Dermatology Department, Fournier Hospital, CHU Nancy, Nancy, France.
J Eur Acad Dermatol Venereol. 2011 Dec;25(12):1471-5. doi: 10.1111/j.1468-3083.2011.04008.x. Epub 2011 Mar 9.
The script concordance test (SCT) measures clinical data interpretation in the context of uncertainty. To our knowledge, its feasibility has not yet been demonstrated in dermatology.
This study describes the feasibility, reliability and validity of the SCT for use in dermatology teaching to family medicine residents.
We designed an SCT for dermatology teaching, adapted to the level of family medicine students. The family medicine residents attending a dermatology lecture course and a reference panel of dermatologists underwent the test. Software available on the SCT-dedicated website was used to determine the scores. The Cronbach's α was calculated. The scores were described by means, standard deviation, and minimum and maximum scores. Mann-Whitney tests were used to compare resident and reference panel scores.
The test contained 33 vignettes of four questions each. Cronbach's α was 0.80. Mean scores were 75.6 for the reference panel and 65.0 for the residents (P = 0.0009).
This study confirmed the SCT's capacity to distinguish groups on the basis of experience. This study demonstrated the feasibility and reliability of the SCT in the field of dermatology.
脚本一致性测试 (SCT) 可衡量在不确定情况下对临床数据的解释能力。据我们所知，其在皮肤科领域的可行性尚未得到证实。
本研究旨在描述 SCT 在家庭医学住院医师皮肤科教学中的可行性、可靠性和有效性。
我们设计了一种适用于家庭医学学生水平的皮肤科教学用 SCT。家庭医学住院医师参加了皮肤科讲座课程和皮肤科参考小组测试。使用 SCT 专用网站上的软件来确定分数。计算了 Cronbach's α。使用平均值、标准差、最小和最大值来描述分数。使用 Mann-Whitney 检验比较住院医师和参考小组的分数。
测试包含 33 个四选一的病例。Cronbach's α 为 0.80。参考小组的平均得分为 75.6，住院医师的平均得分为 65.0（P = 0.0009）。
本研究证实了 SCT 基于经验区分群体的能力。本研究证明了 SCT 在皮肤科领域的可行性和可靠性。
