Assessment of clinical reasoning competence in urology with the script concordance test: An exploratory study across two sites from different countries

European Urology

Volumn 41, Issue 3, 2002, Pages 227-233

  Sibert, Louis ^a   Charlin, Bernard ^b   Corcos, Jacques ^c   Gagnon, Robert ^b   Lechevallier, Joel ^d   Grise, Philippe ^a  

^a HÔPITAL CHARLES NICOLLE   (France)

^b UNIVERSITÉ DE MONTRÉAL   (Canada)

^c MCGILL UNIVERSITY   (Canada)

^d Faculty of Medicine   (France)

Author keywords

Assessment; Clinical reasoning; Knowledge structures; Urology

Indexed keywords

ADULT; AGED; ANALYSIS OF VARIANCE; ARTICLE; CANADA; CLINICAL MEDICINE; COMPETENCE; DIAGNOSTIC TEST; FEMALE; FRANCE; HUMAN; JOB PERFORMANCE; LEARNING; MAJOR CLINICAL STUDY; MALE; MEDICAL STUDENT; MENTAL PERFORMANCE; PRIORITY JOURNAL; RELIABILITY; RESIDENCY EDUCATION; SCORING SYSTEM; SCRIPT CONCORDANCE TEST; STATISTICAL ANALYSIS; UROLOGY;

CLINICAL COMPETENCE; EDUCATIONAL MEASUREMENT; FRANCE; HUMANS; QUEBEC; UROLOGY;

EID: 0036522565     PISSN: 03022838     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0302-2838(02)00053-2     Document Type: Article

References (19)

1. Norman GR. Defining competence: A methodological review. In: Neufeld VR, Norman GR, editors. Assessing Clinical Competence, vol. 7. New York: Springer, 1985. p. 15-35.
2. Bordage G. Elaborated knowledge: A key to successful diagnostic thinking. Acad Med 1994;69:883-5.
3. Elstein AS, Shulman LS, Sprafka SA. Medical Problem-Solving: An Analysis of Clinical Reasoning. Cambridge (MA): Harvard University Press, 1978.
4. Barrows HS, Norman GR, Neufeld VR, Feightner JW. The clinical reasoning of randomly selected physicians in medical general practice. Clin Invest Med 1982;5:49-55.
5. Feltovich PJ. Expertise: Reorganizing and refining knowledge for use. Prof Educ Res Notes 1983;4:5-9.
6. Custers JFM, Regher G, Norman GR. Mental representations of medical diagnostic knowledge: A review. Acad Med 1996;71:S55-61.
7. Regher D, Norman GR. Issues in cognitive psychology: Implications for professional education. Acad Med 1996;71:988-1001.
8. Zeitz CM. Some concrete advantages of abstraction: How experts' representations facilitate reasoning. In: Feltovich PJ, Ford KM, Hoffman RR, editors. Expertise in Context: Human and Machine. Memlo Park (CA): AAAI press, 1997. p. 43-65.
9. Feltovich PJ, Barrows HS. Issues of generality in medical problem-solving. In: Schmidt HG, De Volder ML, editors. Tutorials in Problem-Based Learning: A New Direction in Teaching the Health Professions. Assen (Holland): Van Gorcum, 1984. p. 128-42.
10. Schmidt HG, Norman GR, Boshuizen HPA. A cognitive perspective on medical expertise: Theory, and implications. Acad Med 1990;65:611-21.
11. Charlin B, Tardif J, Boshuizen HPA. Scripts and medical diagnostic knowledge: Theory and applications for clinical reasoning instruction and research. Acad Med 2000;75:182-90.
12. Charlin B, Brailovsky CA, Roy L, Van der Vleuten CP. The script concordance test: A tool to assess the reflective physician. Teach Learn Med 2000;12:189-95.
13. Charlin B, Brailovsky CA, Leduc C, Blouin D. The diagnostic script questionnaire: A new tool to assess a specific dimension of clinical competence. Adv Health Sci Educ 1998;20:51-8.
14. Charlin B, Brailovsky CA, Brazeau-Lamontagne L, Samson L, Leduc C. Script questionnaires: Their use for assessment of diagnostic knowledge in radiology. Med Teach 1998;20:567-71.
15. [15J Brailovsky C, Charlin B, Beausoleil S, Coté S, Van der Vleuten C. Measurement of clinical reflective capacity early in training as a predictor of clinical reasoning performance at the end of residency: An experimental study on the script concordance test. Med Educ 2001;35:430-6.
16. Marshall KG, Brailovsky CA, Grand'Maison P. French-English, English-French translation process of an objective structured clinical examination (OSCE) used for licensing family physicians in Quebec. Teach Learn Med 1995;7:115-20.
17. Van der Vleuten CPM. The assessment of professional competence: Development, research and practical implications. Adv Health Sci Educ 1996;1:41-67.
18. Mc Gaghie WC. Evaluating competence for professional practice. In: Curry L, Wegin JF. editors. Educating Professionals: Responding to New Expectations for Competence and Accountability. San Francisco: Jossey-Bath, 1993. p. 229-61.
19. Sibert L, Grand'Maison P, Doucet J, Weber J, Grise P. Initial experience of an objective structured clinical examination in evaluating urology residents. Eur Urol 2000:37:621-7.