Literature DB >> 15967034

Online clinical reasoning assessment with the Script Concordance test: a feasibility study.

Louis Sibert1, Stefan J Darmoni, Badisse Dahamna, Jacques Weber, Bernard Charlin.   

Abstract

BACKGROUND: The script concordance (SC) test is an assessment tool that measures capacity to solve ill-defined problems, that is, reasoning in context of uncertainty. This tool has been used up to now mainly in medicine. The purpose of this pilot study is to assess the feasibility of the test delivered on the Web to French urologists.
METHODS: The principle of SC test construction and the development of the Web site are described. A secure Web site was created with two sequential modules: (a) The first one for the reference panel (n = 26) with two sub-tasks: to validate the content of the test and to elaborate the scoring system; (b) The second for candidates with different levels of experience in Urology: Board certified urologists, residents, medical students (5 or 6th year). Minimum expected number of participants is 150 for urologists, 100 for residents and 50 for medical students. Each candidate is provided with an individual access code to this Web site. He/she may complete the Script Concordance test several times during his/her curriculum.
RESULTS: The Web site has been operational since April 2004. The reference panel validated the test in June of the same year during the annual seminar of the French Society of Urology. The Web site is available for the candidates since September 2004. In six months, 80% of the target figure for the urologists, 68% of the target figure for the residents and 20% of the target figure for the student passed the test online. During these six months, no technical problem was encountered.
CONCLUSION: The feasibility of the web-based SC test is successful as two-thirds of the expected number of participants was included within six months. Psychometric properties (validity, reliability) of the test will be evaluated on a large scale (N = 300). If positive, educational impact of this assessment tool will be useful to help urologists during their curriculum for the acquisition of clinical reasoning skills, which is crucial for professional competence.

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Mesh:

Year:  2005        PMID: 15967034      PMCID: PMC1184080          DOI: 10.1186/1472-6947-5-18

Source DB:  PubMed          Journal:  BMC Med Inform Decis Mak        ISSN: 1472-6947            Impact factor:   2.796


  20 in total

1.  The Diagnosis Script Questionnaire: A New Tool to Assess a Specific Dimension of Clinical Competence.

Authors:  B. Charlin; C. Brailovsky; C. Leduc; D. Blouin
Journal:  Adv Health Sci Educ Theory Pract       Date:  1998       Impact factor: 3.853

2.  Comparison of an aggregate scoring method with a consensus scoring method in a measure of clinical reasoning capacity.

Authors:  Bernard Charlin; Martin Desaulniers; Robert Gagnon; Daniel Blouin; Cees van der Vleuten
Journal:  Teach Learn Med       Date:  2002       Impact factor: 2.414

3.  Assessing medical students' clinical sciences knowledge in France: a collaboration between the NBME and a consortium of French medical schools.

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Journal:  Acad Med       Date:  2003-05       Impact factor: 6.893

4.  Use of Web-based formative assessment to support student learning in a metabolism/nutrition unit.

Authors:  Debra C Henly
Journal:  Eur J Dent Educ       Date:  2003-08       Impact factor: 2.355

Review 5.  Development of a Web-based question database for students' self-assessment.

Authors:  Maya M Hammoud; Mel L Barclay
Journal:  Acad Med       Date:  2002-09       Impact factor: 6.893

Review 6.  Simulations in the United States Medical Licensing Examination (USMLE).

Authors:  G F Dillon; J R Boulet; R E Hawkins; D B Swanson
Journal:  Qual Saf Health Care       Date:  2004-10

7.  A cognitive perspective on medical expertise: theory and implication.

Authors:  H G Schmidt; G R Norman; H P Boshuizen
Journal:  Acad Med       Date:  1990-10       Impact factor: 6.893

8.  The assessment of professional competence: Developments, research and practical implications.

Authors:  C P Van Der Vleuten
Journal:  Adv Health Sci Educ Theory Pract       Date:  1996-01       Impact factor: 3.853

9.  Primary knowledge, medical education and consultant expertise.

Authors:  J Grant; P Marsden
Journal:  Med Educ       Date:  1988-05       Impact factor: 6.251

10.  Internet-based standardized patient simulation with automated feedback.

Authors:  Jeffrey A Nielson; Chris Maloney; Reid Robison
Journal:  AMIA Annu Symp Proc       Date:  2003
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  2 in total

1.  On line clinical reasoning assessment with Script Concordance test in urology: results of a French pilot study.

Authors:  Louis Sibert; Stefan J Darmoni; Badisse Dahamna; Marie-France Hellot; Jacques Weber; Bernard Charlin
Journal:  BMC Med Educ       Date:  2006-08-28       Impact factor: 2.463

2.  Assessing clinical reasoning in airway related cases among anesthesiology fellow residents using Script Concordance Test (SCT).

Authors:  Andy Omega; Andi Ade Wijaya Ramlan; Ratna Farida Soenarto; Aldy Heriwardito; Adhrie Sugiarto
Journal:  Med Educ Online       Date:  2022-12
  2 in total

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