Formative Assessment of Diagnostic Testing ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Formative Assessment of Diagnostic Testing in Family Medicine with Comprehensive MCQ Followed by Certainty-Based Mark.
Auteur(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
Titre de la revue :
Healthcare (Basel)
Nom court de la revue :
Healthcare (Basel)
Numéro :
10
Date de publication :
2022-08-28
ISSN :
2227-9032
Mot(s)-clé(s) en anglais :
education
diagnostics
diagnostics
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [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 ...
Lire la suite >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.Lire moins >
Lire la suite >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.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Date de dépôt :
2023-11-15T03:27:07Z
2024-01-16T09:55:37Z
2024-01-16T09:55:37Z
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- healthcare-10-01558-v2.pdf
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