RESEARCH LIBRARY

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. 

Journal of Educational Measurement: Volume 57, Issue 2, Pages 216-229

This article presents two generalizability-theory–based analyses of the proportion of the item variance that contributes to error in the cut score. For one approach, variance components are estimated on the probability (or proportion-correct) scale of the Angoff judgments, and for the other, the judgments are transferred to the theta scale of an item response theory model before estimating the variance components.

Applied Psychological Measurement: Volume: 42 issue: 8, page(s): 595-612

Conventional methods for evaluating the utility of subscores rely on reliability and correlation coefficients. However, correlations can overlook a notable source of variability: variation in subtest means/difficulties. Brennan introduced a reliability index for score profiles based on multivariate generalizability theory, designated as G, which is sensitive to variation in subtest difficulty. However, there has been little, if any, research evaluating the properties of this index. A series of simulation experiments, as well as analyses of real data, were conducted to investigate G under various conditions of subtest reliability, subtest correlations, and variability in subtest means.

Medical Care: April 2017 - Volume 55 - Issue 4 - p 436-441

The objective of this study is to identify modifiable factors that improve the reliability of ratings of severity of health care–associated harm in clinical practice improvement and research.