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The practicum script concordance test: an online continuing professional development format to foster reflection on
Eduardo H Hornos1, Eduardo M Pleguezuelos, Carlos A Brailovsky
1Practicum Institute of Applied Research in Health Sciences Education, Canada.
Summary
An online continuing professional development (CPD) program using the Practicum Script Concordance Test (SCT) was implemented for physicians. The program showed high satisfaction and feasibility, offering a promising approach to enhancing clinical judgment skills.
Area of Science:
- Medical Education
- Clinical Reasoning
- Professional Development
Background:
- Clinical judgment is crucial for physician expertise, yet developing these skills in complex situations is challenging.
- Continuing professional development (CPD) initiatives struggle to effectively enhance clinical judgment.
- The Practicum Script Concordance Test (SCT) offers a novel online approach to support reflective clinical reasoning.
Purpose of the Study:
- To describe the rationale, principles, and implementation of an online CPD program using the SCT.
- To evaluate the feasibility, participation, and acceptability of this novel CPD initiative.
Main Methods:
- The online program involved daily testing and feedback over one year using SCT items.
- Participants received global and specific feedback, with an option for tutor support.
- Data on feasibility, participation, and acceptability were collected.
Main Results:
- The program was implemented in Mexico with 1901 physicians enrolled.
- Approximately 70% of participants were satisfied with the online format and content.
- Dropout reasons included issues with the SCT concept and time commitment.
Conclusions:
- The online Practicum SCT program aims to foster expertise through practice, reflection, and feedback.
- The program demonstrates originality and promise for CPD.
- Further research is needed to assess its impact on physician practice and patient outcomes.
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