Formative Assessment of Diagnostic Testing in Family Medicine with Comprehensive MCQ Followed by Certainty-Based Mark. - Université de Lille Accéder directement au contenu
Article Dans Une Revue Healthcare (Basel) Année : 2022

Formative Assessment of Diagnostic Testing in Family Medicine with Comprehensive MCQ Followed by Certainty-Based Mark.

Résumé

Introduction: The choice of diagnostic tests in front of a given clinical case is a major part 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 to patients, especially in family medicine. Methods: In an effort to improve the training of our students to 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 matching various basic medical tests, followed by a certainty-based mark (CBM). This tool was used in the assessment of diagnostic test choice in various clinical cases of general practice in 456 sixth-year medical 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 reality than standard MCQ. In addition to its usefulness as an assessment tool, those tests had a formative value and allowed students to work on their ability to measure their doubt/certainty in order to develop a reflexive approach, required for their future professional practice. Conclusion: cMCQ followed by CBM is a feasible and reliable evaluation method for the assessment of diagnostic testing.

Mots clés

Fichier principal
Vignette du fichier
healthcare-10-01558-v2.pdf (900.83 Ko) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-04396921 , version 1 (16-01-2024)

Licence

Identifiants

Citer

Charles Herbaux, Aurélie Dupré, Wendy Rénier, Ludovic Gabellier, Emmanuel Chazard, et al.. Formative Assessment of Diagnostic Testing in Family Medicine with Comprehensive MCQ Followed by Certainty-Based Mark.. Healthcare (Basel), 2022, Healthcare (Basel), 10, ⟨10.3390/healthcare10081558⟩. ⟨hal-04396921⟩
14 Consultations
5 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More