Journal article

Assessing Diagnostic Reasoning Using a Standardized Case-Based Discussion

Ruth M Sutherland, Katharine J Reid, Neville G Chiavaroli, David Smallwood, Geoffrey J McColl

JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT | SAGE PUBLICATIONS LTD | Published : 2019

Abstract

Background: Development of diagnostic reasoning (DR) is fundamental to medical students' training, but assessing DR is challenging. Several written assessments focus on DR but lack the ability to dynamically assess DR. Oral assessment formats have strengths but have largely lost favour due to concerns about low reliability and lack of standardization. Medical schools and specialist medical colleges value many forms of oral assessment (eg, long case, Objective Structured Clinical Examination [OSCE], viva voce) but are increasingly searching for ways in which to standardize these formats. We sought to develop and trial a Standardized Case-Based Discussion (SCBD), a highly standardized and inte..

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