Academic Medicine: Volume 99 - Issue 3 - p 325-330
This retrospective cohort study investigates the association between United States Medical Licensing Examination (USMLE) scores and outcomes in 196,881 hospitalizations in Pennsylvania over 3 years.
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.
Teaching and Learning in Medicine: Volume 33 - Issue 4 - p 366-381
CSE scores for students from eight schools that moved Step 1 after core clerkships between 2012 and 2016 were analyzed in a pre-post format. Hierarchical linear modeling was used to quantify the effect of the curriculum on CSE performance. Additional analysis determined if clerkship order impacted clinical subject exam performance and whether the curriculum change resulted in more students scoring in the lowest percentiles before and after the curricular change.
Evaluation & the Health Professions: Volume: 43 issue: 3, page(s): 149-158
This study examines the innovative and practical application of DCM framework to health professions educational assessments using retrospective large-scale assessment data from the basic and clinical sciences: National Board of Medical Examiners Subject Examinations in pathology (n = 2,006) and medicine (n = 2,351).
Journal of Pain and Symptom Management: Volume 56, Issue 3, p371-378
This article reviews the USMLE step examinations to determine whether they test the palliative care (PC) knowledge necessary for graduating medical students and residents applying for licensure.
Journal of Educational Measurement: Volume 55, Issue 2, Pages 308-327
The widespread move to computerized test delivery has led to the development of new approaches to evaluating how examinees use testing time and to new metrics designed to provide evidence about the extent to which time limits impact performance. Much of the existing research is based on these types of observational metrics; relatively few studies use randomized experiments to evaluate the impact time limits on scores. Of those studies that do report on randomized experiments, none directly compare the experimental results to evidence from observational metrics to evaluate the extent to which these metrics are able to sensitively identify conditions in which time constraints actually impact scores. The present study provides such evidence based on data from a medical licensing examination.
Journal of Veterinary Medical Education 2018 45:3, 381-387
This study uses item response data from the November–December 2014 and April 2015 NAVLE administrations (n =5,292), to conduct timing analyses comparing performance across several examinee subgroups. The results provide evidence that conditions were sufficient for most examinees, thereby supporting the current time limits. For the relatively few examinees who may have been impacted, results suggest the cause is not a bias with the test but rather the effect of poor pacing behavior combined with knowledge deficits.