title: [Evaluation of clinical reasoning in urology: contribution of the Script Concordance Test].
abstract: OBJECTIVE
  The Script Concordance test is designed to measure knowledge organization, to allow interpretation of data in clinical decision making. The objective of this study was to assess the value of this new written evaluation instrument to evaluate clinical reasoning in urology.
  
  
  METHODS
  An 80-item examination was completed by a group of medical students (n = 15), a group of urology interns (n = 11), a group of registrars-assistants (n = 7), and a group of experienced urologists (n = 10). The scores obtained were compared by analysis of variance. The reliability of the test was studied by calculating Cronbach's coefficient alpha.
  
  
  RESULTS
  The mean score was 46.95 +/- 6.80 for students, 56.18 +/- 1.73 for interns, 66.27 +/- 4.92 for registrars and 63.38 +/- 2.19 for urologists. The differences observed between the scores for students, interns and urologists were significant. The reliability coefficient was 0.79 for the entire examination.
  
  
  CONCLUSIONS
  This test is able to discriminate various levels of experience in urology. It proposes a simple and direct approach to evaluation of knowledge organization. Further studies are necessary to confirm the contribution of this test to the strategy of evaluation of the clinical skills in urology.
authors.affiliation: Service d'Urologie, Hôpital Charles Nicolle, CHU de Rouen, France. louis.sibert@chu-rouen.fr
authors.forename: L
authors.initials: L
authors.lastname: Sibert
authors.forename: B
authors.initials: B
authors.lastname: Charlin
authors.forename: R
authors.initials: R
authors.lastname: Gagnon
authors.forename: J
authors.initials: J
authors.lastname: Corcos
authors.forename: A
authors.initials: A
authors.lastname: Khalaf
authors.forename: P
authors.initials: P
authors.lastname: Grise
mesh_terms: D002983:Clinical Competence; D011795:Surveys and Questionnaires; D014572:Urology / Q000193:education / Q000592:standards*