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Assessing clinical reasoning in optometry using the script concordance test.

Caroline Faucher1, Marie-Pier Dufour-Guindon2, Gabrielle Lapointe3

  • 1École d'optométrie, Université de Montréal, Montréal, Canada. caroline.faucher@umontreal.ca.

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Summary
This summary is machine-generated.

A new script concordance test (SCT) for optometry was developed and validated. This reliable tool effectively differentiates between second- and fourth-year optometry students, offering a novel assessment method.

Keywords:
assessmentclinical reasoningeducationoptometryscript concordance test

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Area of Science:

  • Optometry education
  • Clinical assessment tools
  • Health professions education

Background:

  • Clinical reasoning is crucial in healthcare but challenging to assess in trainees.
  • The script concordance test (SCT) is a validated tool for assessing clinical reasoning across health professions.
  • No SCT had been previously developed or validated for optometry.

Purpose of the Study:

  • To develop and validate a script concordance test (SCT) specifically for optometry.
  • To assess the reliability and discriminatory ability of the developed SCT.

Main Methods:

  • A 101-question SCT was created and administered online to optometry students (second- and fourth-year) and experienced optometrists.
  • Item-total correlations were calculated, and Cronbach's alpha was used to assess reliability.
  • A t-test was employed to compare scores between student groups.

Main Results:

  • A 77-question SCT was finalized after removing items with low item-total correlation.
  • The optimized SCT demonstrated good reliability (Cronbach's alpha = 0.80).
  • Fourth-year students scored significantly higher than second-year students, indicating the SCT's ability to discriminate between learner levels.

Conclusions:

  • The developed online SCT is a reliable and valid assessment tool for optometry.
  • The SCT can effectively differentiate clinical reasoning skills between different levels of optometry students.
  • This study introduces the SCT as a valuable addition to optometric educators' assessment repertoire.