Script Concordance
IUSM students are assessed on their clinical reasoning skills through the script concordance test (SCT). This tool uses patient vignettes followed by approximately 59 questions for students to indicate how additional information will impact their differential diagnosis or intervention plan. The SCT is given to second year medical students at the beginning of the fall semester. Once scored the students are given feedback from the IUSM faculty. Another administration of the SCT is given during the Emergency Medicine clerkship. The SCT is used to measure a student’s progress in Problem Solving (Competency 8). Questions related to the IUSM Script Concordance Test can be sent to Dr. Butch Humbert, Competency Director–Problem Solving.
Resources:
- Assessing clinical reasoning skills in scenarios of uncertainty: Convergent validity for a script concordance test in an emergency medicine clerkship and residency. Humbert AJ, Besinger B, Miech EJ. Academic Emergency Medicine 2011; 18:627-634.
- Assessment of clinical reasoning: A Script Concordance test designed for pre-clinical medical students. Humbert AJ, Johnson MT, Miech E, Friedberg F, Grackin JA, Seidman PA. Medical Teacher 2011; 33:472-477.
- Humbert, AJ, Seidman, PA, Johnson, MT, Friedberg, F, Grackin, JA, and Miech, E (2010) Assessing the Clinical Reasoning of Medical Students: A Dual-Institution Collaboration to Develop and Validate an Original Script Concordance Test. Medical Teacher (in press)
