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Script concordance test

Maya Enser, Jérôme Moriceau, Julien Abily, Cédric Damm, Emilie Occhiali, Emmanuel Besnier, Thomas Clavier, Antoine Lefevre-Scelles, Bertrand Dureuil, Vincent Compère
BACKGROUND: Noise, which is omnipresent in operating rooms and ICUs, may have a negative impact not only patients but also on the concentration of and communication between clinical staff. OBJECTIVE: The present study attempted to evaluate the impact of noise on the performance of anaesthesiology residents' clinical reasoning. Changes in clinical reasoning were measured by script concordance tests (SCTs). DESIGN: This was a prospective, randomised and crossover study...
April 10, 2017: European Journal of Anaesthesiology
Tsuen-Chiuan Tsai
Ethical dilemma case-based examination (ethics Script Concordance Test, eSCT) is a written examination that can be delivered to a large group of examinees for the purpose of measuring high-level thinking. As it accommodates for diverse responses from experts, ethics SCT allows partial credits. The framework of ethics SCT includes a vignette with an ethical dilemma and a leading question, which asks the examinee to "agree" or "disagree", plus the shifts of prior decision by adding new information. In this article, the following tips for constructing this type of examination are provided: use "true" dilemmas, select an appropriate ethical issue, target high-level cognitive tasks, list key components, keep a single central theme, device quality scoring system, be important and plausible, be clear, select quality experts, validate, know the limitation, and be familiar with test materials...
April 2017: Medical Teacher
Simona Di Folco, Serena Messina, Giulio Cesare Zavattini, Elia Psouni
The present study investigated concordance between representations of attachment to mother and attachment to father, and convergence between two narrative-based methods addressing these representations in middle childhood: the Manchester Child Attachment Story Task (MCAST) and the Secure Base Script Test (SBST). One hundred and twenty 6-year-old children were assessed by separate administrations of the MCAST for mother and father, respectively, and results showed concordance of representations of attachment to mother and attachment to father at age 6...
2017: Journal of Child and Family Studies
Saad Nseir, Ahmed Elkalioubie, Philippe Deruelle, Dominique Lacroix, Didier Gosset
Objectives: This investigation aimed to determine the validity of script concordance test (SCT), compared with clinical-case-related short-answer management problems (SAMP), in fourth-year medical students. Methods: This retrospective study was conducted at the Medical School of Lille University. Cardiology and gynecology examinations both included 3 SCT and 2 clinical-case-related SAMP.  Final score did not include SCT results, and was out of 20 points. The passing score was ≥10/20...
February 25, 2017: International Journal of Medical Education
Jeremy Thomas, Joseph Loane, Richard Matthews, Scott Maxwell, Tim Ingman, Mathew Beesley, Lynda Ferrigan
AIMS: To critically evaluate HER2 testing data for 3500 consecutive cases over 28 months for a single laboratory and review these findings in the light of current UK reporting guidelines. METHODS: We have reviewed all data relating to the HER2 testing service including reagents and analytical machine, HER2 immunohistochemistry (IHC) and fluorescent in situ hybridisation (FISH) scoring profiles. We have examined the place of double counting and rapid screening of FISH and when it is and is not safe to do so...
May 2017: Journal of Clinical Pathology
Nnenna Ogochukwu Chime, Martin V Pusic, Marc Auerbach, Renuka Mehta, Daniel J Scherzer, Wendy Van Ittersum, Brett McAninch, Daniel M Fein, Elizabeth Seelbach, Pavan Zaveri, Jennifer M Jackson, David Kessler, Todd P Chang
OBJECTIVES: Script concordance testing (SCT) is used to assess clinical decision-making. We explore the use of SCT to (1) quantify practice variations in infant lumbar puncture (LP) and (2) analyze physician's characteristics affecting LP decision making. METHODS: Using standard SCT processes, a panel of pediatric subspecialty physicians constructed 15 infant LP case vignettes, each with 2 to 4 SCT questions (a total of 47). The vignettes were distributed to pediatric attending physicians and fellows at 10 hospitals within the INSPIRE Network...
September 23, 2016: Pediatric Emergency Care
Alyssa Power, Jean-Francois Lemay, Suzette Cooke
Construct: Clinical reasoning assessment is a growing area of interest in the medical education literature. Script concordance testing (SCT) evaluates clinical reasoning in conditions of uncertainty and has emerged as an innovative tool in the domain of clinical reasoning assessment. SCT quantifies the degree of concordance between a learner and an experienced clinician and attempts to capture the breadth of responses of expert clinicians, acknowledging the significant yet acceptable variation in practice under situations of uncertainty...
January 2017: Teaching and Learning in Medicine
Koen M Marien, Valerie Croons, Yannick Waumans, Ellen Sluydts, Stefanie De Schepper, Luc Andries, Wim Waelput, Erik Fransen, Peter B Vermeulen, Mark M Kockx, Guido R Y De Meyer
Despite all efforts made to develop predictive biomarkers for antiangiogenic therapies, no unambiguous markers have been identified so far. This is due to among others the lack of standardized tests. This study presents an improved microvessel density quantification method in tumor tissue based on stereological principles and using whole-slide images. Vessels in tissue sections of different cancer types were stained for CD31 by an automated and validated immunohistochemical staining method. The stained slides were digitized with a digital slide scanner...
2016: PloS One
Matthias Goos, Fabian Schubach, Gabriel Seifert, Martin Boeker
BACKGROUND: Health professionals often manage medical problems in critical situations under time pressure and on the basis of vague information. In recent years, dual process theory has provided a framework of cognitive processes to assist students in developing clinical reasoning skills critical especially in surgery due to the high workload and the elevated stress levels. However, clinical reasoning skills can be observed only indirectly and the corresponding constructs are difficult to measure in order to assess student performance...
August 17, 2016: BMC Surgery
Klaartje Decaluwe, Jan Degryse, Bert Vaes
BACKGROUND: Multiple diagnostic algorithms for heart failure exist. However, it is unclear whether these algorithms are incorporated in the 'scripts' clinicians use in every day practice. Scripts are networks of organised knowledge that are acquired and accumulated during clinical training and are refined with each clinical encounter. This study was conducted to evaluate the scripts and thresholds that GPs use to diagnose heart failure in patients aged 75 years and older. METHODS: The scripts and thresholds of 130 Belgian GPs in training and 63 experienced trainers were compared using an online questionnaire based on the same principles as the script concordance test...
2016: BMC Family Practice
V Compère, J Abily, J Moriceau, A Gouin, B Veber, H Dupont, E Lorne, J L Fellahi, J L Hanouz, J L Gerard, L Sibert, B Dureuil
STUDY OBJECTIVE: Clinical reasoning by anesthesiology residents in emergency situations where optimal management is uncertain could be improved by setting up a tutored practice exchange group. This study attempted to evaluate the impact of a practice exchange group (PEG), tutored by a senior anesthesiologist, on anesthesiology residents in emergency situations. Changes in clinical reasoning were measured by script concordance tests (SCT). DESIGN: We conducted a controlled, non-randomized study...
August 2016: Journal of Clinical Anesthesia
François Kazour, Sami Richa, Marouan Zoghbi, Wissam El-Hage, Fady G Haddad
OBJECTIVES: Although clinical reasoning is a major component of psychiatric training, most evaluating tools do not assess this skill properly. Clinicians mobilize networks of organized knowledge (scripts) to assess ambiguous or uncertain situations. The Script Concordance Test (SCT) was developed to assess clinical reasoning in an uncertainty context. The objective of this study was to test the usefulness of the SCT to assess the reasoning capacities of interns (7th year medical students) during the psychiatry training...
February 2017: Academic Psychiatry
Kamyar Iravani, Mitra Amini, Aida Doostkam, Mahnaz Dehbozorgian
INTRODUCTION: The script concordance test (SCT) is one the best tools used to evaluate clinical reasoning in ill-defined clinical situations. The aim of this study was to demonstrate SCT application in otolaryngology residency training. METHODS: A 20 item otolaryngology SCT containing 60 questions was administered to 26 otolaryngology residents. The test was prepared by two otolaryngologists familiar to medical education. These questions have been validated by otolaryngology experts...
April 2016: Journal of Advances in Medical Education & Professionalism
Caroline Faucher, Marie-Pier Dufour-Guindon, Gabrielle Lapointe, Robert Gagnon, Bernard Charlin
BACKGROUND: Clinical reasoning is central to any health profession but its development among learners is difficult to assess. Over the last few decades, the script concordance test (SCT) has been developed to solve this dilemma and has been used in many health professions; however, no study has been published on the use of the script concordance test in optometry. The purpose of this study was to develop and validate a script concordance test for the field of optometry. METHODS: A 101-question script concordance test (27 short clinical scenarios) was developed and administered online to a convenience sample of 23 second-year and 19 fourth-year students of optometry...
May 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
Alexandre Roberti, Maria do Rosário Ferraz Roberti, Edna Regina Silva Pereira, Nilce Maria da Silva Campos Costa
CONTEXT AND OBJECTIVE: Routine use of the script concordance test (SCT) is not common in Brazilian universities. This study aimed to analyze application of the SCT in the medical school of a Brazilian university. DESIGN AND SETTING: Quantitative, analytical and descriptive study in the medical school of a Brazilian university. METHODS: A total of 159/550 students participated. The test comprised ten clinical cases within internal medicine, with five items per case, rated on a five-point Likert scale...
April 2016: São Paulo Medical Journal, Revista Paulista de Medicina
S Couraud, P Girard, N Girard, P-J Souquet, B Coiffard, B Charlin, B Milleron
BACKGROUND: Annual screening for lung cancer using low-dose CT-scans is associated with decreased mortality. A survey conducted in Rhône-Alpes area in France found that clinicians need education and information on this topic. Script concordance tests (SCT) are a tool for assessing clinical reasoning in situations of uncertainty. They have not previously been used in France in the context of continuing medical education. METHOD: We created a questionnaire with 5 multiple-choice questions (MCQ) and two SCT scenarios...
May 2016: Revue des Maladies Respiratoires
Prakadeshwari Rajapreyar, Karen Marcdante, Liyun Zhang, Pippa Simpson, Michael Meyer
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
Jyoti Nath Modi, Anshu, Piyush Gupta, Tejinder Singh
Clinical reasoning is a core competency expected to be acquired by all clinicians. It is the ability to integrate and apply different types of knowledge, weigh evidence critically and reflect upon the process used to arrive at a diagnosis. Problems with clinical reasoning often occur because of inadequate knowledge, flaws in data gathering and improper approach to information processing. Some of the educational strategies which can be used to encourage acquisition of clinical reasoning skills are: exposure to a wide variety of clinical cases, activation of previous knowledge, development of illness scripts, sharing expert strategies to arrive at a diagnosis, forcing students to prioritize differential diagnoses; and encouraging reflection, metacognition, deliberate practice and availability of formative feedback...
September 2015: Indian Pediatrics
S H Wan
The script concordance test is a relatively new format of written assessment that is used to assess higher-order clinical reasoning and data interpretation skills in medicine. Candidates are presented with a clinical scenario, followed by the reveal of a new piece of information. The candidates are then asked to assess whether this additional information increases or decreases the probability or likelihood of a particular diagnostic, investigative, or management decision. To score these questions, the candidate's decision in each question is compared with that of a reference panel of expert clinicians...
October 2015: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Vincent Compère, Jérôme Moriceau, Antoine Gouin, Pierre-Gildas Guitard, Cédric Damm, Delphine Provost, Roman Gillet, Véronique Fourdrinier, Bertrand Dureuil
BACKGROUND: This pilot study attempted to evaluate the impact of a practice exchange group (PEG) tutored by a senior anaesthesiologist on clinical reasoning performance of anaesthesiology residents for uncertain situations. Changes in clinical reasoning were measured by script concordance tests (SCT). METHODS: First, a curriculum, with educational objectives and assessment tools, was proposed to all residents at the beginning of their 6-month training. The first group (control) consisted of residents undergoing a 6-month rotation without PEG training...
February 2015: Anaesthesia, Critical Care & Pain Medicine
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