Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?

Knowledge, Attitudes, Practice Clinical Trial

Official title:

Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03938610
• Other study ID #: FWH20190010H
• Status: Recruiting
• Start date: June 1, 2019
• Est. completion date: June 2024

Study information

• Verified date: January 2024
• Source: Mike O'Callaghan Military Hospital
• Contact: Jill M Clark, MBA
• Phone: 7026533298
• Email: Jill.M.Clark15.ctr[@]mail.mil
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Delayed or poor identification and remediation of clinical reasoning difficulties can lead to clinician underperformance and can ultimately compromise patient care. To date, no research has been done to see if SCTs correlate with current grading standards (ITE, ABFM certification exam score, ACGME milestones, or failing clinical rotation grades) in Family Medicine Residents. If investigators can identify that an SCT correlates with current standardized testing of Family medicine residents, it could be possible to identify struggling learners prior to poor scores on the ITE, ACGME milestones, or clinical rotations. If a learner does poorly on an SCT early in the academic year the learner can begin a remediation plan to improve their deficits before receiving a failing grade, poor ITE or ACGME milestone scores.

Description:

This study is a longitudinal observation study. A panel of experts (numbering 15-20) consisting of Family Medicine attendings who have been out of residency greater than 3 years will complete the SCT. They will be provided an Informational Consent. Their willingness to be a panel member is their implied consent to be part of the research study.

The basic idea behind SCT is to compare residents' performance with a group of persons who are representatives of the profession (or the specialty) to which they wish to belong. Therefore, panels are made up of physicians with good overall clinical experience in the field rather than experts from narrow parts of the field. Panel composition also depends on the assessment goal.

This study will determine if a Script Concordance Test (SCT) correlates with Family Medicine In Training Exam (ITE) scores, American Board of Family Medicine (ABFM) certification exam scores, Accreditation Council for Graduate Medical Education (ACGME) medical knowledge and patient care milestones, and failing family medicine inpatient clinical rotation grades.

The SCT will be given to PGY1, 2, and 3 residents each year during the Residents three year residency, in June or July.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 130
• Est. completion date: June 2024
• Est. primary completion date: June 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

**Patients must be able to get care at Nellis Air Force Base (a military installation) in order to participate in this study**

Inclusion Criteria:

--Family Medicine resident at 99MDG

Exclusion Criteria:

-- N/A

Related Conditions & MeSH terms

• Knowledge, Attitudes, Practice

Locations

Country	Name	City	State
United States	Mike O'Callaghan Military Medical Center	Las Vegas	Nevada

Sponsors (1)

Lead Sponsor	Collaborator
Pamela Hughes

Country where clinical trial is conducted

United States, 

References & Publications (3)

Fournier JP, Demeester A, Charlin B. Script concordance tests: guidelines for construction. BMC Med Inform Decis Mak. 2008 May 6;8:18. doi: 10.1186/1472-6947-8-18. — View Citation

Gagnon R, Charlin B, Coletti M, Sauve E, van der Vleuten C. Assessment in the context of uncertainty: how many members are needed on the panel of reference of a script concordance test? Med Educ. 2005 Mar;39(3):284-91. doi: 10.1111/j.1365-2929.2005.02092.x. — View Citation

O'Neill TR, Li Z, Peabody MR, Lybarger M, Royal K, Puffer JC. The Predictive Validity of the ABFM's In-Training Examination. Fam Med. 2015 May;47(5):349-56. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	SCT scores compared to ITE scores	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 1
Primary	SCT scores compared to ITE scores	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 2
Primary	SCT scores compared to ITE scores	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 3
Primary	SCT scores compared to ABFM scores	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 1
Primary	SCT scores compared to ABFM scores	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 2
Primary	SCT scores compared to ABFM scores	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 3
Primary	SCT scores compared to family medicine rotation grades	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 1
Primary	SCT scores compared to family medicine rotation grades	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 2
Primary	SCT scores compared to family medicine rotation grades	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 3
Primary	SCT scores compared to ACGME milestones.	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 1
Primary	SCT scores compared to ACGME milestones.	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 2
Primary	SCT scores compared to ACGME milestones.	SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.	year 3
Primary	Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 1
Primary	Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 2
Primary	Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 3
Primary	Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 1
Primary	Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 2
Primary	Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 3
Primary	Binomial SCT classification derived from each interval SCT scores compared to ITE	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 1
Primary	Binomial SCT classification derived from each interval SCT scores compared to ITE	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 2
Primary	Binomial SCT classification derived from each interval SCT scores compared to ITE	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 3
Primary	Binomial SCT classification derived from each interval SCT scores compared to ABFM	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 1
Primary	Binomial SCT classification derived from each interval SCT scores compared to ABFM	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 2
Primary	Binomial SCT classification derived from each interval SCT scores compared to ABFM	A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".	year 3

External Links

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