麻醉学脚本一致性测试：一种新的评估临床推理能力工具的验证。

The Script Concordance Test in anesthesiology: Validation of a new tool for assessing clinical reasoning.

机构信息

Department of Anesthesiology and Intensive Care, EA 4564, Toulouse University Hospital, Toulouse, France.

Department of Anesthesiology and Intensive Care, Nantes University Hospital, Nantes, France.

出版信息

Anaesth Crit Care Pain Med. 2015 Feb;34(1):11-5. doi: 10.1016/j.accpm.2014.11.001. Epub 2015 Mar 5.

DOI:10.1016/j.accpm.2014.11.001

PMID:25829309

Abstract

OBJECTIVE

To evaluate whether the Script Concordance Test (SCT) can discriminate between levels of experience among anesthesiology residents and attending physicians.

STUDY TYPE

Multicenter (Toulouse, Nantes, Bordeaux and Limoges), prospective, observational study.

PATIENTS AND METHODS

A SCT made of 60 items was used to evaluate "junior residents" (n=60), "senior residents" (n=47) and expert anesthesiologists (n=10).

RESULTS

There were no missing data in our study. Mean scores (±SD) were 69.9 (±6.1), 73.1 (±6.5) and 82.0 (±3.5) out of a potential score of 100 for "junior residents", "senior residents" and expert anesthesiologists, respectively. Results were statistically different between the 3 groups (P=0.001) using the Kruskall-Wallis test. The Cronbach's α score was 0.63.

CONCLUSIONS

The SCT is a valid and useful tool for discriminating between anesthesia providers with varying levels of experience in anesthesiology. It may be a useful tool for documenting the progression of reasoning during anesthesia residency.

摘要

目的

评估 Script Concordance Test（SCT）是否可区分麻醉科住院医师和主治医生的经验水平。

研究类型

多中心（图卢兹、南特、波尔多和利摩日）、前瞻性、观察性研究。

患者和方法

使用 SCT 进行 60 项评估，评估对象为“初级住院医师”（n=60）、“高级住院医师”（n=47）和专家麻醉师（n=10）。

结果

我们的研究中没有缺失数据。“初级住院医师”、“高级住院医师”和专家麻醉师的平均分数（±SD）分别为 69.9（±6.1）、73.1（±6.5）和 82.0（±3.5），满分 100 分。使用 Kruskall-Wallis 检验，3 组间的结果有统计学差异（P=0.001）。Cronbach's α 评分为 0.63。