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The Script Concordance test: a tool to assess the reflective clinician
B Charlin1, L Roy, C Brailovsky
1Faculty of Medicine, University of Montreal, C.P. 6128, Succ. Centre-ville, Montréal, Québec, H3C 3J7, Canada. charlinb@meddir.umontreal.ca
Teaching and Learning in Medicine
|March 29, 2001
Summary
The Script Concordance (SC) test assesses clinical knowledge organization by comparing examinee responses to expert scripts. This guide provides educators with practical instructions for creating and implementing this reliable assessment tool.
Area of Science:
- Medical Education Assessment
- Knowledge Organization in Clinical Practice
- Psychometric Evaluation of Educational Tools
Background:
- The Script Concordance (SC) test is an innovative assessment tool designed to evaluate the organization of examinee knowledge for clinical decision-making.
- It simulates authentic clinical scenarios, requiring examinees to interpret data and make informed decisions.
Purpose of the Study:
- To measure the alignment between examinees' clinical knowledge organization ('scripts') and those of expert panels.
- To offer educators practical guidance on constructing and utilizing the SC test.
Main Methods:
- Detailed description of the theoretical underpinnings of the SC test.
- Principles for SC test construction, including case writing, item format selection, validation procedures, and scoring system development.
Main Results:
- Studies indicate the SC test possesses favorable psychometric properties, including reliability, face validity, and construct validity.
- Key findings from validation studies are presented and discussed.
Conclusions:
- The SC test offers a straightforward method for evaluating the organization and application of clinical knowledge.
- Advantages include ease of construction, use, and machine-scorable format, suitable for various educational levels.