Evidence map›Paper›PMID 28819998›Full record

ArticleThe European journal of general practice2017

Reliability and validity of the script concordance test for postgraduate students of general practice.

Julie Subra, Bruno Chicoulaa, André Stillmunkès, Pierre Mesthé, Stéphane Oustric, Marie-Eve Rougé Bugat

Erratum issuedAbstract readValidation Study
In one paragraph

Article in The European journal of general practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Julie Subraa University Department of General Practice , Toulouse-Rangueil Faculty of Medicine , Toulouse , France.
Bruno Chicoulaaa University Department of General Practice , Toulouse-Rangueil Faculty of Medicine , Toulouse , France.
André Stillmunkèsa University Department of General Practice , Toulouse-Rangueil Faculty of Medicine , Toulouse , France.
Pierre Mesthéa University Department of General Practice , Toulouse-Rangueil Faculty of Medicine , Toulouse , France.
Stéphane Oustrica University Department of General Practice , Toulouse-Rangueil Faculty of Medicine , Toulouse , France.
Marie-Eve Rougé Bugata University Department of General Practice , Toulouse-Rangueil Faculty of Medicine , Toulouse , France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe script concordance test (SCT) is a validated method of examining students' clinical reasoning. Medical students' professional skills are assessed during their postgraduate years as they study for a specialist qualification in general practice. However, no specific provision is made for assessing their clinical reasoning during their postgraduate study.

objectiveThe aim was to demonstrate the reliability and validity of the SCT in general practice and to determine if this tool could be used to assess medical students' progress in acquiring clinical reasoning.

methodsA 135-question SCT was administered to postgraduate medical students at the beginning of their first year of specialized training in general practice, and then every six months throughout their three-year training, as well as to a reference panel of 20 expert general practitioners. For score calculation, we used the combined scoring method as the calculator made available by the University of Montreal's School of Medicine in Canada. For the validity, student' scores were compared with experts, p <.05 was considered statistically significant.

resultsNinety students completed all six assessments. The experts' mean score (76.7/100) was significantly higher than the students' score across all assessments (p <.001), with a Cronbach's alpha value of over 0.65 for all assessments.

conclusionThe SCT was found to be reliable and capable of discriminating between students and experts, demonstrating that this test is a valid tool for assessing clinical reasoning skills in general practice.

Indexed as

Students, MedicalClinical CompetenceEducational MeasurementEducation, Medical, GraduateFeasibility StudiesGeneral PracticeGeneral PractitionersHumansLongitudinal StudiesQuebecReproducibility of Resultsclinical reasoninggeneral practicepostgraduate studentsScript concordance test

Identifiers

PMID28819998
PMCPMC5806088

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.