| Title: |
Assessing clinical reasoning using a script concordance test with electrocardiogram in an emergency medicine clerkship rotation |
| Authors: |
Boulouffe, Caroline; Doucet, Bruno; Muschart, Xavier; Charlin, Bernard; Vanpee, Dominique |
| Contributors: |
UCL - (MGD) Services des urgences; UCL - SSS/IREC/MONT - Pôle Mont Godinne; UCL - SSS/IRSS - Institut de recherche santé et société |
| Source: |
European Journal of Emergency Medicine, Vol. 31, no. 4, p. 313-316 (2014) |
| Publisher Information: |
BMJ Pub. Group |
| Publication Year: |
2014 |
| Collection: |
DIAL@USL-B (Université Saint-Louis, Bruxelles) |
| Description: |
OBJECTIVES: Script concordance tests (SCTs) can be used to assess clinical reasoning, especially in situations of uncertainty, by comparing the responses of examinees with those of emergency physicians. The examinee's answers are scored based on the level of agreement with responses provided by a panel of experts. Emergency physicians are frequently uncertain in the interpretation of ECGs. Thus, the aim of this study was to validate an SCT combined with an ECG. METHODS: An SCT-ECG was developed. The test was administered to medical students, residents and emergency physicians. Scoring was based on data from a panel of 12 emergency physicians. The statistical analyses assessed the internal reliability of the SCT (Cronbach's α) and its ability to discriminate between the different groups (ANOVA followed by Tukey's post hoc test). RESULTS: The SCT-ECG was administered to 21 medical students, 19 residents and 12 emergency physicians. The internal reliability was satisfactory (Cronbach's α=0.80). Statistically significant differences were found between the groups (F0.271=21.07; p |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
boreal:125515; http://hdl.handle.net/2078.1/125515; info:pmid/23539495 |
| DOI: |
10.1136/emermed-2012-201737 |
| Availability: |
http://hdl.handle.net/2078.1/125515; https://doi.org/10.1136/emermed-2012-201737 |
| Rights: |
info:eu-repo/semantics/restrictedAccess |
| Accession Number: |
edsbas.EB0CBCC7 |
| Database: |
BASE |