Assessing clinical reasoning in pediatric emergency medicine: validity evidence for a Script Concordance Test

Annals of Emergency Medicine
Benoit CarrièreGeorges Bordage

Abstract

Clinical reasoning is a crucial skill for all residents to acquire during their training. During most patient encounters in pediatric emergency medicine, physicians and trainees are challenged by diagnostic, investigative, and treatment uncertainties. The Script Concordance Test may provide a means to assess reasoning skills in the context of uncertainty in the practice of pediatric emergency medicine. We gathered validity evidence for the use of a pediatric emergency medicine Script Concordance Test to evaluate residents' reasoning skills. A 1-hour test containing 60 questions nested in 38 cases was administered to 53 residents at the end of their pediatric emergency medicine rotation at 1 academic institution. Twelve experienced pediatricians were part of a reference panel to establish the basis for the scoring process. An optimized version of the test, based on positive item discrimination data, contained 30 cases and 50 questions. Scores ranged from 48% to 82%, with a mean score of 69.9 (SD=11.5). The reliability of the optimized test (Cronbach's alpha) was 0.77. Performance on the test increased as the level of experience of the residents increased. The residents considered the Script Concordance Test true to real-life cli...Continue Reading

References

Mar 1, 1995·Academic Medicine : Journal of the Association of American Medical Colleges·G PageT Allen
Jan 1, 1996·Academic Medicine : Journal of the Association of American Medical Colleges·J D Gray
Mar 29, 2001·Teaching and Learning in Medicine·B CharlinC van der Vleuten
Aug 23, 2002·Teaching and Learning in Medicine·Bernard CharlinCees van der Vleuten
Sep 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Glen W BandieraGlenn Regehr
Oct 19, 2002·Advances in Health Sciences Education : Theory and Practice·B. CharlinD. Blouin
Sep 26, 2003·Medical Education·Susan M Downing
Jul 3, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Esther H ChenJill M Baren
Aug 18, 2004·Evaluation & the Health Professions·Bernard Charlin, Cees van der Vleuten
Aug 26, 2004·Medical Education·Steven M Downing
Jul 14, 2006·Medical Education·Geoffrey NormanDavid Keane
Nov 30, 2007·Medical Education·Bernard CharlinPaul J Feltovich

❮ Previous
Next ❯

Citations

Feb 3, 2011·Advances in Health Sciences Education : Theory and Practice·Robert GagnonBernard Charlin
Jul 26, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Reed G WilliamsBonnie M Miller
Mar 19, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M TalvardE Mas
Jan 15, 2013·Perspectives on Medical Education·W E Sjoukje van den BroekOlle Th J Ten Cate
May 16, 2008·Advances in Health Sciences Education : Theory and Practice·Robert GagnonC Van der Vleuten
Dec 4, 2012·Perspectives on Medical Education·Lisette van BruggenJacqueline Vos
Aug 21, 2013·The Journal of Emergency Medicine·Emily L SenecalMichael S Beeson
Mar 28, 2012·American Journal of Surgery·Thamer NouhSarkis H Meterissian
Nov 9, 2010·Journal of the American Geriatrics Society·Jorge G RuizBernard A Roos
Jun 17, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Aloysius J HumbertEdward J Miech
Oct 6, 2012·Journal of the American Geriatrics Society·Ronaldo D PiovezanBernard Charlin
May 26, 2012·Medical Education·Valérie DoryBernard Charlin
Nov 15, 2011·Journal of the European Academy of Dermatology and Venereology : JEADV·A-C BursztejnA Barbaud
Aug 27, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Todd P ChangDavid J Mathison
Apr 19, 2016·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Caroline FaucherBernard Charlin
Apr 2, 2015·Anaesthesia Critical Care & Pain Medicine·Pierre Drolet
Apr 8, 2014·Teaching and Learning in Medicine·Adam B WilsonAloysius J Humbert
Dec 21, 2014·Journal of Veterinary Medical Education·Kate A CobbLiz H Mossop
Sep 19, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Prakadeshwari RajapreyarMichael T Meyer
May 20, 2018·Advances in Health Sciences Education : Theory and Practice·G Bordage, G Page
Apr 27, 2019·Journal of General Internal Medicine·Harish ThampySubha Ramani
Sep 27, 2016·Pediatric Emergency Care·Nnenna Ogochukwu ChimeUNKNOWN INSPIRE Network
Nov 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Todd P ChangUNKNOWN International Simulation in Pediatric Innovation, Research, and Education (INSPIRE) Network
Jul 30, 2020·The Western Journal of Emergency Medicine·Eric SteinbergSteven Warrington
Aug 28, 2020·Pediatric Dermatology·Erika L Alba-RojasMaría Teresa García-Romero
Sep 7, 2012·Journal of Veterinary Medical Education·Jennifer L BuurMargaret Barr
Jan 11, 2018·Medical Education·Michael Sh WanJudith Nicky Hudson
Mar 16, 2011·Medical Education·Stuart LubarskyCees P M van der Vleuten
Jun 6, 2017·Medical Teacher·Suzette CookeTanya Beran
Nov 17, 2021·Journal of Veterinary Medical Education·Jordan D Tayce, Ashley B Saunders

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.