TY - JOUR
T1 - Assessing clinical reasoning in airway related cases among anesthesiology fellow residents using Script Concordance Test (SCT)
AU - Omega, Andy
AU - Wijaya Ramlan, Andi Ade
AU - Soenarto, Ratna Farida
AU - Heriwardito, Aldy
AU - Sugiarto, Adhrie
N1 - Funding Information:
The author(s) reported there is no funding associated with the work featured in this article. We would like to thank all the staff at Cipto Mangunkusumo General Hospital and the Faculty of Medicine Universitas Indonesia for the continuous and unending support for this study.
Publisher Copyright:
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Introduction: Clinical reasoning is a core competency for physicians. In the field of anesthesia, many situations require residents to use their clinical reasoning to make quick and appropriate decisions such as during emergency airway cases. The Script Concordance Test (SCT) is a test developed in recent years and validated that objectively assess clinical reasoning ability. However, studies involving SCT to assess clinical reasoning in airway management is scarce. Aim: To evaluate SCT in assessing clinical reasoning for airway management in anesthesiology residents. Method: A cross-sectional study involving residents and anesthesiology consultants from the Department of Anesthesiology and Intensive Care, Faculty of Medicine Universitas Indonesia was conducted to complete SCT. A panel of five anesthesiology consultants with more than 15 years of work experience constructed 20 SCT vignettes based on prevalent airway cases in our center from the past 10 years. Each SCT has three nested questions, with a total of 60 questions, to be answered within 120 min. Results: The SCT of 20 case vignettes with three nested questions were tested on 99 residents from the junior, intermediate, and senior residents, compared to answers from the expert group consisting of ten anesthesiology consultants with more than 5 years of experience. There were significant differences in mean SCT scores in the junior, intermediate, senior and expert groups, 59.3 (46.1–72.8), 64.7 (39.9–74.9), 67.5 (50.6–78.3), and 79.6 (78.4–84.8); p < 0,001 consecutively. Cronbach Alpha 0.69 was obtained, indicating good reliability. Conclusion: Our SCT was proven to be a valid and reliable test instrument to assess the clinical reasoning in airway management for anesthesiology residents. SCT was able to discriminate between groups of different clinical experiences and should be included to evaluate airway competencies in anesthesiology residents.
AB - Introduction: Clinical reasoning is a core competency for physicians. In the field of anesthesia, many situations require residents to use their clinical reasoning to make quick and appropriate decisions such as during emergency airway cases. The Script Concordance Test (SCT) is a test developed in recent years and validated that objectively assess clinical reasoning ability. However, studies involving SCT to assess clinical reasoning in airway management is scarce. Aim: To evaluate SCT in assessing clinical reasoning for airway management in anesthesiology residents. Method: A cross-sectional study involving residents and anesthesiology consultants from the Department of Anesthesiology and Intensive Care, Faculty of Medicine Universitas Indonesia was conducted to complete SCT. A panel of five anesthesiology consultants with more than 15 years of work experience constructed 20 SCT vignettes based on prevalent airway cases in our center from the past 10 years. Each SCT has three nested questions, with a total of 60 questions, to be answered within 120 min. Results: The SCT of 20 case vignettes with three nested questions were tested on 99 residents from the junior, intermediate, and senior residents, compared to answers from the expert group consisting of ten anesthesiology consultants with more than 5 years of experience. There were significant differences in mean SCT scores in the junior, intermediate, senior and expert groups, 59.3 (46.1–72.8), 64.7 (39.9–74.9), 67.5 (50.6–78.3), and 79.6 (78.4–84.8); p < 0,001 consecutively. Cronbach Alpha 0.69 was obtained, indicating good reliability. Conclusion: Our SCT was proven to be a valid and reliable test instrument to assess the clinical reasoning in airway management for anesthesiology residents. SCT was able to discriminate between groups of different clinical experiences and should be included to evaluate airway competencies in anesthesiology residents.
KW - airway management
KW - anesthesiology residents
KW - clinical reasoning
KW - evaluation test
KW - Script concordance test
UR - http://www.scopus.com/inward/record.url?scp=85140167401&partnerID=8YFLogxK
U2 - 10.1080/10872981.2022.2135421
DO - 10.1080/10872981.2022.2135421
M3 - Article
C2 - 36258663
AN - SCOPUS:85140167401
VL - 27
JO - Medical Education Online
JF - Medical Education Online
SN - 1087-2981
IS - 1
M1 - 2135421
ER -