Iglesias Gómez Carlos, González Sequeros Ofelia, Salmerón Martínez Diego
Centro de Salud Alcantarilla-Sangonera, Servicio Murciano de Salud, Alcantarilla, Murcia, Spain.
Departamento de Anatomía Humana y Psicobiología, Facultad de Medicina, Universidad de Murcia, Campus de Espinardo, Murcia, Spain.
An Pediatr (Engl Ed). 2022 Aug;97(2):87-94. doi: 10.1016/j.anpede.2022.06.005. Epub 2022 Jul 4.
Actual unawareness about paediatric resident's residency program factual clinical reasoning precludes professional retraining directed to solve deficiencies. Script Concordance Test (SCT) evaluates clinical reasoning due to its orientation to usual clinical practice but surprisingly it has not been used in Spain for Paediatric Primary Care clinical reasoning evaluation so far. Due to this we consider it to be of relevance to design a Paediatric Primary Care SCT which meets validity, reliability and accessibility criteria described on bibliography.
Development, validation and application of an SCT questionnaire for clinical reasoning analysis in Paediatric Primary Care applied on a population of paediatric residents and which includes demographic and employment data in order to study possible relationship between them and achieved scores.
Our SCT was approved by an experts committee. It met reliability and accessibility criteria and it allowed distinguishing experts from paediatric internal residents. No statistically significant differences were found concerning age, gender, type and duration of the training received in Primary Care, and the completion of a course on that training.
We developed a SCT that was approved by a Paediatric experts committee, it met reliability and accessibility criteria and it allowed distinguishing clinical reasoning from experts and paediatric internal residents. Except second year residency program, we didn't objectified relevant differences in residency program year, age, gender, duration and realization of Paediatric Primary Care rotation, and training course realization.
儿科住院医师对住院医师培训项目实际临床推理的实际认识不足，妨碍了旨在解决缺陷的专业再培训。脚本一致性测试（SCT）因其针对常规临床实践的导向性而评估临床推理，但令人惊讶的是，到目前为止它在西班牙尚未用于儿科初级保健临床推理评估。因此，我们认为设计一个符合文献中所述有效性、可靠性和可及性标准的儿科初级保健SCT具有重要意义。
开发、验证并应用一份用于儿科初级保健临床推理分析的SCT问卷，该问卷应用于儿科住院医师群体，并包括人口统计学和就业数据，以便研究它们与所得分数之间的可能关系。
我们的SCT得到了一个专家委员会的认可。它符合可靠性和可及性标准，并能够区分儿科专家和住院医师。在年龄、性别、在初级保健中接受培训的类型和时长以及是否完成该培训课程方面，未发现统计学上的显著差异。
我们开发的SCT得到了儿科专家委员会的认可，它符合可靠性和可及性标准，并能够区分专家和儿科住院医师的临床推理。除了第二年住院医师培训项目外，我们未发现住院医师培训项目年份、年龄、性别、儿科初级保健轮转的时长和完成情况以及培训课程完成情况方面存在显著差异。
