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Script concordance testing (SCT) is a reliable, valid tool for assessing clinical reasoning in situations of ambiguity.
A systematic review has revealed criteria for creating good SCT (Dory, Gagnon, Vanpee, and Charlin, 2012).
Dory V, Gagnon R, Vanpee D, Charlin B. 2012. How to construct and implement script concordance tests: insights from a systematic review. Medical Education. 46(6):552-563.