Diagnosis: Volume 10, Issue 1, Pages 54-60
This op-ed discusses the advantages of leveraging natural language processing (NLP) in the assessment of clinical reasoning. It also provides an overview of INCITE, the Intelligent Clinical Text Evaluator, a scalable NLP-based computer-assisted scoring system that was developed to measure clinical reasoning ability as assessed in the written documentation portion of the now-discontinued USMLE Step 2 Clinical Skills examination.
Behavior & Information Technology
This study builds upon prior work in this area that focused on developing a machine-learning classifier trained on gaze data from web-related tasks to detect ASD in adults. Using the same data, we show that a new data pre-processing approach, combined with an exploration of the performance of different classification algorithms, leads to an increased classification accuracy compared to prior work.
Academic Medicine: Volume 97 - Issue 8 - Pages 1219-1225
Since 2012, the United States Medical Licensing Examination (USMLE) has maintained a policy of ≤ 6 attempts on any examination component. The purpose of this study was to empirically examine the appropriateness of existing USMLE retake policy.
Proceedings of the 2022 Conference of the North American Chapter of the Association for Computational Linguistics: Human Language Technologies - p 2880–2886
This paper presents a corpus of 43,985 clinical patient notes (PNs) written by 35,156 examinees during the high-stakes USMLE® Step 2 Clinical Skills examination.
Academic Medicine: June 2022
This study examines the associations between Step 3 scores and subsequent receipt of disciplinary action taken by state medical boards for problematic behavior in practice. It analyzes Step 3 total, Step 3 computer-based case simulation (CCS), and Step 3multiple-choice question (MCQ) scores.
Academic Medicine: Volume 97 - Issue 2 - Pages 262-270
This study examined shifts in U.S. medical student interactions with EHRs during their clinical education, 2012–2016, and how these interactions varied by clerkship within and across medical schools.
Journal of Applied Technology: Volume 23 - Special Issue 1 - Pages 30-40
The interpretations of test scores in secure, high-stakes environments are dependent on several assumptions, one of which is that examinee responses to items are independent and no enemy items are included on the same forms. This paper documents the development and implementation of a C#-based application that uses Natural Language Processing (NLP) and Machine Learning (ML) techniques to produce prioritized predictions of item enemy statuses within a large item bank.