Service de médecine interne 2, Centre national de référence maladies systémiques rares et histiocytoses, hôpital Pitié-Salpêtrière, Sorbonne université, Assistance publique-Hôpitaux de Paris, 75013 Paris, France.
Département de médecine interne, hôpital Bichat, université de Paris, Assistance publique-Hôpitaux de Paris, 75018 Paris, France.
Rev Med Interne. 2021 Apr;42(4):243-250. doi: 10.1016/j.revmed.2020.11.001. Epub 2020 Dec 4.
Script concordance tests (SCTs) have been developed to assess clinical reasoning in uncertain situations. Their reliability for the evaluation of undergraduate medical students has not been evaluated.
Twenty internal medicine SCT cases were implemented in undergraduate students of two programs. The results obtained on the SCTs were compared to those obtained by the same students on clinical-based classical multiple-choice questions (MCQs).
A total of 551/883 students (62%) answered the SCTs. The mean aggregate score (based on a total 20 points) was 11.54 (3.29). The success rate and mean score for each question did not differ depending on the modal response but the discrimination rate did. The results obtained by the students on the SCT test correlated with their scores on the MCQ tests. Among students, 446/517 (86%) considered the SCTs to be more difficult than classical MCQs, although the mean score did not differ between the SCT and MCQ tests.
The use of SCTs is a feasible option for the evaluation of undergraduate students. The SCT scores correlated with those obtained on classical MCQ tests.
脚本一致性测试 (SCT) 已被开发出来，以评估在不确定情况下的临床推理能力。尚未评估它们对本科医学生评估的可靠性。
在两个项目的本科医学生中实施了 20 个内科 SCT 案例。在 SCT 上获得的结果与同一学生在基于临床的经典多项选择题 (MCQ) 上获得的结果进行了比较。
共有 551/883 名学生（62%）回答了 SCT。平均总得分（基于总共 20 分）为 11.54（3.29）。每个问题的成功率和平均分数不因模态反应而异，但辨别率不同。学生在 SCT 测试中获得的结果与他们在 MCQ 测试中的成绩相关。在学生中，446/517（86%）认为 SCT 比经典 MCQ 更难，尽管 SCT 和 MCQ 测试的平均分数没有差异。
使用 SCT 是评估本科生的可行选择。SCT 分数与经典 MCQ 测试的分数相关。
