Ontology highlight
ABSTRACT: 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. Wilcoxon and McNemar tests were used to compare quantitative and qualitative variables, respectively. Correlation between scores was also analyzed.Results
A total of 519 and 521 students completed SAMP and SCT in cardiology and gynecology, respectively. Cardiology score was significantly higher in SCT than SAMP (mean ± SD 13.5±2.4 versus 11.4±2.6, Wilcoxon test, p<0.001). In gynecology, SCT score was significantly lower than SAMP score (10.8±2.6 versus 11.4±2.7, Wilcoxon test, p=0.001). SCT and SAMP scores were significantly correlated (p <0.05, Pearson's correlation). However, percentage of students with SCT score ? 10/20 was similar among those who passed or failed cardiology (327 of 359 (91%) vs 146 of 160 (91%), ?2=0.004, df =1, p=0.952), or gynecology (274 of 379 (65%) vs 84 of 142 (59%), ?2=1.614, df=1, p=0.204) SAMP test. Cronbach alpha coefficient was 0.31 and 0.92 for all SCT and SAMP, respectively.Conclusions
Although significantly correlated, the scores obtained in SCT and SAMP were significantly different in fourth-year medical students. These findings suggest that SCT should not be used for summative purposes in fourth-year medical students.
SUBMITTER: Nseir S
PROVIDER: S-EPMC5339020 | biostudies-literature | 2017 Feb
REPOSITORIES: biostudies-literature
Nseir Saad S Elkalioubie Ahmed A Deruelle Philippe P Lacroix Dominique D Gosset Didier D
International journal of medical education 20170225
<h4>Objectives</h4>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.<h4>Methods</h4>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 ...[more]