Incorporating a non-cognitive selection method in the residency program: the complexities of effective situational judgment test item writing

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Source: Frontiers Medicine

Original: https://www.frontiersin.org/articles/10.3389/fmed.2026.1747830...

Published: 2026-03-19T00:00:00Z

The study investigated the situational judgment test (SJT) item writing process for selection into residency programs in Indonesia where non-cognitive selection methods are being introduced. Twenty-one experts from 11 residency programs created a total of 106 SJT scenarios according to the provided template. The dominant theme of the scripts was professionalism, ranging from 21 to 145 words in length, designed to be neutral in terms of gender, language and sensitivity. Weaknesses were identified, such as an excessive focus on clinical decision-making, specialty-specific contexts, and limited information in some scenarios. Other pitfalls included construct irrelevance and missing contextual details. The authors recommend structured faculty development in SJT writing with ongoing support and feedback to maintain test validity.