Key-feature questions for assessment of clinical reasoning: Reliable and valid or not?

Objective: To determine if Key Feature questions are reliable for Pakistani medical universities. Methodology: In this cross sectional survey, convenient sampling technique was used and was conducted March 2016 to March 2017 and included 135 medical students. All fourth year students who had completed one month of clinical rotation in the ENT ward were asked to sit for the test after being briefed about the study. The tests were in two parts; the first was of 25 BCQ's which are taken as a regular feature after completion of the clinical rotation. They were given a time of 30 minutes each. Data were analyzed using SPSS version 16.0. Result: Cronbach's alpha for 25 BCQ's was 0.605 where as the Cronbach's alpha for 13 key feature component was 0.560. Conclusion: Ideally, 0.07 and above Cronbach's alpha is considered significant and our results do not. Our results did not come up to the level of significance.