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首页> 外文期刊>The American Journal of Surgery >Assessing clinical judgment using the Script Concordance test: The importance of using specialty-specific experts to develop the scoring key
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Assessing clinical judgment using the Script Concordance test: The importance of using specialty-specific experts to develop the scoring key

机译：使用Script Concordance测试评估临床判断：使用专业专家制定评分标准的重要性

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Background: The Script Concordance test (SCT) assesses clinical judgment. The purpose of this study was to determine whether a specialty-specific scoring key improves the validity of the SCT. Methods: Thirty experts from 6 general surgery disciplines answered questions pertaining to their area of expertise. We created a scoring key of 5 amalgamated expert panel members. The answers of 227 general surgery residents were analyzed. Results: The optimized test had a reliability level (Cronbach ??) of.81. Scores increased progressively throughout all levels of training, with R5s scoring higher than R4s (R1, 42.7 ?? 7.1; R2, 47.6 ?? 7.5; R3, 48.7 ?? 6.7; R4, 49.8 ?? 7.7; R5, 52.9 ?? 9.3). The average score of juniors (R1s + R2s, 45.1 ?? 7.6) was significantly lower (P <.001) than seniors (R3s + R4s + R5s, 50.4 ?? 8.0). Conclusions: We showed that specialty-specific experts must be used to develop the scoring key. This has important implications in the application of the SCT on a wider level. ? 2013 Elsevier Inc. All rights reserved.
机译：背景：脚本一致性测试（SCT）评估临床判断。这项研究的目的是确定特定专业的计分钥匙是否可以提高SCT的有效性。方法：来自6个普通外科学科的30名专家回答了有关其专业领域的问题。我们创建了一个由5个专家小组成员组成的计分键。分析了227名普外科住院医师的答案。结果：优化测试的可靠性等级（Cronbach ??）为0.81。在所有级别的培训中，分数都逐渐提高，R5的得分高于R4（R1，42.7 7.1; R2，47.6 7.5; R3，48.7 6.7; R4，49.8 7.7; R5，52.9 9.3 ）。大三学生的平均分数（R1s + R2s，45.1±7.6）显着低于老年人（R3s + R4s + R5s，50.4±8.0）（P <.001）。结论：我们表明必须使用专业专家来制定评分标准。这对于更广泛地应用SCT具有重要的意义。 ？ 2013 Elsevier Inc.保留所有权利。

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