Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/115558
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dc.contributor.authorWan, S.en
dc.contributor.authorDuggan, P.en
dc.contributor.authorTor, E.en
dc.contributor.authorHudson, J.en
dc.date.issued2017en
dc.identifier.citationFocus on Health Professions Education, 2017; 18(2):26-35en
dc.identifier.issn1442-1100en
dc.identifier.issn2204-7662en
dc.identifier.urihttp://hdl.handle.net/2440/115558-
dc.description.abstractIntroduction: The script concordance test (SCT) aims to test clinical decision making and clinical reasoning. This study is a preliminary attempt to understand an alleged testtaking strategy where students avoid extreme response options, potentially threatening the validity of SCT scores. We investigated whether there is a significant association between the propensity to avoid the extreme response options and candidates’ overall SCT scores. Methods: The SCT scores of 660 clinical-year medical students (six cohorts from 2013–2015) were analysed for a possible association with candidates’ response pattern. The proportion of middle range response options was calculated. Propensity to avoid extreme response options is defined as a response pattern with 15% or more of middlerange responses compared to those of the expert reference panel. The distribution for candidates with propensity to avoid the extreme options was further investigated using chi-square statistics for possible association with their overall SCT results. Results: Fifty-five percent of the students from the lowest quartile, compared to 30% from the top quartile, had shown a propensity to avoid the extreme options. The differences were statistically significant (p < 0.001) and were consistent among all six cohorts included in this study. Conclusions: Students whose SCT scores are in the lowest quartile are more likely to avoid the extreme response options in answering SCT questions. For quality assurance in high stakes summative SCTs, it may be worthwhile to select items with expert reference panel’s modal answers covering the full 5-point response options.en
dc.description.statementofresponsibilityS. H. Wan, P. Duggan, E. Tor, J. N. Hudsonen
dc.language.isoenen
dc.publisherAustralian & New Zealand Association for Health Professional Educators (ANZAHPE)en
dc.rights© ANZAHPEen
dc.subjectMedical education; script concordance; clinical reasoning; assessmenten
dc.titleAssociation between candidate total scores and response pattern in script concordance testing of medical studentsen
dc.typeJournal articleen
dc.identifier.rmid0030079791en
dc.identifier.doi10.11157/fohpe.v18i2.145en
dc.identifier.pubid366148-
pubs.library.collectionMedicine publicationsen
pubs.library.teamDS06en
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidHudson, J. [0000-0001-8139-0060]en
Appears in Collections:Medicine publications

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