An observational study in Knowledge, Attitudes, Practice, sponsored by Pamela Hughes. Active, not recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2026-08-05.
Sponsored by Pamela Hughes · Observational
Delayed or poor identification and remediation of clinical reasoning difficulties can lead to clinician underperformance and can ultimately compromise patient care. To date, no research has been done to see if SCTs correlate with current grading standards (ITE, ABFM certification exam score, ACGME milestones, or failing clinical rotation grades) in Family Medicine Residents. If investigators can identify that an SCT correlates with current standardized testing of Family medicine residents, it could be possible to identify struggling learners prior to poor scores on the ITE, ACGME milestones, or clinical rotations. If a learner does poorly on an SCT early in the academic year the learner can begin a remediation plan to improve their deficits before receiving a failing grade, poor ITE or ACGME milestone scores.
This study is a longitudinal observation study. A panel of experts (numbering 15-20) consisting of Family Medicine attendings who have been out of residency greater than 3 years will complete the SCT. They will be provided an Informational Consent. Their willingness to be a panel member is their implied consent to be part of the research study.
The basic idea behind SCT is to compare residents' performance with a group of persons who are representatives of the profession (or the specialty) to which they wish to belong. Therefore, panels are made up of physicians with good overall clinical experience in the field rather than experts from narrow parts of the field. Panel composition also depends on the assessment goal.
This study will determine if a Script Concordance Test (SCT) correlates with Family Medicine In Training Exam (ITE) scores, American Board of Family Medicine (ABFM) certification exam scores, Accreditation Council for Graduate Medical Education (ACGME) medical knowledge and patient care milestones, and failing family medicine inpatient clinical rotation grades.
The SCT will be given to PGY1, 2, and 3 residents each year during the Residents three year residency, in June or July.
371 studies on the registry are indexed under Behavior; 158 are open to participants now.
This study's enrollment of 79 is below the median of 263 across 71 observational studies indexed under Behavior.
Browse Behavior studies →This is the only study on the registry with Pamela Hughes as lead sponsor.
Counted across the registry records on this site, refreshed daily.
Family medicine residents at 99MDG
**Patients must be able to get care at Nellis Air Force Base (a military installation) in order to participate in this study**
Inclusion Criteria:
--Family Medicine resident at 99MDG
Exclusion Criteria:
-- N/A
SCT scores compared to ITE scores
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 1
SCT scores compared to ITE scores
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 2
SCT scores compared to ITE scores
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 3
SCT scores compared to ABFM scores
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 1
SCT scores compared to ABFM scores
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 2
SCT scores compared to ABFM scores
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 3
SCT scores compared to family medicine rotation grades
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 1
SCT scores compared to family medicine rotation grades
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 2
SCT scores compared to family medicine rotation grades
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 3
SCT scores compared to ACGME milestones.
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 1
SCT scores compared to ACGME milestones.
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 2
SCT scores compared to ACGME milestones.
SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
Time frame: year 3
Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 1
Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 2
Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones.
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 3
Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 1
Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 2
Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades.
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 3
Binomial SCT classification derived from each interval SCT scores compared to ITE
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 1
Binomial SCT classification derived from each interval SCT scores compared to ITE
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 2
Binomial SCT classification derived from each interval SCT scores compared to ITE
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 3
Binomial SCT classification derived from each interval SCT scores compared to ABFM
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 1
Binomial SCT classification derived from each interval SCT scores compared to ABFM
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 2
Binomial SCT classification derived from each interval SCT scores compared to ABFM
A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Time frame: year 3
Documents are hosted by the registry — open the source record to download them.
Plan to share: No — We do not plan on sharing data
This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.