TY - JOUR
T1 - Assessment of competence in clinical reasoning and decision making under uncertainty
T2 - The Script Concordance Test method
AU - Ramaekers, S.P.J.
AU - Kremer, W.D.J.
AU - Pilot, A.
AU - van Beukelen, P.
AU - van Keulen, J.
PY - 2010
Y1 - 2010
N2 - Real-life, complex problems often require that decisions are made despite limited information or insufficient time to explore all relevant aspects. Incorporating authentic uncertainties into an assessment, however, poses problems in establishing results and analysing its methodological qualities.
This study aims at the development of a test on clinical decision making in veterinary medicine, and establishing its reliability and validity. The test is based on the Script Concordance Test format and covers a large sample of authentic cases and uncertainties. The answer key was compiled with reference to the professional judgements and decisions of a panel of experienced practitioners.
From a substantive appraisal of the cases and items, analysis of the test results, and the responses from the experienced practitioners, it is concluded that this test validly represents the problems, decisions and uncertainties of clinical practice. In spite of the hindrances caused by the uncertainties included in the test, the reliability and validity of the test and its results could be evaluated and proved to meet measurement criteria.
AB - Real-life, complex problems often require that decisions are made despite limited information or insufficient time to explore all relevant aspects. Incorporating authentic uncertainties into an assessment, however, poses problems in establishing results and analysing its methodological qualities.
This study aims at the development of a test on clinical decision making in veterinary medicine, and establishing its reliability and validity. The test is based on the Script Concordance Test format and covers a large sample of authentic cases and uncertainties. The answer key was compiled with reference to the professional judgements and decisions of a panel of experienced practitioners.
From a substantive appraisal of the cases and items, analysis of the test results, and the responses from the experienced practitioners, it is concluded that this test validly represents the problems, decisions and uncertainties of clinical practice. In spite of the hindrances caused by the uncertainties included in the test, the reliability and validity of the test and its results could be evaluated and proved to meet measurement criteria.
U2 - 10.1080/02602938.2010.500103
DO - 10.1080/02602938.2010.500103
M3 - Article
SN - 0260-2938
VL - 35
SP - 661
EP - 673
JO - Assessment and Evaluation in Higher Education
JF - Assessment and Evaluation in Higher Education
IS - 6
ER -