NCT03938610

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

• Status: Active Not Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 79 (actual)
• Sponsor: Pamela Hughes · Federal
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

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.

Detailed 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.

Conditions

• Knowledge, Attitudes, Practice

Timeline

• Start date: 2019-06-01
• Primary completion: 2026-06-01
• Completion: 2026-06-01
• First posted: 2019-05-06
• Last updated: 2025-07-23

Locations

1 site across 1 country: United States