Summative assessment of 5th year medical students%26apos; clinical reasoning by script concordance test: requirements and challenges

作者：Duggan Paul^*; Charlin Bernard

来源：BMC Medical Education, 2012, 12: 29.

DOI：10.1186/1472-6920-12-29

Background: The Script Concordance Test (SCT) has not been reported in summative assessment of students across the multiple domains of a medical curriculum. We report the steps used to build a test for summative assessment in a medical curriculum. %26lt;br%26gt;Methods: A 51 case, 158-question, multidisciplinary paper was constructed to assess clinical reasoning in 5th-year. 10-16 experts in each of 7 discipline-based reference panels answered questions on-line. A multidisciplinary group considered reference panel data and data from a volunteer group of 6th Years, who sat the same test, to determine the passing score for the 5th Years. %26lt;br%26gt;Results: The mean (SD) scores were 63.6 (7.6) and 68.6 (4.8) for the 6th Year (n = 23, alpha = 0.78) and and 5th Year (n = 132, alpha = 0.62) groups (p %26lt; 0.05), respectively. The passing score was set at 4 SD from the expert mean. Four students failed. %26lt;br%26gt;Conclusions: The SCT may be a useful method to assess clinical reasoning in medical students in multidisciplinary summative assessments. Substantial investment in training of faculty and students and in the development of questions is required.

• 出版日期2012-5-9