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The Diagnosis Script Questionnaire (DSQ) assesses a specific skill of clinical competence: the ability to weigh collected information in light of entertained hypotheses. The questionnaire presents a clinical vignette for which several hypotheses are relevant. The model of the questions is: if you are thinking of hypothesis A and you find sign Z, what is the effect on your hypothesis? Answers are placed on a 7-point Likert scale, with values ranging from “it can only be this hypothesis” to “this hypothesis is definitely rejected.” The scoring process is innovative and reflects the variability of answers among experts.

The questionnaire was administered in gynecology-obstetrics; 103 respondents, divided into three groups, 15 faculty, 12 residents, and 76 clerkship students volunteered. Mean global scores were 45.3 for faculty, 40.5 for residents, and 35.8 for students. The differences between the three groups …