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The script concordance test for clinical reasoning: re‐examining its utility and potential weakness

The script concordance test (SCT) assesses clinical reasoning under conditions of uncertainty. Relatively little information exists on Z‐score (standard deviation [SD]) cut‐offs for distinguishing more experienced from less experienced trainees, and whether scores depend on factual knowledge. Additionally, a recent review highlighted the finding that the SCT is potentially weakened by the fact that the mere avoidance of extreme responses may greatly increase test scores.