@article{herbaux_formative_2022,
	title = {Formative {Assessment} of {Diagnostic} {Testing} in {Family} {Medicine} with {Comprehensive} {MCQ} {Followed} by {Certainty}-{Based} {Mark}},
	volume = {10},
	issn = {2227-9032},
	doi = {10.3390/healthcare10081558},
	abstract = {INTRODUCTION: The choice of diagnostic tests in front of a given clinical case is a major part of medical reasoning. Failure to prescribe the right test can lead to serious diagnostic errors. Furthermore, unnecessary medical tests are a waste of money and could possibly generate injuries to patients, especially in family medicine.
METHODS: In an effort to improve the training of our students to the choice of laboratory and imaging studies, we implemented a specific multiple-choice questions (MCQ), called comprehensive MCQ (cMCQ), with a fixed and high number of options matching various basic medical tests, followed by a certainty-based mark (CBM). This tool was used in the assessment of diagnostic test choice in various clinical cases of general practice in 456 sixth-year medical students.
RESULTS: The scores were significantly correlated with the traditional exams (standard MCQ), with matched themes. The proportion of "cMCQ/CBM score" variance explained by "standard MCQ score" was 21.3\%. The cMCQ placed students in a situation closer to practice reality than standard MCQ. In addition to its usefulness as an assessment tool, those tests had a formative value and allowed students to work on their ability to measure their doubt/certainty in order to develop a reflexive approach, required for their future professional practice.
CONCLUSION: cMCQ followed by CBM is a feasible and reliable evaluation method for the assessment of diagnostic testing.},
	language = {eng},
	number = {8},
	journal = {Healthcare (Basel, Switzerland)},
	author = {Herbaux, Charles and Dupré, Aurélie and Rénier, Wendy and Gabellier, Ludovic and Chazard, Emmanuel and Lambert, Philippe and Sobanski, Vincent and Gosset, Didier and Lacroix, Dominique and Truffert, Patrick},
	month = aug,
	year = {2022},
	pmid = {36011215},
	keywords = {diagnostics, education},
	pages = {1558},
}

{"_id":"SR3FbRvqYReh6wbQZ","bibbaseid":"herbaux-dupr-rnier-gabellier-chazard-lambert-sobanski-gosset-etal-formativeassessmentofdiagnostictestinginfamilymedicinewithcomprehensivemcqfollowedbycertaintybasedmark-2022","author_short":["Herbaux, C.","Dupré, A.","Rénier, W.","Gabellier, L.","Chazard, E.","Lambert, P.","Sobanski, V.","Gosset, D.","Lacroix, D.","Truffert, P."],"bibdata":{"bibtype":"article","type":"article","title":"Formative Assessment of Diagnostic Testing in Family Medicine with Comprehensive MCQ Followed by Certainty-Based Mark","volume":"10","issn":"2227-9032","doi":"10.3390/healthcare10081558","abstract":"INTRODUCTION: The choice of diagnostic tests in front of a given clinical case is a major part of medical reasoning. Failure to prescribe the right test can lead to serious diagnostic errors. Furthermore, unnecessary medical tests are a waste of money and could possibly generate injuries to patients, especially in family medicine. METHODS: In an effort to improve the training of our students to the choice of laboratory and imaging studies, we implemented a specific multiple-choice questions (MCQ), called comprehensive MCQ (cMCQ), with a fixed and high number of options matching various basic medical tests, followed by a certainty-based mark (CBM). This tool was used in the assessment of diagnostic test choice in various clinical cases of general practice in 456 sixth-year medical students. RESULTS: The scores were significantly correlated with the traditional exams (standard MCQ), with matched themes. The proportion of \"cMCQ/CBM score\" variance explained by \"standard MCQ score\" was 21.3%. The cMCQ placed students in a situation closer to practice reality than standard MCQ. In addition to its usefulness as an assessment tool, those tests had a formative value and allowed students to work on their ability to measure their doubt/certainty in order to develop a reflexive approach, required for their future professional practice. CONCLUSION: cMCQ followed by CBM is a feasible and reliable evaluation method for the assessment of diagnostic testing.","language":"eng","number":"8","journal":"Healthcare (Basel, Switzerland)","author":[{"propositions":[],"lastnames":["Herbaux"],"firstnames":["Charles"],"suffixes":[]},{"propositions":[],"lastnames":["Dupré"],"firstnames":["Aurélie"],"suffixes":[]},{"propositions":[],"lastnames":["Rénier"],"firstnames":["Wendy"],"suffixes":[]},{"propositions":[],"lastnames":["Gabellier"],"firstnames":["Ludovic"],"suffixes":[]},{"propositions":[],"lastnames":["Chazard"],"firstnames":["Emmanuel"],"suffixes":[]},{"propositions":[],"lastnames":["Lambert"],"firstnames":["Philippe"],"suffixes":[]},{"propositions":[],"lastnames":["Sobanski"],"firstnames":["Vincent"],"suffixes":[]},{"propositions":[],"lastnames":["Gosset"],"firstnames":["Didier"],"suffixes":[]},{"propositions":[],"lastnames":["Lacroix"],"firstnames":["Dominique"],"suffixes":[]},{"propositions":[],"lastnames":["Truffert"],"firstnames":["Patrick"],"suffixes":[]}],"month":"August","year":"2022","pmid":"36011215","keywords":"diagnostics, education","pages":"1558","bibtex":"@article{herbaux_formative_2022,\n\ttitle = {Formative {Assessment} of {Diagnostic} {Testing} in {Family} {Medicine} with {Comprehensive} {MCQ} {Followed} by {Certainty}-{Based} {Mark}},\n\tvolume = {10},\n\tissn = {2227-9032},\n\tdoi = {10.3390/healthcare10081558},\n\tabstract = {INTRODUCTION: The choice of diagnostic tests in front of a given clinical case is a major part of medical reasoning. Failure to prescribe the right test can lead to serious diagnostic errors. Furthermore, unnecessary medical tests are a waste of money and could possibly generate injuries to patients, especially in family medicine.\nMETHODS: In an effort to improve the training of our students to the choice of laboratory and imaging studies, we implemented a specific multiple-choice questions (MCQ), called comprehensive MCQ (cMCQ), with a fixed and high number of options matching various basic medical tests, followed by a certainty-based mark (CBM). This tool was used in the assessment of diagnostic test choice in various clinical cases of general practice in 456 sixth-year medical students.\nRESULTS: The scores were significantly correlated with the traditional exams (standard MCQ), with matched themes. The proportion of \"cMCQ/CBM score\" variance explained by \"standard MCQ score\" was 21.3\\%. The cMCQ placed students in a situation closer to practice reality than standard MCQ. In addition to its usefulness as an assessment tool, those tests had a formative value and allowed students to work on their ability to measure their doubt/certainty in order to develop a reflexive approach, required for their future professional practice.\nCONCLUSION: cMCQ followed by CBM is a feasible and reliable evaluation method for the assessment of diagnostic testing.},\n\tlanguage = {eng},\n\tnumber = {8},\n\tjournal = {Healthcare (Basel, Switzerland)},\n\tauthor = {Herbaux, Charles and Dupré, Aurélie and Rénier, Wendy and Gabellier, Ludovic and Chazard, Emmanuel and Lambert, Philippe and Sobanski, Vincent and Gosset, Didier and Lacroix, Dominique and Truffert, Patrick},\n\tmonth = aug,\n\tyear = {2022},\n\tpmid = {36011215},\n\tkeywords = {diagnostics, education},\n\tpages = {1558},\n}\n\n","author_short":["Herbaux, C.","Dupré, A.","Rénier, W.","Gabellier, L.","Chazard, E.","Lambert, P.","Sobanski, V.","Gosset, D.","Lacroix, D.","Truffert, P."],"key":"herbaux_formative_2022","id":"herbaux_formative_2022","bibbaseid":"herbaux-dupr-rnier-gabellier-chazard-lambert-sobanski-gosset-etal-formativeassessmentofdiagnostictestinginfamilymedicinewithcomprehensivemcqfollowedbycertaintybasedmark-2022","role":"author","urls":{},"keyword":["diagnostics","education"],"metadata":{"authorlinks":{}}},"bibtype":"article","biburl":"https://api.zotero.org/groups/2266462/items?key=MgKoXciZhHmJ176339ZdCynJ&format=bibtex&limit=100","dataSources":["doevpoZ8x7wJceFTM","PSBFFbnPhFKwYx7yq"],"keywords":["diagnostics","education"],"search_terms":["formative","assessment","diagnostic","testing","family","medicine","comprehensive","mcq","followed","certainty","based","mark","herbaux","dupré","rénier","gabellier","chazard","lambert","sobanski","gosset","lacroix","truffert"],"title":"Formative Assessment of Diagnostic Testing in Family Medicine with Comprehensive MCQ Followed by Certainty-Based Mark","year":2022}