Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?

Study Overview
=================
Brief Summary
-----------------
Delayed or poor identification and remediation of clinical reasoning difficulties can lead to clinician underperformance and can ultimately compromise patient care. To date, no research has been done to see if SCTs correlate with current grading standards (ITE, ABFM certification exam score, ACGME milestones, or failing clinical rotation grades) in Family Medicine Residents. If investigators can identify that an SCT correlates with current standardized testing of Family medicine residents, it could be possible to identify struggling learners prior to poor scores on the ITE, ACGME milestones, or clinical rotations. If a learner does poorly on an SCT early in the academic year the learner can begin a remediation plan to improve their deficits before receiving a failing grade, poor ITE or ACGME milestone scores.

Detailed Description
-----------------
This study is a longitudinal observation study. A panel of experts (numbering 15-20) consisting of Family Medicine attendings who have been out of residency greater than 3 years will complete the SCT. They will be provided an Informational Consent. Their willingness to be a panel member is their implied consent to be part of the research study. The basic idea behind SCT is to compare residents' performance with a group of persons who are representatives of the profession (or the specialty) to which they wish to belong. Therefore, panels are made up of physicians with good overall clinical experience in the field rather than experts from narrow parts of the field. Panel composition also depends on the assessment goal. This study will determine if a Script Concordance Test (SCT) correlates with Family Medicine In Training Exam (ITE) scores, American Board of Family Medicine (ABFM) certification exam scores, Accreditation Council for Graduate Medical Education (ACGME) medical knowledge and patient care milestones, and failing family medicine inpatient clinical rotation grades. The SCT will be given to PGY1, 2, and 3 residents each year during the Residents three year residency, in June or July.

Official Title
-----------------
Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?

Conditions
-----------------
Knowledge, Attitudes, Practice

Participation Criteria
=================
Eligibility Criteria
-----------------
**Patients must be able to get care at Nellis Air Force Base (a military installation) in order to participate in this study** Inclusion Criteria: --Family Medicine resident at 99MDG Exclusion Criteria: -- N/A
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------
What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SCT scores compared to ITE scores | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 1 | 
| SCT scores compared to ITE scores | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 2 | 
| SCT scores compared to ITE scores | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 3 | 
| SCT scores compared to ABFM scores | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 1 | 
| SCT scores compared to ABFM scores | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 2 | 
| SCT scores compared to ABFM scores | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 3 | 
| SCT scores compared to family medicine rotation grades | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 1 | 
| SCT scores compared to family medicine rotation grades | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 2 | 
| SCT scores compared to family medicine rotation grades | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 3 | 
| SCT scores compared to ACGME milestones. | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 1 | 
| SCT scores compared to ACGME milestones. | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 2 | 
| SCT scores compared to ACGME milestones. | SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July. | year 3 | 
| Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones. | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 1 | 
| Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones. | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 2 | 
| Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones. | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 3 | 
| Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades. | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 1 | 
| Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades. | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 2 | 
| Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades. | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 3 | 
| Binomial SCT classification derived from each interval SCT scores compared to ITE | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 1 | 
| Binomial SCT classification derived from each interval SCT scores compared to ITE | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 2 | 
| Binomial SCT classification derived from each interval SCT scores compared to ITE | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 3 | 
| Binomial SCT classification derived from each interval SCT scores compared to ABFM | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 1 | 
| Binomial SCT classification derived from each interval SCT scores compared to ABFM | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 2 | 
| Binomial SCT classification derived from each interval SCT scores compared to ABFM | A fail classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as pass. | year 3 |