AI Article Synopsis
- An online Script Concordance Test (ENT-SCT) was developed and administered to assess clinical reasoning in ear, nose, and throat medicine among different experience levels.
- The study involved 132 participants, including medical students, ENT residents, and expert otorhinolaryngologists, with findings indicating significant score differences based on experience level and a high reliability coefficient (Cronbach α = 0.95).
- Most participants regarded the test as realistic and relevant, finding it enjoyable and intuitive, suggesting its potential use in residency programs and ongoing medical education.
Article Abstract
Objective: To report on the creation and administration of an online Script Concordance Test (SCT) for ear, nose, and throat (ENT), the ENT-SCT.
Design: Prospective study.
Setting: Two tertiary care university centers.
Participants: In total, 132 individuals were asked to test an ENT-SCT of 20 cases and 94 questions based on the major educational objectives of the ENT residency program.
Main Outcome Measures: Three levels of experience were tested: medical students, ENT residents, and board-certified otorhinolaryngologists as the expert panel. The test's construct validity-whether scores were related to clinical experience-was statistically analyzed. Reliability was estimated by the Cronbach α internal consistency coefficient. Participants' perception of the test was assessed with the use of a questionnaire.
Results: The 65 respondents with usable data were medical students (n = 21), ENT residents (n = 22), and experts (n = 22). Total mean (SD) test scores differed significantly: 76.81 (3.31) for the expert panel, 69.05 (4.35) for residents, and 58.29 (5.86) for students. The Cronbach α coefficient was 0.95. More than two-thirds of the participants found the test to be realistic and relevant for assessing clinical reasoning. The test was also considered fun, interesting, and intuitive.
Conclusions: The Web-based ENT-SCT is feasible, reliable, and useful for assessing clinical reasoning. This online assessment tool may have applications for residency programs and continuing medical education.
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| http://dx.doi.org/10.1001/archoto.2011.106 | DOI Listing |
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