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Impact of panelists' experience on script concordance test scores of medical students
- Source :
- BMC Medical Education, Vol 20, Iss 1, Pp 1-8 (2020), BMC Medical Education
- Publication Year :
- 2020
-
Abstract
- Background The evaluation process of French medical students will evolve in the next few years in order to improve assessment validity. Script concordance testing (SCT) offers the possibility to assess medical knowledge alongside clinical reasoning under conditions of uncertainty. In this study, we aimed at comparing the SCT scores of a large cohort of undergraduate medical students, according to the experience level of the reference panel. Methods In 2019, the authors developed a 30-item SCT and sent it to experts with varying levels of experience. Data analysis included score comparisons with paired Wilcoxon rank sum tests and concordance analysis with Bland & Altman plots. Results A panel of 75 experts was divided into three groups: 31 residents, 21 non-experienced physicians (NEP) and 23 experienced physicians (EP). Among each group, random samples of N = 20, 15 and 10 were selected. A total of 985 students from nine different medical schools participated in the SCT examination. No matter the size of the panel (N = 20, 15 or 10), students’ SCT scores were lower with the NEP group when compared to the resident panel (median score 67.1 vs 69.1, p p N = 15 and 67.7 vs 68.4, p N = 10) and with EP compared to NEP (65.4 vs 67.1, p p p Conclusions Even though student SCT scores differed statistically according to the expert panels, these differences were rather weak. These results open the possibility of including less-experienced experts in panels for the evaluation of medical students.
- Subjects :
- Medical knowledge
medicine.medical_specialty
Students, Medical
020205 medical informatics
Wilcoxon signed-rank test
Concordance
lcsh:Medicine
02 engineering and technology
Statistics, Nonparametric
Education
03 medical and health sciences
0302 clinical medicine
0202 electrical engineering, electronic engineering, information engineering
medicine
Humans
030212 general & internal medicine
Experience level
Medical student
Median score
Medical education
lcsh:LC8-6691
Script concordance test
lcsh:Special aspects of education
business.industry
lcsh:R
Clinical reasoning
Uncertainty
General Medicine
Panelist
Test (assessment)
Large cohort
Physical therapy
Clinical Competence
Educational Measurement
business
Research Article
Subjects
Details
- ISSN :
- 14726920
- Volume :
- 20
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC medical education
- Accession number :
- edsair.doi.dedup.....af979eedcc08ce5dc541d4dbbddc0323