Formative Assessment of Diagnostic Testing ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Formative Assessment of Diagnostic Testing in Family Medicine with Comprehensive MCQ Followed by Certainty-Based Mark.
Author(s) :
Herbaux, Charles [Auteur]
CHU Montpellier = Montpellier University Hospital
425779|||Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille]
447578|||University Hospital of Montpellier
Dupré, Aurélie [Auteur]
Centre Interuniversitaire de Recherche en Education de Lille - ULR 4354 [CIREL]
Rénier, Wendy [Auteur]
CHU Montpellier = Montpellier University Hospital
Gabellier, Ludovic [Auteur]
CHU Montpellier = Montpellier University Hospital
Chazard, Emmanuel [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lambert, Philippe [Auteur]
CHU Montpellier = Montpellier University Hospital
Sobanski, Vincent [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gosset, Didier [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Lacroix, Dominique [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Truffert, Patrick [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
CHU Montpellier = Montpellier University Hospital
425779|||Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille]
447578|||University Hospital of Montpellier
Dupré, Aurélie [Auteur]
Centre Interuniversitaire de Recherche en Education de Lille - ULR 4354 [CIREL]
Rénier, Wendy [Auteur]
CHU Montpellier = Montpellier University Hospital
Gabellier, Ludovic [Auteur]
CHU Montpellier = Montpellier University Hospital
Chazard, Emmanuel [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lambert, Philippe [Auteur]
CHU Montpellier = Montpellier University Hospital
Sobanski, Vincent [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gosset, Didier [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Lacroix, Dominique [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Truffert, Patrick [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Journal title :
Healthcare (Basel)
Abbreviated title :
Healthcare (Basel)
Volume number :
10
Publication date :
2022-08-28
ISSN :
2227-9032
English keyword(s) :
education
diagnostics
diagnostics
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Introduction: The choice of diagnostic tests in front of a given clinical case is a major
part of medical reasoning. Failure to prescribe the right test can lead to serious diagnostic errors.
Furthermore, unnecessary ...
Show more >Introduction: The choice of diagnostic tests in front of a given clinical case is a major part of medical reasoning. Failure to prescribe the right test can lead to serious diagnostic errors. Furthermore, unnecessary medical tests are a waste of money and could possibly generate injuries to patients, especially in family medicine. Methods: In an effort to improve the training of our students to the choice of laboratory and imaging studies, we implemented a specific multiple-choice questions (MCQ), called comprehensive MCQ (cMCQ), with a fixed and high number of options matching various basic medical tests, followed by a certainty-based mark (CBM). This tool was used in the assessment of diagnostic test choice in various clinical cases of general practice in 456 sixth-year medical students. Results: The scores were significantly correlated with the traditional exams (standard MCQ), with matched themes. The proportion of “cMCQ/CBM score” variance explained by “standard MCQ score” was 21.3%. The cMCQ placed students in a situation closer to practice reality than standard MCQ. In addition to its usefulness as an assessment tool, those tests had a formative value and allowed students to work on their ability to measure their doubt/certainty in order to develop a reflexive approach, required for their future professional practice. Conclusion: cMCQ followed by CBM is a feasible and reliable evaluation method for the assessment of diagnostic testing.Show less >
Show more >Introduction: The choice of diagnostic tests in front of a given clinical case is a major part of medical reasoning. Failure to prescribe the right test can lead to serious diagnostic errors. Furthermore, unnecessary medical tests are a waste of money and could possibly generate injuries to patients, especially in family medicine. Methods: In an effort to improve the training of our students to the choice of laboratory and imaging studies, we implemented a specific multiple-choice questions (MCQ), called comprehensive MCQ (cMCQ), with a fixed and high number of options matching various basic medical tests, followed by a certainty-based mark (CBM). This tool was used in the assessment of diagnostic test choice in various clinical cases of general practice in 456 sixth-year medical students. Results: The scores were significantly correlated with the traditional exams (standard MCQ), with matched themes. The proportion of “cMCQ/CBM score” variance explained by “standard MCQ score” was 21.3%. The cMCQ placed students in a situation closer to practice reality than standard MCQ. In addition to its usefulness as an assessment tool, those tests had a formative value and allowed students to work on their ability to measure their doubt/certainty in order to develop a reflexive approach, required for their future professional practice. Conclusion: cMCQ followed by CBM is a feasible and reliable evaluation method for the assessment of diagnostic testing.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T03:27:07Z
2024-01-16T09:55:37Z
2024-01-16T09:55:37Z
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