Assessing Diagnostic Reasoning Using a Standardized Case-Based Discussion

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

doi:10.1177/2382120519849411

Assessing Diagnostic Reasoning Using a Standardized Case-Based Discussion

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

Australian Council for Educational Research (ACER)

Research output: Contribution to journal › Article › peer-review

Abstract

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 interactive oral assessment of DR.

Original language	English
Journal	Journal of Medical Education and Curricular Development
Volume	6
DOIs	https://doi.org/10.1177/2382120519849411
Publication status	Published - 20 May 2019

Keywords

: diagnostic reasoning
Standardized Case-Based Discussion
clinical reasoning
medical education
oral assessment

Disciplines

Psychology
Medical Education

Access to Document

10.1177/2382120519849411Licence: Unspecified

https://journals.sagepub.com/doi/pdf/10.1177/2382120519849411

Cite this

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title = "Assessing Diagnostic Reasoning Using a Standardized Case-Based Discussion",

abstract = " Development of diagnostic reasoning (DR) is fundamental to medical students{\textquoteright} 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 interactive oral assessment of DR.",

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