HSC Education Days


Lindsay Smart

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Clinical psychology interns come into their internship training with a varying degree of coursework and clinical training. The internship year, similar to residency in the medical field, is a time for interns to move towards independent practice thus being able to think critically and independently when assessing for and making diagnoses. As such, the development of clinical reasoning skills has become a crucial competency for interns to develop during their internship year. Understanding the clinical reasoning of interns will assist with evaluating the internship curriculum and training experience while also paving the way for considering innovative learning practices to facilitate the development of clinical reasoning skills. So, how to go about assessing clinical reasoning? One approach that has been implemented in medical education is the Script Concordance Test. Script theory suggests that as providers move from trainee to expert they develop and utilize various “scripts” that have cognitively organized pieces of information for ease of access when making clinical decisions. Based on this cognitive theory on the development of expertise, a Script Concordance Test sets forth to introduce various ambiguous and realistic clinical vignettes wherein individuals are asked to make clinical decisions, typically around diagnostic considerations, further investigating conditions, and treatment recommendations. Currently, there is a gap in research looking at both the development and use of Script Concordance Tests in the field of clinical psychology. Therefore, this will be one of the first, if not the first, study to develop a Script Concordance Test for clinical psychology trainees.


This poster was presented during the University of New Mexico Health Sciences Center Education Day, 2018.



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