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Combination of different clinical reasoning tests in a national exam | ||
| Journal of Advances in Medical Education & Professionalism | ||
| مقاله 10، دوره 7، شماره 4، دی 2019، صفحه 230-234 اصل مقاله (455.27 K) | ||
| نوع مقاله: Short Communication | ||
| شناسه دیجیتال (DOI): 10.30476/jamp.2019.83101.1083 | ||
| نویسندگان | ||
| ANAHITA SADEGHI1؛ ALI ALI ASGARI1؛ NEZARALI MOULAEI2؛ VAHID MOHAMMADKARIMI3؛ SOMAYEH DELAVARI4؛ MITRA AMINI* 5؛ SETAREH NASIRI6؛ ROGHAYEH AKBARI7؛ MOJGAN SANJARI8؛ IRAJ SEDIGHI9؛ PARISA KHOSHNEVISASL10؛ MANOUCHEHR KHOSHBATEN11؛ SAEED SAFARI12؛ LEILY MOHAJERZADEH13؛ PARISA NABEIEI14؛ BERNARD CHARLIN15 | ||
| 1Digestive Disease Research Institute, Tehran University of medical Sciences, Tehran, Iran | ||
| 2Infectious Diseases and Tropical Medicine Research Center, Resistant Tuberculosis, Institute, Zahedan University of Medical Sciences, Zahedan, Iran | ||
| 3Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 4Center for Educational Research in Medical Sciences (CERMS), Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran | ||
| 5Quality improvement in Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 6Department of Gynecology Oncology, Iran University of Medical Sciences, Tehran, Iran | ||
| 7Department of Internal Medicine, Babol University of Medical Sciences, Babol, Iran | ||
| 8Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran | ||
| 9Department of Pediatric, Hamedan University of Medical Sciences, Hamedan, Iran | ||
| 10Zanjan Social determinants of health research center, Zanjan University of Medical Sciences, Zanjan, Iran | ||
| 11Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran | ||
| 12Department of Surgery, Firoozgar general hospital, Iran University of Medical Sciences, Tehran, Iran | ||
| 13Pediatric Surgery Research Center (PSRC), Research Institute for Children Health (RICH), Mofid Children’s Hospital (MCH), Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran | ||
| 14Clinical Education Research Center,Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 15Medical School, University of Montreal, Montreal, Canada | ||
| چکیده | ||
| Introduction: Clinical reasoning as a critical and high level of clinical competency should be acquired during medical education, and medical educators should attempt to assess this ability in medical students. Nowadays, there are several ways to evaluate medical students’ clinical reasoning ability in different countries worldwide. There are some well-known clinical reasoning tests such as Key Feature (KF), Clinical Reasoning Problem (CRP), Script Concordance Test (SCT), and Comprehensive Integrative Puzzle (CIP). Each of these tests has its advantages and disadvantages. In this study, we evaluated the reliability of combination of clinical reasoning tests SCT, KF, CIP, and CRP in one national exam and the correlation between the subtest scores of these tests together with the total score of the exam. Methods: A total of 339 high ranked medical students from 60 medical schools in Iran participated in a national exam named “Medical Olympiad”. The ninth Medical Olympiad was held in Shahid Beheshti University of Medical Sciences, Tehran, Iran, under the direct supervision of the Ministry of Health and Medical Education in summer 2017. The expert group designed a combination of four types of clinical reasoning tests to assess both analytical and non-analytical clinical reasoning. Mean scores of SCT, CRP, KF, and CIP were measured using descriptive statistics. Reliability was calculated for each test and the combination of tests using Cronbach’s alpha. Spearman’s correlation coefficient was used to evaluate the correlation between the score of each subtest and the total score. SPSS version 21 was used for data analysis and the level of significance was considered <0.05. Results: The reliability of the combination of tests was 0.815. The reliability of KF was 0.81 and 0.76, 0.80, and 0.92 for SCT, CRP, and CIP, respectively. The mean total score was 169.921±41.54 from 240. All correlations between each clinical reasoning test and total score were significant (P<0.001). The highest correlation (0.887) was seen between CIP score and total score. Conclusion: The study showed that combining different clinical reasoning tests can be a reliable way of measuring this ability. | ||
| کلیدواژه‌ها | ||
| Education؛ Medical assessment؛ Medical students | ||
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