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Currently submitted to: JMIR Serious Games

Date Submitted: Jan 2, 2020
Open Peer Review Period: Jan 2, 2020 - Feb 27, 2020
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Computer-Based Tests for Clinical Reasoning: Evidence of Construct Validity

  • Tianming Zuo; 
  • Bin Zheng; 
  • Bo Qu; 
  • Baozhi Sun; 
  • Xu Guan; 



Clinical reasoning (CR) is a fundamental skill medical students need to learn. Challenge still remained in our current education using conventional methods. New technology is needed for enhancing our CR teaching, especially when we are facing new generations of health trainees. China Medical University (CMU) has developed computer-based CR training system (CMU-CBCRT).


We performed a construct validity test of CMU-CBCRT in this study.


We recruited 385 students from 5th year undergraduates to PGY 3 to complete the test on CMU-CBCRT. Testing scores were compared over four training level (5th year MD, PGY-1, PGY-2, PGY-3) using an one-way analysis of variance.


We found that testing scores increased as the years of training growth. Significant differences were found on the testing score of information collection, diagnosis, and treatment, as well as total scores among different training years of medical students, but not of treatment errors.


We provided evidence of construct validity of CMU-CBCRT. It was able to distinguish CR skills over different levels of medical students on their early stage of medical career.


Please cite as:

Zuo T, Zheng B, Qu B, Sun B, Guan X

Computer-Based Tests for Clinical Reasoning: Evidence of Construct Validity

JMIR Preprints. 02/01/2020:17670

DOI: 10.2196/preprints.17670


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