Assessing clinical judgment using the Script Concordance test: the importance of using specialty-specific experts to develop the scoring key - 18/01/13
Corresponding author. Tel.: +1-514-934-1934; fax: +1-514-843-1454.Abstract |
Background |
The Script Concordance test (SCT) assesses clinical judgment. The purpose of this study was to determine whether a specialty-specific scoring key improves the validity of the SCT.
Methods |
Thirty experts from 6 general surgery disciplines answered questions pertaining to their area of expertise. We created a scoring key of 5 amalgamated expert panel members. The answers of 227 general surgery residents were analyzed.
Results |
The optimized test had a reliability level (Cronbach ⍺) of .81. Scores increased progressively throughout all levels of training, with R5s scoring higher than R4s (R1, 42.7 ± 7.1; R2, 47.6 ± 7.5; R3, 48.7 ± 6.7; R4, 49.8 ± 7.7; R5, 52.9 ± 9.3). The average score of juniors (R1s + R2s, 45.1 ± 7.6) was significantly lower (P < .001) than seniors (R3s + R4s + R5s, 50.4 ± 8.0).
Conclusions |
We showed that specialty-specific experts must be used to develop the scoring key. This has important implications in the application of the SCT on a wider level.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Clinical reasoning, General surgery, Script concordance
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Vol 205 - N° 2
P. 137-140 - febbraio 2013 Ritorno al numero
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