| چکیده انگلیسی مقاله |
Introduction: Clinical reasoning as a critical and high level of clinicalcompetency should be acquired during medical education, and medicaleducators should attempt to assess this ability in medical students. Nowadays,there are several ways to evaluate medical students’ clinical reasoningability in different countries worldwide. There are some well-known clinicalreasoning tests such as Key Feature (KF), Clinical Reasoning Problem(CRP), Script Concordance Test (SCT), and Comprehensive IntegrativePuzzle (CIP). Each of these tests has its advantages and disadvantages. In thisstudy, we evaluated the reliability of combination of clinical reasoning testsSCT, KF, CIP, and CRP in one national exam and the correlation between thesubtest scores of these tests together with the total score of the exam.Methods: A total of 339 high ranked medical students from 60 medicalschools in Iran participated in a national exam named “Medical Olympiad”.The ninth Medical Olympiad was held in Shahid Beheshti University ofMedical Sciences, Tehran, Iran, under the direct supervision of the Ministryof Health and Medical Education in summer 2017. The expert groupdesigned a combination of four types of clinical reasoning tests to assessboth analytical and non-analytical clinical reasoning. Mean scores of SCT,CRP, KF, and CIP were measured using descriptive statistics. Reliabilitywas calculated for each test and the combination of tests using Cronbach’salpha. Spearman’s correlation coefficient was used to evaluate the correlationbetween the score of each subtest and the total score. SPSS version 21 wasused 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 ofKF was 0.81 and 0.76, 0.80, and 0.92 for SCT, CRP, and CIP, respectively. Themean total score was 169.921±41.54 from 240. All correlations between eachclinical reasoning test and total score were significant (P< 0.001). The highestcorrelation (0.887) was seen between CIP score and total score.Conclusion: The study showed that combining different clinical reasoningtests can be a reliable way of measuring this ability. |
| نویسندگان مقاله |
ANAHITA SADEGHI |
Digestive Disease Research Institute, Tehran University of medical Sciences, Tehran, Iran
ALI ALI ASGARI |
Digestive Disease Research Institute, Tehran University of medical Sciences, Tehran, Iran
NEZARALI MOULAEI |
Infectious Diseases and Tropical Medicine Research
Center, Resistant Tuberculosis, Institute, Zahedan University of Medical Sciences, Zahedan, Iran
VAHID MOHAMMADKARIMI |
Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
SOMAYEH DELAVARI |
Center for Educational Research in Medical Sciences (CERMS), Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
MITRA AMINI |
Quality improvement in Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
SETAREH NASIRI |
Department of Gynecology Oncology, Iran University of Medical Sciences, Tehran, Iran
ROGHAYEH AKBARI |
Department of Internal Medicine, Babol University of Medical Sciences, Babol, Iran
MOJGAN SANJARI |
Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
IRAJ SEDIGHI |
Department of Pediatric, Hamedan University of Medical Sciences, Hamedan, Iran
PARISA KHOSHNEVISASL |
Zanjan Social determinants of health research center, Zanjan University of Medical Sciences, Zanjan, Iran
MANOUCHEHR KHOSHBATEN |
Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
SAEED SAFARI |
Department of Surgery, Firoozgar general hospital, Iran University of Medical Sciences, Tehran, Iran
LEILY MOHAJERZADEH |
Pediatric Surgery Research Center (PSRC), Research Institute for Children Health (RICH), Mofid Children’s Hospital (MCH), Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran
PARISA NABEIEI |
Clinical Education Research Center,Shiraz University
of Medical Sciences, Shiraz, Iran
BERNARD CHARLIN |
Medical School, University of Montreal, Montreal, Canada
|