Abstract:
CONTEXT:Script concordance test (SCT) scores are intended to reflect respondents' competence in interpreting clinical data under conditions of uncertainty. The validity of inferences based on SCT scores has not been rigorously established. OBJECTIVES:This study was conducted in order to develop a structured validity argument for the interpretation of test scores derived through use of the script concordance method. METHODS:We searched the PubMed, EMBASE and PsycINFO databases for articles pertaining to script concordance testing. We then reviewed these articles to evaluate the construct validity of the script concordance method, following an established approach for analysing validity data from five categories: content; response process; internal structure; relations to other variables, and consequences. RESULTS:Content evidence derives from clear guidelines for the creation of authentic, ill-defined scenarios. High internal consistency reliability supports the internal structure of SCT scores. As might be expected, SCT scores correlate poorly with assessments of pure factual knowledge, in which correlations for more advanced learners are lower. The validity of SCT scores is weakly supported by evidence pertaining to examinee response processes and educational consequences. CONCLUSIONS:Published research generally supports the use of SCT to assess the interpretation of clinical data under conditions of uncertainty, although specifics of the validity argument vary and require verification in different contexts and for particular SCTs. Our review identifies potential areas of further validity inquiry in all five categories of evidence. In particular, future SCT research might explore the impact of the script concordance method on teaching and learning, and examine how SCTs integrate with other assessment methods within comprehensive assessment programmes.
journal_name
Med Educjournal_title
Medical educationauthors
Lubarsky S,Charlin B,Cook DA,Chalk C,van der Vleuten CPdoi
10.1111/j.1365-2923.2010.03863.xsubject
Has Abstractpub_date
2011-04-01 00:00:00pages
329-38issue
4eissn
0308-0110issn
1365-2923journal_volume
45pub_type
杂志文章,评审abstract::In 119 patients with diabetes, student nurses, social workers, dietitians and medical students a pretest was carried out with multiple-choice questions on the subject of diabetes diet. The group was then exposed to programmed diet instruction with a teaching machine. There was a significant learning effect as measured...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00482.x
更新日期:1976-11-01 00:00:00
abstract:CONTEXT:Education is a complex intervention which produces different outcomes in different circumstances. Education researchers have long recognised the need to supplement experimental studies of efficacy with a broader range of study designs that will help to unpack the 'how' and 'why' questions and illuminate the man...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04045.x
更新日期:2012-01-01 00:00:00
abstract:CONTEXT:Accreditation of medical education programmes is becoming increasingly prevalent worldwide, but beyond the face validity of these quality assurance methods, data linking accreditation to improved student outcomes are limited. Mexico and the Philippines both have voluntary systems of medical education accreditat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04212.x
更新日期:2012-06-01 00:00:00
abstract::This paper describes a method of teaching communication skills to pre-clinical medical students in the setting of general practice. By focusing on the nature of the patient's problem this teaching tries to place interviewing and diagnostic procedures in their proper context in the doctor-patient relationship. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb00926.x
更新日期:1979-03-01 00:00:00
abstract::Many doctors rate themselves as ineffective smoking cessation counsellors. It is logical to initiate training efforts with medical students. We incorporated smoking history-taking in the physical diagnosis course at the University of North Carolina at Chapel Hill using a simple method to teach smoking history-taking s...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00830.x
更新日期:1996-07-01 00:00:00
abstract::An instrument has been developed to assess tutor performance in problem-based tutorial groups. This tutor evaluation questionnaire consists of 13 statements reflecting the tutor's behaviour. The statements are based on a description of the tasks set for the tutor. This study reports results on the validity and reliabi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02735.x
更新日期:1994-11-01 00:00:00
abstract:INTRODUCTION:The Clinical Teaching Effectiveness Instrument (CTEI) was developed to evaluate the quality of the clinical teaching of educators. Its authors reported evidence supporting content and criterion validity and found favourable reliability findings. We tested the validity and reliability of this instrument in ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02245.x
更新日期:2005-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01313.x
更新日期:1985-05-01 00:00:00
abstract:CONTEXT:A survey of medical students' experiences of sexual harassment during medical training. OBJECTIVE:To assess the prevalence and nature of workplace sexual harassment as perceived by undergraduate medical students in order to address their learning needs concerning setting and maintaining sexual boundaries. DES...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00684.x
更新日期:2000-12-01 00:00:00
abstract::This paper describes a strategy for helping students to learn about laboratory and radiological investigations in diagnosis and management, and to make decisions about the use of investigations, taking into account such features as safety, patient comfort and cost. Learning takes place through the use of a programmed ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02310.x
更新日期:1981-01-01 00:00:00
abstract::At the University of Queensland all medical students in their fifth year rotate through a 2-week attachment to a general practitioner tutor as part of the course in community practice. As a means of learning from this experience each student records information in a log diary on seventy-five consecutive patients seen,...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb00976.x
更新日期:1984-03-01 00:00:00
abstract:OBJECTIVE:To describe the perceptions of medical students and clinical teachers of teaching and learning in the clinical setting. DESIGN:Qualitative study of focus groups with undergraduate medical students and semistructured interviews with hospital consultant clinical teachers. SETTING:The School of Medicine, Unive...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01675.x
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVES:Enculturation is a normal and continuing part of human development. This study examined how medical graduates perceive the process of enculturation after graduation. METHODS:We conducted a qualitative study of the values of medical graduates associated with Sydney Medical School to identify processes that c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04301.x
更新日期:2012-09-01 00:00:00
abstract::The findings of a survey of 3262 women doctors registered between 1945 and 1974 are reported. The results are based on 2433 returned questionnaires (75% response). The survey confirmed that the special forms of assistance provided to enable women doctors to continue training and to work after graduation are inadequate...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01514.x
更新日期:1979-07-01 00:00:00
abstract:OBJECTIVES:This study aims to identify whether non-science graduates perform as well as science graduates in Basic and Clinical Sciences (B & CS) assessments during Years 1-3 of a four-year graduate-entry programme at the University of Sydney (the 'USydMP'). METHODS:Students were grouped into five categories: Health P...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02043.x
更新日期:2004-11-01 00:00:00
abstract:CONTEXT:Health care trainees demonstrate implicit (automatic, unconscious) and explicit (conscious) bias against people from stigmatised and marginalised social groups, which can negatively influence communication and decision making. Medical schools are well positioned to intervene and reduce bias in new physicians. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12770
更新日期:2015-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00763.x
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVES:To establish teaching objectives, methods and assessment for a paediatric induction programme. DESIGN:Action research over a 2-year period. PARTICIPANTS:88 doctors from three hospitals. MAIN OUTCOME MEASURES:These were end-of-course evaluations, using Likert scales, and free comments; independent evaluati...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00982.x
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVES:Using a novel longitudinal tracking project, this study develops and evaluates the performance of a predictive model and index of rural medical practice intention based on the characteristics of incoming medical students. METHODS:Medical school entry survey data were obtained from the Medical Schools Outcom...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03506.x
更新日期:2009-10-01 00:00:00
abstract:CONTEXT:Patients may participate in teaching in many ways, in different settings and with different degrees of expert supervision. The majority of patients are generally very willing to participate in teaching. At times, however, patients may decline to see students because they are too sick, wish to maintain their pri...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02948.x
更新日期:2008-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2007.02924.x
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVES:The General Medical Council has recommended that medical students should gain more experience in general practice. The study set out to determine patients' reactions to consultations conducted by a medical student alone prior to seeing their GP. DESIGN:A random sample of patients attending general practice ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00410.x
更新日期:1999-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03582.x
更新日期:2010-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12302
更新日期:2014-02-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/medu.12247
更新日期:2013-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:PURPOSE:Understanding how students resolve professional conflict is essential to teaching and evaluating professionalism. The purpose of this study was to refine an existing coding structure of rationalizations of student behaviour, and to further our understanding of students' reasoning strategies in the face of perce...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01326.x
更新日期:2003-04-01 00:00:00
abstract:CONTEXT:It is important to know how patients are affected by becoming opportunistically involved in medical student education. In previous studies, researchers rather than patients set the research agenda and expert patients or people well known to teachers were more often involved than ordinary people. OBJECTIVES:Thi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04332.x
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:This paper aims to summarise the evidence supporting the role of experience-based, non-analytic reasoning (NAR) or pattern recognition as a central feature of expert medical diagnosis. METHODS:The authors examine a series of studies, primarily from their own research programme at McMaster University, that de...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2007.02914.x
更新日期:2007-12-01 00:00:00
abstract::In collaboration with aid agencies and government health workers, Save the Children Fund medical staff have been involved in the training of primary health care workers in the Sahel region of upper Volta. This report deals specifically with the problems involved in training illiterate health workers. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01233.x
更新日期:1982-03-01 00:00:00