Table 1 Illustration of questions and answering grid format. The item format varies with the object of assessment (e.g. diagnostic, investigation, treatment).
From: Online clinical reasoning assessment with the Script Concordance test: a feasibility study
For diagnostic knowledge assessment | ||
|---|---|---|
If you were thinking of | And then you find | This hypothesis becomes |
(A diagnosis hypothesis) | (A new clinical information, an imaging study or a laboratory test result) | -2 -1 0 +1 +2 |
-2 the hypothesis is almost eliminated -1 the hypothesis becomes less probable 0 the information has no effect on the hypothesis +1 the hypothesis is becoming more probable +2 it can only be this hypothesis | ||
For investigation knowledge assessment | ||
If you were considering to ask | And then you find | This investigation becomes |
(A diagnostic test) | (A new clinical information, an imaging study or a laboratory test result) | -2 -1 0 +1 +2 |
-2 contra-indicated totally or almost totally -1 not useful or even detrimental 0 nor less nor more useful +1 useful +2 absolutely necessary | ||
For treatment knowledge assessment | ||
If you were considering to prescribe | And then you find | The relevance of this treatment becomes |
(A therapeutic option) | (A new clinical information, an imaging study or a laboratory test result) | -2 -1 0 +1 +2 |
-2 contra-indicated totally or almost totally -1 not useful or even detrimental 0 nor less nor more useful +1 useful +2 necessary or absolutely necessary | ||