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Script concordance testing in genetic counseling training: A pilot study.

Yakira S Begun1, Lila R Stange1, Claire R Davis1

  • 1Sarah Lawrence College Joan H. Marks Graduate Program in Human Genetics, Bronxville, New York, USA.

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Summary
This summary is machine-generated.

This study demonstrates that script concordance testing reliably measures clinical reasoning skills in genetic counseling trainees. This standardized tool offers an objective method for assessing trainees before graduation.

Keywords:
clinical reasoningdecision-makingeducationgenetic counselingscript concordance testuncertainty

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Area of Science:

  • Medical Education
  • Genetic Counseling
  • Healthcare Training

Background:

  • Clinical reasoning is crucial for genetic counselors, yet difficult to assess.
  • Standardized assessment of clinical reasoning is needed in healthcare education.
  • Script concordance testing is a validated method for assessing clinical reasoning in ambiguous situations.

Purpose of the Study:

  • To pilot script concordance testing for assessing clinical reasoning in genetic counseling trainees.
  • To evaluate the utility and reliability of this tool in a genetic counseling training program.
  • To establish an objective measure for genetic counseling trainees' clinical reasoning skills.

Main Methods:

  • Developed a script concordance test tailored for genetic counseling.
  • Administered the test to 22 genetic counseling students.
  • Used a panel of 12 genetic counselors for expert responses and scoring.
  • Analyzed reliability using Cronbach's alpha and compared scores using Hedge's g.

Main Results:

  • The script concordance test demonstrated good reliability (Cronbach's alpha).
  • Statistically significant differences were found between student and expert panelist scores.
  • The tool proved reliable, standardized, and user-friendly for assessing trainees.

Conclusions:

  • Script concordance testing is a viable and effective tool for measuring clinical reasoning in genetic counseling education.
  • This method allows for objective and standardized assessment of trainees' clinical reasoning skills.
  • Programs can utilize this tool to enhance the evaluation of genetic counseling students prior to graduation.