The script concordance (SC) test is an assessment tool designed to probe whether knowledge of examinees is efficiently organized for clinical actions. The aim of this study was to develop an SC test, and determine whether it could be used to differentiate novices from expert pharmacists in their ability to carry out clinical actions in the area of diabetes mellitus. The SC test was developed and validated according to guidelines proposed previously. Data analysis was performed using a post-hoc test and ANOVA. The test developed had 31 items. Participants included 54 students, six new graduates, and 16 clinical pharmacists. Average scores and standard deviations for students, new graduates and clinical pharmacists were 18.54 (2.90), 20.27(1.42) and 21.09(2.89), respectively. The group differences were significant (p < 0.05). It is concluded that the SC test could accurately differentiate examinees according to levels of experience. It could be a useful tool to measure students' progress in the area of diabetes mellitus.
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http://dx.doi.org/10.1080/01421590600825292 | DOI Listing |
Antibiotics (Basel)
January 2025
Clinical Microbiology Laboratory, Miguel Servet University Hospital, 50009 Zaragoza, Spain.
: Infections caused by multidrug-resistant (MDR)bacteria pose a significant public health threat by worsening patient outcomes, contributing to hospital outbreaks, and increasing health and economic burdens. Advanced genomic tools enhance the detection of resistance genes, virulence factors, and high-risk clones, thus improving the management of MDR infections. In the Autonomous Community of Aragon, the diversity and incidence of carbapenemase-producing Enterobacteriaceae (CPE) have increased during the last years.
View Article and Find Full Text PDFJ Epidemiol Popul Health
January 2025
Service de Santé Publique, Epidémiologie, Economie de la Santé et Prévention, CHU Lille, 59000 Lille, France; UMR1167 RIDAGE, Institut Pasteur de Lille, Inserm, Univ. Lille, CHU Lille, 59000 Lille, France. Electronic address:
Background: Script Concordance Tests (SCTs) represent an innovative assessment method which have been introduced in the 2024 French National Ranking Examinations (EDN). These tests compare a student's clinical reasoning with that of a panel of experts under conditions of uncertainty. Typically, the question involves the impact of new information on an initially proposed hypothesis, with answers given on a Likert scale.
View Article and Find Full Text PDFInt 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.
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