Abstract：
The Script Concordance Tests (SCTs) are an examination modality introduced by decree in the French National Ranking Exam for medical students in 2024. Their objective is to evaluate clinical reasoning in situations of uncertainty. In practice, SCTs assess the impact of new information on the probability of a hypothesis formulated a priori based on an authentic clinical scenario. This approach resembles probabilistic (or Bayesian) reasoning. Due to the uncertainty associated with the explored clinical situation, SCTs do not compare the student\'s response to an expected one in a theoretical knowledge reference. Instead, the distribution of responses from a panel of experienced physicians is used to establish the question\'s scoring scale. Literature data suggest that physicians, even experienced ones, like most humans, often exhibit biased intuitive probabilistic reasoning. These biases raise questions about the relevance of using expert panel responses as scoring scales for SCTs.
摘要：
脚本一致性测试（SCT）是2024年法国国家医学生排名考试中的法令引入的一种考试方式。他们的目标是在不确定的情况下评估临床推理。在实践中,SCT评估新信息对基于真实临床情景的先验假设概率的影响。这种方法类似于概率（或贝叶斯）推理。由于与探索的临床情况相关的不确定性，SCT不会将学生的反应与理论知识参考中的预期反应进行比较。相反，由经验丰富的医生组成的小组的回答分布被用来建立问题的评分量表。文献数据表明，医生，即使是有经验的，像大多数人类一样，经常表现出有偏见的直觉概率推理。这些偏见引发了关于使用专家小组回答作为SCT评分量表的相关性的问题。
