Display options
Cite
Kazour F, Richa S, Zoghbi M, et al. Using the Script Concordance Test to Evaluate Clinical Reasoning Skills in Psychiatry. Acad Psychiatry. 2016;41(1):86-90doi: 10.1007/s40596-016-0539-6.
Kazour, F., Richa, S., Zoghbi, M., El-Hage, W., & Haddad, F. G. (2017). Using the Script Concordance Test to Evaluate Clinical Reasoning Skills in Psychiatry. Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 41(1), 86-90. https://doi.org/10.1007/s40596-016-0539-6
Kazour, François, et al. "Using the Script Concordance Test to Evaluate Clinical Reasoning Skills in Psychiatry." Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry vol. 41,1 (2017): 86-90. doi: https://doi.org/10.1007/s40596-016-0539-6
Kazour F, Richa S, Zoghbi M, El-Hage W, Haddad FG. Using the Script Concordance Test to Evaluate Clinical Reasoning Skills in Psychiatry. Acad Psychiatry. 2017 Feb;41(1):86-90. doi: 10.1007/s40596-016-0539-6. Epub 2016 May 13. PMID: 27178278.
Copy Download .nbib Format: NLM
Share it on

Acad Psychiatry. 2017 Feb;41(1):86-90. doi: 10.1007/s40596-016-0539-6. Epub 2016 May 13.

Using the Script Concordance Test to Evaluate Clinical Reasoning Skills in Psychiatry.

Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

François Kazour, Sami Richa, Marouan Zoghbi, Wissam El-Hage, Fady G Haddad

Affiliations

  1. Faculty of Medicine, Saint Joseph University, Beirut, Lebanon. [email protected].
  2. Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
  3. Université François-Rabelais de Tours, Inserm UMR U930, Tours, France.

PMID: 27178278 DOI: 10.1007/s40596-016-0539-6

Abstract

OBJECTIVES: Although clinical reasoning is a major component of psychiatric training, most evaluating tools do not assess this skill properly. Clinicians mobilize networks of organized knowledge (scripts) to assess ambiguous or uncertain situations. The Script Concordance Test (SCT) was developed to assess clinical reasoning in an uncertainty context. The objective of this study was to test the usefulness of the SCT to assess the reasoning capacities of interns (7th year medical students) during the psychiatry training.

METHODS: The authors designed a SCT for psychiatry teaching, adapted to interns. The test contained 20 vignettes of five questions each. A reference panel of senior psychiatrists underwent the test, and we used their scoring as a reference for the student group. The SCT assessed the competence of students at the beginning and the end of their training in psychiatry.

RESULTS: A panel of 10 psychiatrists and 47 interns participated to this study. As expected, the reference panel performed significantly (p<0.001) better (79.4±5.1) than the students on the SCT. Interns improved significantly (p<0.001) their scores between the beginning (58.5±6.2) and the end (65.0±5.3) of their psychiatry rotation. The students improved significantly (p<0.001) their scores between the beginning and the end of the training (6.4±4.8).

CONCLUSIONS: This is the first study using the SCT in psychiatry. This study shows the feasibility of this procedure and its utility in the field of psychiatry for evaluating medical students in their clinical reasoning competence. It can provide a valid alternative to classical evaluation methods.

Keywords: Evaluation; Intern; Psychiatry; Reasoning; Script concordance test

MeSH terms

Publication Types