Accuracy of script concordance tests in fourth-year medical students.

Content Provider	Europe PMC
Author	Nseir, Saad Elkalioubie, Ahmed Deruelle, Philippe Lacroix, Dominique Gosset, Didier
Copyright Year	2017
Abstract	ObjectivesThis investigation aimed to determine the validity ofscript concordance test (SCT), compared with clinical-case-related short-answermanagement problems (SAMP), in fourth-year medical students.MethodsThis retrospective study was conducted at the MedicalSchool of Lille University. Cardiology and gynecology examinations both included 3 SCT and 2 clinical-case-related SAMP. Final score did not include SCT results, andwas out of 20 points. The passing score was ≥10/20. Wilcoxon and McNemar testswere used to compare quantitative and qualitative variables, respectively.Correlation between scores was also analyzed.ResultsA total of 519 and 521 students completed SAMP and SCT in cardiology andgynecology, respectively. Cardiology score was significantly higher in SCT thanSAMP (mean ± SD 13.5±2.4 versus 11.4±2.6, Wilcoxon test, p<0.001). Ingynecology, SCT score was significantly lower than SAMP score (10.8±2.6 versus11.4±2.7, Wilcoxon test, p=0.001). SCT and SAMP scores were significantlycorrelated (p <0.05, Pearson’s correlation). However, percentage of studentswith 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), orgynecology (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 Althoughsignificantly correlated, the scores obtained in SCT and SAMP weresignificantly different in fourth-year medical students. These findings suggestthat SCT should not be used for summative purposes in fourth-year medicalstudents.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5339020&blobtype=pdf
Journal	International Journal of Medical Education [Int J Med Educ]
Volume Number	8
DOI	10.5116/ijme.5898.2f91
PubMed Central reference number	PMC5339020
PubMed reference number	28237977
e-ISSN	20426372
Language	English
Publisher	IJME
Publisher Date	2017-02-25
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use of work provided the original work is properly cited. http://creativecommons.org/licenses/by/3.0/ Copyright: © 2017 Saad Nseir et al.
Subject Keyword	Script concordance tests evaluation fourth-year medical year France
Content Type	Text
Resource Type	Article
Subject	Medicine