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Master Thesis

Le Test de Concordance de Script comme outil d’évaluation en Néonatologie

Abstract : Background : Script Concordance Test evaluates clinical reasoning in context of incertainty. It aims to evaluate knowledge organization, which represents an essential component of the clinical competence. Aim : To build a script concordance test and demonstrate its relvance in the evaluation of Neonatology skills of fourth year medical students and interns of the Medicine Faculty of Tunis. Methods : A Script Concordance Test including 20 vignettes and 20 items, was provided to 52 fourth year medical students and 11 family medicine interns. The 30 minutes test was completed at the end of the training. Results : Script Concordance Test scores obtained by experts were higher the those obtained by students and family medicine interns. The scores (out of 100) were 82.52 ± 7.35 CI95% [77.26-87.78] for the experts, 58.52 ± 9.72 CI95%[55.82-61.23] (p<0.0001) for the students and 63.17±11.36 CI95% [55.53-70.81] (p<0.0001) for the residents. The difference in scores between students and interns was not statistically significant. Conclusion: Our data suggests that script concordance test could be used to assess the acquisition of clinical reasoning among fourth year medical students in neonatolgy. It differentiates experts and students. The use of script concordance test would be more relevant for the evaluation of residents then students who have yet to acquire marks before handling uncertainty.
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https://dumas.ccsd.cnrs.fr/dumas-01301670
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Submitted on : Tuesday, April 12, 2016 - 4:08:32 PM
Last modification on : Tuesday, September 17, 2019 - 9:40:38 AM
Long-term archiving on: : Tuesday, November 15, 2016 - 1:46:27 AM

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Amira Ben Hamida. Le Test de Concordance de Script comme outil d’évaluation en Néonatologie. Médecine humaine et pathologie. 2015. ⟨dumas-01301670⟩

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