Author/Authors :
IRAVANI، KAMYAR نويسنده Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran , , Amini، Mitra نويسنده Education Development and Research Center, Shiraz University of Medical Sciences, Shiraz, IRAN Amini, Mitra , DOOSTKAM، AIDA نويسنده Department of Pharmacology, Shiraz University of Medical Sciences, Shiraz, Iran , , DEHBOZORGIAN، MAHNAZ نويسنده Quality Improvement in Clinical Education Research Center, Education Development Center, Shiraz University of Medical Sciences, Shiraz, Iran ,
Abstract :
Introduction: The script concordance test (SCT) is one the best
tools used to evaluate clinical reasoning in ill-defined clinical
situations. The aim of this study was to demonstrate SCT
application in otolaryngology residency training.
Methods: A 20 item otolaryngology SCT containing 60 questions
was administered to 26 otolaryngology residents. The test was
prepared by two otolaryngologists familiar to medical education.
These questions have been validated by otolaryngology
experts. The panel consisted of 9 academic staff in the field of
otolaryngology. Pearson correlation test was used to assess the
reliability of the test.
Results: The obtained mean scores were 68.4±5.8 (out of 100)
for residents and 78.2±6.4 (out of 100) for experts. There was
a significant difference between the two scores (p < 0.005).
Cronbach’s alpha value was 0.80.
Conclusion: The SCT is a reliable tool to evaluate clinical
reasoning in otolaryngology residents. It should be included in
otolaryngology residency training.