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
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]

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]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Lambert, Philippe [Auteur]
CHU Montpellier = Montpellier University Hospital
Sobanski, Vincent [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gosset, Didier [Auteur]
Unité de Taphonomie médico-légale et Anatomie - ULR 7367 [UTML&A]
Lacroix, Dominique [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Truffert, Patrick [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]

Journal title :

Healthcare (Basel)

Publication date :

2022-08-28

English keyword(s) :

education
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 majorpart of medical reasoning. Failure to prescribe the right test can lead to serious diagnostic errors.Furthermore, unnecessary medical ...
Show more >Introduction: The choice of diagnostic tests in front of a given clinical case is a majorpart 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 topatients, especially in family medicine. Methods: In an effort to improve the training of our studentsto 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 matchingvarious basic medical tests, followed by a certainty-based mark (CBM). This tool was used in theassessment of diagnostic test choice in various clinical cases of general practice in 456 sixth-yearmedical 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 realitythan standard MCQ. In addition to its usefulness as an assessment tool, those tests had a formativevalue and allowed students to work on their ability to measure their doubt/certainty in order todevelop a reflexive approach, required for their future professional practice. Conclusion: cMCQfollowed by CBM is a feasible and reliable evaluation method for the assessment of diagnostic testing.Show less >

Language :

Anglais

Popular science :

Non

Collections :

• Unité de Taphonomie Médico-Légale & d’Anatomie (UTMLA) - ULR 7367

Source :

Harvested from HAL