Abstract Title | Perception of students on a Script Concordance Test (SCT) on cardiovascular diseases in an undergraduate medical school.


  1. A. Dermine (1)
  2. L. De Jonghe (1)
  3. I. Fourneau (1 & 2)


Assessment: Written and Feedback


(1) KU Leuven, Faculty of Medicine
(2) University Hospitals Leuven


Medical school curriculum at KU Leuven:  

  • 7 years (3+4).
  • Course on cardiovascular diseases in the 5th year
  • Current examination: SAMCQ & oral examination


Desire to examen more skills of clinical reasoning

           ? Scipt Concordance Test

      ⇔  Validity?

      ⇔   Reliability?

       ⇔  Perception of students?

Summary of Work

Test SCT on cardiovascular diseases


  • Participation = voluntarily
  • SCT immediately after official examination
  • Reward = 30' workshop on cardiovascular physical examination


  • Survey of
    • personality traits (< 'Big Five')
    • student perception
  • Itemanalysis and analysis of reliability (α)
Take-home Messages

SCT on cardiovascular diseases in an undergraduate medical school

  • is possible
  • proved to be valid
  • is accepted by students (and teachers)
  • has an acceptable reliability
  • ...

But students should be well prepared

Summary of Results
  • N=264 (≈ 2/3 of all students)
  • M/F =86/175 (≈ 1/3 -2/3)
  • 90% age: 22-23y

SCT test participating and non-participating students had the same results on the official exam.


SCT test participating students

  • called themselves "cautious" and "theoretical', but "confident"
  • preferred "straightforwarness > vagueness"


Item analysis was acceptable.

  •      80/90 questions
  •      Item-total correlation above 0.2


Reliability was acceptable.  (0.66 < α < 0.91)


The perception of students was that the test SCT was more difficult.

 But participating students also mentioned that this was largely due to the fact that they were not familiar with this type of exam and that they were happy with this new type of exam as it was a more clinical exam.


 Out of the free text remarks of participating students...

' a very good alternative'

  'more of these exams instead of classical MCQ'

' the way to go'...

'we're not used to this sort of questions, please help us / teach us in a different way'




Composition of the current examination of 'Cardiovascular diseases':

- Oral examination on 'Cardiac diseases'

- Oral examination on 'Vascular diseases'

- SAMCQ on ' Basic clinical sciences and imaging relevant for both cardiac and vascular diseases (Truncus communis)'

Summary of Work
Take-home Messages
Summary of Results


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