Clinical trial NCT03938610: Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?
Official title: Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Knowledge, Attitudes, Practice
Lead sponsor: Mike O'Callaghan Military Hospital
Sponsor class: FED
First posted: 2019-05-06
Enrollment: 79
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Family medicine residents at 99MDG

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.

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

Primary outcomes:
measure: SCT scores compared to ITE scores
timeFrame: year 1
measure: SCT scores compared to ITE scores
timeFrame: year 2
measure: SCT scores compared to ITE scores
timeFrame: year 3
measure: SCT scores compared to ABFM scores
timeFrame: year 1
measure: SCT scores compared to ABFM scores
timeFrame: year 2
measure: SCT scores compared to ABFM scores
timeFrame: year 3
measure: SCT scores compared to family medicine rotation grades
timeFrame: year 1
measure: SCT scores compared to family medicine rotation grades
timeFrame: year 2
measure: SCT scores compared to family medicine rotation grades
timeFrame: year 3
measure: SCT scores compared to ACGME milestones.
timeFrame: year 1
measure: SCT scores compared to ACGME milestones.
timeFrame: year 2
measure: SCT scores compared to ACGME milestones.
timeFrame: year 3
measure: Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.
timeFrame: year 1
measure: Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.
timeFrame: year 2
measure: Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.
timeFrame: year 3
measure: Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.
timeFrame: year 1
measure: Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.
timeFrame: year 2
measure: Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.
timeFrame: year 3
measure: Binomial SCT classification derived from each interval SCT scores compared to ITE
timeFrame: year 1
measure: Binomial SCT classification derived from each interval SCT scores compared to ITE
timeFrame: year 2
measure: Binomial SCT classification derived from each interval SCT scores compared to ITE
timeFrame: year 3
measure: Binomial SCT classification derived from each interval SCT scores compared to ABFM
timeFrame: year 1
measure: Binomial SCT classification derived from each interval SCT scores compared to ABFM
timeFrame: year 2
measure: Binomial SCT classification derived from each interval SCT scores compared to ABFM
timeFrame: year 3
Secondary outcomes:
Other outcomes:
Locations:
city: Las Vegas
country: United States
facility: Mike O'Callaghan Military Medical Center
state: Nevada
Study officials:
affiliation: US Air Force
name: Paul F Crawford, MD
role: STUDY_DIRECTOR
References:
citation: Gagnon R, Charlin B, Coletti M, Sauve E, van der Vleuten C. Assessment in the context of uncertainty: how many members are needed on the panel of reference of a script concordance test? Med Educ. 2005 Mar;39(3):284-91. doi: 10.1111/j.1365-2929.2005.02092.x.
citation: Fournier JP, Demeester A, Charlin B. Script concordance tests: guidelines for construction. BMC Med Inform Decis Mak. 2008 May 6;8:18. doi: 10.1186/1472-6947-8-18.
citation: O'Neill TR, Li Z, Peabody MR, Lybarger M, Royal K, Puffer JC. The Predictive Validity of the ABFM's In-Training Examination. Fam Med. 2015 May;47(5):349-56.