of Canada. For more information, contact Dr. Deschênes, at
Questions persist regarding the evaluation of cognitive processes related to clinical reasoning when resolving situations in a learning by concordance tool. This Delphi technique study aimed to validate a clinical reasoning assessment rubric based on script theory. Seventeen experts participated in the study.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!