Kania Romain E, Verillaud Benjamin, Tran Hugo, Gagnon Robert, Kazitani Driss, Huy Patrice Tran Ba, Herman Philippe, Charlin Bernard
University Paris 5 Paris, Descartes, Paris, France.
Arch Otolaryngol Head Neck Surg. 2011 Aug;137(8):751-5. doi: 10.1001/archoto.2011.106.
To report on the creation and administration of an online Script Concordance Test (SCT) for ear, nose, and throat (ENT), the ENT-SCT.
Prospective study.
Two tertiary care university centers.
In total, 132 individuals were asked to test an ENT-SCT of 20 cases and 94 questions based on the major educational objectives of the ENT residency program.
Three levels of experience were tested: medical students, ENT residents, and board-certified otorhinolaryngologists as the expert panel. The test's construct validity-whether scores were related to clinical experience-was statistically analyzed. Reliability was estimated by the Cronbach α internal consistency coefficient. Participants' perception of the test was assessed with the use of a questionnaire.
The 65 respondents with usable data were medical students (n = 21), ENT residents (n = 22), and experts (n = 22). Total mean (SD) test scores differed significantly: 76.81 (3.31) for the expert panel, 69.05 (4.35) for residents, and 58.29 (5.86) for students. The Cronbach α coefficient was 0.95. More than two-thirds of the participants found the test to be realistic and relevant for assessing clinical reasoning. The test was also considered fun, interesting, and intuitive.
The Web-based ENT-SCT is feasible, reliable, and useful for assessing clinical reasoning. This online assessment tool may have applications for residency programs and continuing medical education.
报告耳鼻咽喉科在线脚本一致性测试（SCT）即耳鼻咽喉科SCT的创建与管理情况。
前瞻性研究。
两所大学三级医疗中心。
总共132人被要求根据耳鼻咽喉科住院医师培训项目的主要教育目标对一个包含20个病例和94个问题的耳鼻咽喉科SCT进行测试。
测试了三个经验水平的人员：医学生、耳鼻咽喉科住院医师以及作为专家小组的获得委员会认证的耳鼻咽喉科医生。对测试的结构效度（即分数是否与临床经验相关）进行了统计学分析。通过Cronbach α内部一致性系数估计可靠性。使用问卷评估参与者对测试的看法。
有可用数据的65名受访者包括医学生（n = 21）、耳鼻咽喉科住院医师（n = 22）和专家（n = 22）。总平均（标准差）测试分数有显著差异：专家小组为76.81（3.31），住院医师为69.05（4.35），学生为58.29（5.86）。Cronbach α系数为0.95。超过三分之二的参与者认为该测试真实且与评估临床推理相关。该测试还被认为有趣、有意思且直观。
基于网络的耳鼻咽喉科SCT对于评估临床推理是可行、可靠且有用的。这种在线评估工具可能在住院医师培训项目和继续医学教育中具有应用价值。
