Document Detail

Standardized assessment of reasoning in contexts of uncertainty: the script concordance approach.
MedLine Citation:
PMID:  15312287     Owner:  NLM     Status:  MEDLINE    
Current written tools of assessment are mostly measuring the capacity to solve well-defined problems by the application of rules and principles, while the essence of expertise in the professions lies in the capacity to solve ill-defined problems, that is, reasoning in contexts of uncertainty. The purpose of this study is to describe an approach that allows assessing ill-defined problems and to present and discuss research findings related to this approach. The tool has been used up to now mainly in medicine, however it can be applied in all health professions. The approach is based on three principles: (a) examinees are faced with a challenging authentic situation in which several options are relevant; (b) the response format is a Likert-type scale that reflects the way information is processed in problem-solving situations, according to the script theory; and (c) scoring is based on the aggregate scoring method to take into account the variability of reasoning processes among experts. Research findings suggest that the approach permits one to reliably discriminate examinees across their level of experience, and so in very different domains. It makes it possible to measure skills or domains that were up to now difficult to measure.
Bernard Charlin; Cees van der Vleuten
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Evaluation & the health professions     Volume:  27     ISSN:  0163-2787     ISO Abbreviation:  Eval Health Prof     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-17     Completed Date:  2004-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805992     Medline TA:  Eval Health Prof     Country:  United States    
Other Details:
Languages:  eng     Pagination:  304-19     Citation Subset:  H; T    
University of Montreal.
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MeSH Terms
Clinical Competence*
Decision Making
Educational Measurement
Internship and Residency*
Problem Solving*
Reproducibility of Results

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