Funk Kylee A, Kolar Claire, Schweiss Sarah K, Tingen Jeffrey M, Janke Kristin K
Pharmaceutical Care & Health Systems, University of Minnesota College of Pharmacy, 7-176 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN 55455, United States.
Fairview Pharmacy Services, 711 Kasota Ave, Minneapolis, MN 55414, United States.
Curr Pharm Teach Learn. 2017 Nov;9(6):1031-1041. doi: 10.1016/j.cptl.2017.07.021. Epub 2017 Sep 12.
The script concordance test (SCT) is used to assess clinical reasoning and was originally developed for medical learners. The Accreditation Council for Pharmacy Education (ACPE) endorses the need for pharmacy students to develop clinical reasoning skills, but there is little documentation of use of the SCT for pharmacy learners.
A script concordance test activity was designed for a diabetes and metabolic syndrome pharmacotherapy course. Twenty-five cases were created and evaluated by an expert panel of 20 practicing pharmacists. Ten cases were presented as a formative activity in class. The students, design team, teaching team, and expert panel evaluated the activity.
The SCT was received positively from the students, design team, teaching team, and expert panel. The design team noted that case writing was different for this approach and that the inclusion of various perspectives from panelists was beneficial. Although the activity was formative in nature, the teaching team scored the students and this provided insight into areas where the students may struggle.
This report provides information on the formative use of the SCT in the classroom, as well as categories of items suitable for pharmacy. The SCT provides an approach to illustrate clinical reasoning and clinical decision making among content experts and can be used to stimulate clinical discussions among student learners and content experts. The SCT could help incorporate clinical reasoning skills in a pharmacy curriculum to meet ACPE standards.
脚本一致性测试（SCT）用于评估临床推理，最初是为医学学习者开发的。药学教育认证委员会（ACPE）认可药学专业学生培养临床推理技能的必要性，但关于SCT在药学学习者中的应用记录很少。
为糖尿病和代谢综合征药物治疗课程设计了一项脚本一致性测试活动。创建了25个病例，并由20名执业药剂师组成的专家小组进行评估。10个病例作为课堂上的形成性活动展示。学生、设计团队、教学团队和专家小组对该活动进行了评估。
学生、设计团队、教学团队和专家小组对SCT的评价都很积极。设计团队指出，这种方法的病例编写有所不同，并且纳入小组成员的各种观点很有帮助。尽管该活动本质上是形成性的，但教学团队对学生进行了评分，这有助于了解学生可能存在困难的领域。
本报告提供了关于SCT在课堂上的形成性应用信息，以及适用于药学的项目类别。SCT提供了一种方法，用于说明内容专家之间的临床推理和临床决策，可用于激发学生学习者和内容专家之间的临床讨论。SCT有助于将临床推理技能纳入药学课程，以符合ACPE标准。
