The script concordance test as a tool to evaluate clinical reasoning in neonatology

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Published Dec 22, 2017
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Vol. 95 No. 5 (2017): Issue May 2017

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Emira Ben Hamida
Imen Ayadi
Zahra Marrakchi
André Quinton

Abstract

Background : Script concordance test aims to evaluate knowledge organization, which represents an essential component of the clinical competence.
Objective : To build a script concordance test and demonstrate its relevance in the evaluation of Neonatology skills.
Methods: A script concordance test including 20 vignettes and 20 items, was provided to 52 fourth year medical students and 11 family medicine interns.
Results : Script concordance test scores obtained by experts were higher then those obtained by students and family medicine interns. The scores (out of 100) were 82.52 ± 7.35 CI95% [77.26-87.78] for the experts, 58.52 ± 9.72 CI95% [55.82-61.23] for the students, and 63.17±11.36 IC95%  [55.53-70.81] (p<0.0001) for the interns.
Conclusion: Our data suggest that script concordance tests could be used to assess the acquisition of clinical reasoning among fourth year medical students in neonatolgy.

Keywords:

Script concordance test, Evaluation, Skills, Clinical reasoning, Neonatology.

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