Showing 1 - 2 of 2 Research Library Publications

Leveraging Natural Language Processing: Toward Computer-Assisted Scoring of Patient Notes in the USMLE Step 2 Clinical Skills Exam

Posted: | J. Salt, P. Harik, M. A. Barone

Academic Medicine: March 2019 - Volume 94 - Issue 3 - p 314-316

 

The United States Medical Licensing Examination Step 2 Clinical Skills (CS) exam uses physician raters to evaluate patient notes written by examinees. In this Invited Commentary, the authors describe the ways in which the Step 2 CS exam could benefit from adopting a computer-assisted scoring approach that combines physician raters’ judgments with computer-generated scores based on natural language processing (NLP).

Category:Assessment-Oriented Research, Scoring, Applications of Technology, Product-Oriented Research, USMLE

Fit for Purpose and Modern Validity Theory in Clinical Outcomes Assessment

Posted: | M. C. Edwards, A. Slagle, J. D. Rubright, R. J. Wirth

Qual Life Res 27, 1711–1720 (2018)

 

The US Food and Drug Administration (FDA), as part of its regulatory mission, is charged with determining whether a clinical outcome assessment (COA) is “fit for purpose” when used in clinical trials to support drug approval and product labeling. This paper provides a review (and some commentary) on the current state of affairs in COA development/evaluation/use with a focus on one aspect: How do you know you are measuring the right thing? In the psychometric literature, this concept is referred to broadly as validity and has itself evolved over many years of research and application.

Category:Assessment-Oriented Research, General Measurement, Reliability/Validity