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- Title
Accuracy of script concordance tests in fourth-year medical students.
- Authors
Nseir, Saad; Elkalioubie, Ahmed; Deruelle, Philippe; Lacroix, Dominique; Gosset, Didier
- Abstract
Objectives: This investigation aimed to determine the validity of script concordance test (SCT), compared with clinical-case-related short-answer management problems (SAMP), in fourth-year medical students. Methods: This retrospective study was conducted at the Medical School of Lille University. Cardiology and gynecology examinations both included 3 SCT and 2 clinical-case-related SAMP. Final score did not include SCT results, and was out of 20 points. The passing score was ≥10/20. Wilcoxon and McNemar tests were used to compare quantitative and qualitative variables, respectively. Correlation between scores was also analyzed. Results: A total of 519 and 521 students completed SAMP and SCT in cardiology and gynecology, respectively. Cardiology score was significantly higher in SCT than SAMP (mean ± SD 13.5±2.4 versus 11.4±2.6, Wilcoxon test, p<0.001). In gynecology, SCT score was significantly lower than SAMP score (10.8±2.6 versus 11.4±2.7, Wilcoxon test, p=0.001). SCT and SAMP scores were significantly correlated (p <0.05, Pearson's correlation). However, percentage of students with SCT score ≥ 10/20 was similar among those who passed or failed cardiology (327 of 359 (91%) vs 146 of 160 (91%), χ²=0.004, df =1, p=0.952), or gynecology (274 of 379 (65%) vs 84 of 142 (59%), χ²=1.614, df=1, p=0.204) SAMP test. Cronbach alpha coefficient was 0.31 and 0.92 for all SCT and SAMP, respectively. Conclusions: Although significantly correlated, the scores obtained in SCT and SAMP were significantly different in fourth-year medical students. These findings suggest that SCT should not be used for summative purposes in fourth-year medical students.
- Subjects
MEDICAL education; TEACHING aids; STUDY &; teaching of medicine; MEDICAL students; MEDICAL school curriculum
- Publication
International Journal of Medical Education, 2017, Vol 8, p63
- ISSN
2042-6372
- Publication type
Article
- DOI
10.5116/ijme.5898.2f91