title: [Script concordance test for knowledge assessment of lung cancer screening].
abstract: BACKGROUND
  Annual screening for lung cancer using low-dose CT-scans is associated with decreased mortality. A survey conducted in Rhône-Alpes area in France found that clinicians need education and information on this topic. Script concordance tests (SCT) are a tool for assessing clinical reasoning in situations of uncertainty. They have not previously been used in France in the context of continuing medical education.
  
  
  METHODS
  We created a questionnaire with 5 multiple-choice questions (MCQ) and two SCT scenarios. The questionnaire was sent to all clinicians and residents who are members of French-Speaking Respiratory Society or the French Young Pulmonologist Association.
  
  
  RESULTS
  One hundred and ninety answers were analyzed. Seventy percent stated that decreasing mortality was the best criterion for assessing the effectiveness of a cancer screening policy, and 75% that low-dose CT scan was the best test to achieve this in lung cancer screening. Forty-five percent knew the eligibility criteria of the population, and 62% that low-dose CT scan should be performed annually. Participation in tumor boards and certification in oncology were significantly associated with a better score at MCQ and SCT. SCT and MCQ scores were significantly correlated (Spearman's Rho 0.339; P<0.0001).
  
  
  CONCLUSIONS
  SCT are feasible by electronic survey and seem relevant. Improving knowledge of clinicians on lung cancer screening is still critical.
authors.affiliation: Service de pneumologie aiguë spécialisée et cancérologie thoracique, centre hospitalier Lyon Sud, institut du cancer des hospices civils de Lyon, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France; Faculté de médecine et de maïeutique Lyon Sud Charles-Mérieux, université Lyon 1, 69600 Oullins, France. Electronic address: sebastien.couraud@chu-lyon.fr.
authors.forename: S
authors.initials: S
authors.lastname: Couraud
authors.affiliation: Département thoracique, institut mutualiste Montsouris, 75014 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Girard
authors.affiliation: Service de pneumologie, hôpital Louis-Pradel, hospices civils de Lyon, 69500 Bron, France; Faculté de médecine Lyon Est, université Lyon 1, 69100 Villeurbanne, France.
authors.forename: N
authors.initials: N
authors.lastname: Girard
authors.affiliation: Service de pneumologie aiguë spécialisée et cancérologie thoracique, centre hospitalier Lyon Sud, institut du cancer des hospices civils de Lyon, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: P-J
authors.initials: PJ
authors.lastname: Souquet
authors.affiliation: Association des jeunes pneumologues (AJPO2), groupe de travail de la Société de pneumologie de langue française, 66, boulevard Saint-Michel, 75006 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Coiffard
authors.affiliation: Département recherche et développement, centre de pédagogie appliquée aux sciences de la santé, université de Montréal, Montréal, QC, Canada.
authors.forename: B
authors.initials: B
authors.lastname: Charlin
authors.affiliation: Intergroupe francophone de cancérologie thoracique, 75010 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Milleron
mesh_terms: D000328:Adult; D002983:Clinical Competence; D055088:Early Detection of Cancer / Q000379:methods / Q000592:standards; D004502:Education, Medical, Continuing / Q000379:methods* / Q000592:standards; D004521:Educational Measurement / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D019359:Knowledge; D008175:Lung Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000592:standards; D013337:Students, Medical; D011795:Surveys and Questionnaires / Q000592:standards
keywords: Cancer du poumon; Cancer screening; Dépistage du cancer; Lung cancer; Medical education; Pédagogie médicale; Script concordance test; Test de concordance de script