
RESEARCH LIBRARY
RESEARCH LIBRARY
View the latest publications from members of the NBME research team
Front. Psychol. 9:1988
In their 2018 article, (T&B) discuss how to deal with not reached items due to low working speed in ability tests (Tijmstra and Bolsinova, 2018). An important contribution of the paper is focusing on the question of how to define the targeted ability measure. This note aims to add further aspects to this discussion and to propose alternative approaches.
Adv in Health Sci Educ 24, 141–150 (2019)
Research suggests that the three-option format is optimal for multiple choice questions (MCQs). This conclusion is supported by numerous studies showing that most distractors (i.e., incorrect answers) are selected by so few examinees that they are essentially nonfunctional. However, nearly all studies have defined a distractor as nonfunctional if it is selected by fewer than 5% of examinees.
Journal of Educational Measurement: Volume 55, Issue 4, Pages 582-594
This article proposes and evaluates a new method that implements computerized adaptive testing (CAT) without any restriction on item review. In particular, it evaluates the new method in terms of the accuracy on ability estimates and the robustness against test‐manipulation strategies. This study shows that the newly proposed method is promising in a win‐win situation: examinees have full freedom to review and change answers, and the impacts of test‐manipulation strategies are undermined.
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.
Muscle Nerve, 58: 646-654
The Amyotrophic Lateral Sclerosis (ALS)‐Specific Quality of Life instrument and its revised version (ALSSQOL and ALSSQOL‐R) have strong psychometric properties, and have demonstrated research and clinical utility. This study aimed to develop a short form (ALSSQOL‐SF) suitable for limited clinic time and patient stamina.
Journal of Medical Regulation (2018) 104 (2): 51–57
There have been a number of important stakeholder opinions critical of the Step 2 Clinical Skills Examination (CS) in the United States Medical Licensing Examination (USMLE) licensure sequence. The Resident Program Director (RPD) Awareness survey was convened to gauge perceptions of current and potential Step 2 CS use, attitudes towards the importance of residents' clinical skills, and awareness of a medical student petition against Step 2 CS. This was a cross-sectional survey which resulted in 205 responses from a representative sampling of RPDs across various specialties, regions and program sizes.
Journal of Graduate Medical Education: June 2018, Vol. 10, No. 3, pp. 337-338
To create examinations with scores that accurately support their intended interpretation and use in a particular setting, examination writers must clearly define what the test is intended to measure (the construct). Writers must also pay careful attention to how content is sampled, how questions are constructed, and how questions perform in their unique testing contexts.1–3 This Rip Out provides guidance for test developers to ensure that scores from MCQ examinations fit their intended purpose.
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.
Academic Medicine: May 2018 - Volume 93 - Issue 5 - p 781-785
In 2007, the United States Medical Licensing Examination embedded multimedia simulations of heart sounds into multiple-choice questions. This study investigated changes in item difficulty as determined by examinee performance over time. The data reflect outcomes obtained following initial use of multimedia items from 2007 through 2012, after which an interface change occurred.
Medical Teacher: Volume 40 - Issue 11 - p 1143-1150
This study explores a novel milestone-based workplace assessment system that was implemented in 15 pediatrics residency programs. The system provided: web-based multisource feedback and structured clinical observation instruments that could be completed on any computer or mobile device; and monthly feedback reports that included competency-level scores and recommendations for improvement.