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Commentary to concerns regarding the assessment of clinical reasoning in medical students

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We thank Supianto [1] for the thoughtful remarks on Hornos et al. [2]. We welcome the opportunity to clarify our methodological choices and findings. We respectfully disagree with the assertion that Cronbach’s alpha and McDonald’s omega are reliability coefficients that should be limited to knowledge-based tests. These internal consistency methods to estimate reliability have broad applications across different types of educational and psychological assessments using multiitem measurement scales. Furthermore, McDonald’s omega offers advantages over Cronbach’s alpha as it accounts for factor loadings [3], making it more suitable for complex constructs like clinical reasoning.

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Taylor and Francis Group

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