title: The Script Concordance Test in anesthesiology: Validation of a new tool for assessing clinical reasoning.
abstract: OBJECTIVE
  To evaluate whether the Script Concordance Test (SCT) can discriminate between levels of experience among anesthesiology residents and attending physicians.
  
  
  METHODS
  Multicenter (Toulouse, Nantes, Bordeaux and Limoges), prospective, observational study.
  
  
  METHODS
  A SCT made of 60 items was used to evaluate "junior residents" (n=60), "senior residents" (n=47) and expert anesthesiologists (n=10).
  
  
  RESULTS
  There were no missing data in our study. Mean scores (±SD) were 69.9 (±6.1), 73.1 (±6.5) and 82.0 (±3.5) out of a potential score of 100 for "junior residents", "senior residents" and expert anesthesiologists, respectively. Results were statistically different between the 3 groups (P=0.001) using the Kruskall-Wallis test. The Cronbach's α score was 0.63.
  
  
  CONCLUSIONS
  The SCT is a valid and useful tool for discriminating between anesthesia providers with varying levels of experience in anesthesiology. It may be a useful tool for documenting the progression of reasoning during anesthesia residency.
authors.affiliation: Department of Anesthesiology and Intensive Care, EA 4564, Toulouse University Hospital, Toulouse, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Ducos
authors.affiliation: Department of Anesthesiology and Intensive Care, Nantes University Hospital, Nantes, France.
authors.forename: Corinne
authors.initials: C
authors.lastname: Lejus
authors.affiliation: Department of Anesthesiology and Intensive Care, Bordeaux University Hospital, Bordeaux, France.
authors.forename: François
authors.initials: F
authors.lastname: Sztark
authors.affiliation: Department of Anesthesiology and Intensive Care, Limoges University Hospital, Limoges, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Nathan
authors.affiliation: Department of Anesthesiology and Intensive Care, EA 4564, Toulouse University Hospital, Toulouse, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Fourcade
authors.affiliation: Physiology Laboratory, Inserm U 858, Toulouse University Hospital - Rangueil, Toulouse, France.
authors.forename: Ivan
authors.initials: I
authors.lastname: Tack
authors.affiliation: Department of Anesthesiology and Intensive Care, Nantes University Hospital, Nantes, France.
authors.forename: Karim
authors.initials: K
authors.lastname: Asehnoune
authors.affiliation: Department of Anesthesia, University of Toronto, 150, College Street, Fitzgerald Building, Room 121, Toronto, Ontario, M5S 3E2, Canada.
authors.forename: Matthias
authors.initials: M
authors.lastname: Kurrek
authors.affiliation: Faculty of Medicine, University of Montreal, CP 6128, Succ. Centre-ville, Montréal, Québec, H3C 3J7, Canada.
authors.forename: Bernard
authors.initials: B
authors.lastname: Charlin
authors.affiliation: Department of Anesthesiology and Intensive Care, EA 4564, Toulouse University Hospital, Toulouse, France. Electronic address: minville.v@chu-toulouse.fr.
authors.forename: Vincent
authors.initials: V
authors.lastname: Minville
mesh_terms: D000328:Adult; D000776:Anesthesiology / Q000592:standards*; D002983:Clinical Competence / Q000592:standards*; D004503:Education, Medical, Graduate; D004521:Educational Measurement; D004632:Emergency Medical Services; D005260:Female; D005596:Fractures, Closed / Q000628:therapy; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010820:Physicians / Q000592:standards*; D011446:Prospective Studies
keywords: Anesthesiology; Resident; Script Concordance Test