Table 2 Example of a case constructed with 3 items, with 3 parts for each item in script concordance test
Case 1 | ||||||
|---|---|---|---|---|---|---|
A 45-year old man complains of chest pain and shortness of breath after a blunt trauma to the chest is brought to the emergency department. | ||||||
If you were thinking of | …and then you were to find | …you would then consider this action −2 completely or almost completely unnecessary −1 less useful 0 neither more nor less useful +1 useful +2 completely or almost completely necessary | ||||
Ordering an electrocardiogram (ECG) | Lower right-sided chest tenderness on palpation | −2 | −1 | 0 | +1 | +2 |
Ordering a computed tomography of the brain (CT brain) | No history of loss of consciousness | −2 | −1 | 0 | +1 | +2 |
Ordering an abdominal radiograph | Soft and non-tender abdomen on palpation | −2 | −1 | 0 | +1 | +2 |