Clinical reasoning evaluation using script concordance test in primary care residents.

Area of Science:

• Medical Education
• Paediatric Primary Care
• Clinical Reasoning Assessment

Background:

• Paediatric resident clinical reasoning deficiencies hinder effective retraining.
• The Script Concordance Test (SCT) is a valuable tool for assessing clinical reasoning in practice.
• SCT has not been previously utilized for Paediatric Primary Care evaluation in Spain.

Purpose of the Study:

• To develop and validate a Paediatric Primary Care SCT.
• To assess the reliability, validity, and accessibility of the new SCT.
• To evaluate clinical reasoning in paediatric residents and identify factors influencing performance.

Main Methods:

• Development and validation of an SCT questionnaire for Paediatric Primary Care.
• Application of the SCT to a cohort of paediatric residents.
• Collection of demographic and employment data for correlational analysis.

Main Results:

• The developed SCT was approved by an expert committee.
• The SCT demonstrated acceptable reliability and accessibility.
• The SCT successfully differentiated between expert and paediatric internal residents' clinical reasoning.

Conclusions:

• A validated Paediatric Primary Care SCT was successfully developed.
• The SCT is a reliable and accessible tool for assessing clinical reasoning in this setting.
• Performance on the SCT was not significantly associated with demographic factors or training specifics, except for second-year residents.