Karan B Singh, Anas Khouri, Deepak Singh, Jose Prieto, Priyata Dutta, Maduka C Nnadozie, Clista Clanton, Esther Morrison, William Sonnier
Testing and Diagnosis of Clostridioides difficile Infection in Special Scenarios: A Systematic Review
Cureus
evaluation poorly performing physicians worldwide concern licensing bodies collge des mdecins du qubec currently assesses clinical competence physicians previously identified potential clinical competence difficulties daylong procedure called structured oral interview soi two peer physicians produce qualitative report view remediation activities potential legal consequences information clinical reasoning process crp quantitative data quality process needed study examines script concordance test sct tool provides standardized objective measure specific dimension crp clinical data interpretation cdi determine whether could useful endeavor 2year period 20 family physicians took addition soi 1hour paperandpencil sct three evaluators blind purpose experiment retrospectively reviewed soi reports asked estimate clinical reasoning quality subjects classified 2 groups median score distribution 2 assessment methods agreement classifications estimated use kappa coefficient intraclass correlation soi 089 cronbach alpha coefficient sct 090 agreement methods found 13 participants kappa 030 p 018 7 20 participants classified differently methods participants 1 sct scores 2 sd panel mean thus indicating serious deficiencies cdi finding majority referred group poorly cdi tasks great interest assessment well remediation remediation prescribing skills adding sct soi useful assessment cognitive reasoning poorly performing physicians structured oral interview improved precise reporting assess clinical reasoning process examinees caution recommended interpreting sct scores reflect part reasoning process