Assessment of Clinical Reasoning in Healthcare Students via the Script Concordance Test: Situations in Anesthesia and Intensive Care Section Pedagogy

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Published Oct 30, 2024
https://doi.org/10.62438/tunismed.v102i11.5001
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Vol. 102 No. 11 (2024): Tunis Med nov 2024

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Kamel Bengayed
Department of Anaesthesia and Intensive Care, LR18SP05 research laboratory, Centre of Maternity and Neonatology of Tunis, University Hospital of Anaesthesia and Intensive Care, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
Sarra Akermi
Higher School of Health Sciences and Techniques of Tunis, University of Tunis El Manar, Tunis, Tunisia
Yasmine Amari
Higher School of Health Sciences and Techniques of Tunis, University of Tunis El Manar, Tunis, Tunisia
Rabeb Chouigui
Higher School of Health Sciences and Techniques of Tunis, University of Tunis El Manar, Tunis, Tunisia
Faten Haddad
Department of Anaesthesia and Intensive Care, Mongi Slim Hospital, University Hospital for Anaesthesia and Intensive Care, Tunis. University of Tunis El Manar, Faculty of Medicine, Tunis, Tunisia

Abstract

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. The tool chosen was a TCS composed of 60 items which dealt with frequent and serious themes in general Anesthesia-Resuscitation.


Results: We included 16 students. The average time to complete the test was 46.7 minutes±12.42 [95% CI; 37.81 -55.59] for experts and 54.38 minutes ±8.92 [95% CI; 49.62-59.13] for students. The average score obtained by the experts, reported out of 100, was 80.8±4.09 [95% CI; 77.90-83.75]. The average score of the students was 54.78±9.14 [95% CI; 49.91-59.65].


Conclusion: With the implementation of TCS as an assessment tool in health sciences, students demonstrated an increased capacity for reasoning in complex situations, as reflected in their average scores.


 

Keywords:

Script Concordance Test, assessment, competence, clinical reasoning, anesthesia

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