Assessment of clinical reasoning competence in urology with the script concordance test: an exploratory study across two sites from different countries.

Abstract:

OBJECTIVES:The script concordance (SC) test is designed to measure the organisation of knowledge that allows interpretation of data in clinical reasoning. This study explores the use of this new written examination tool in urology. MATERIALS AND METHODS:An 80 items SC test was administered to participants from a French and a Canadian university. Three levels of experience were tested: urologists (n = 22), residents in urology (n = 25) and students (n = 23). Scores between groups were compared by analysis of variance. Reliability analysis was studied with Cronbach alpha coefficient. RESULTS:Mean global scores were 51.45 +/- 5.29 for students, 58.19 +/- 3.81 for residents and 62.27 +/- 5.46 for urologists. The difference between the three groups was statistically significant (P < 0.00001). Interaction between levels of expertise and sites was apparently not significant (P = 0.326). Cronbach alpha was 0.79 for the test. CONCLUSIONS:This study shows that the SC test is able to discriminate among participants according to their levels of clinical experience in urology. The results are similar in two different learning environments. The SC test appears as a simple and direct approach to testing organisation and use of knowledge in urology.

journal_name

Eur Urol

journal_title

European urology

authors

Sibert L,Charlin B,Corcos J,Gagnon R,Lechevallier J,Grise P

doi

10.1016/s0302-2838(02)00053-2

keywords:

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

227-33

issue

3

eissn

0302-2838

issn

1873-7560

pii

S0302-2838(02)00053-2

journal_volume

41

pub_type

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