A collaborative comparison of objective structured clinical examination (OSCE) standard setting methods at Australian medical schools.

Abstract:

BACKGROUND:A key issue underpinning the usefulness of the OSCE assessment to medical education is standard setting, but the majority of standard-setting methods remain challenging for performance assessment because they produce varying passing marks. Several studies have compared standard-setting methods; however, most of these studies are limited by their experimental scope, or use data on examinee performance at a single OSCE station or from a single medical school. This collaborative study between 10 Australian medical schools investigated the effect of standard-setting methods on OSCE cut scores and failure rates. METHODS:This research used 5256 examinee scores from seven shared OSCE stations to calculate cut scores and failure rates using two different compromise standard-setting methods, namely the Borderline Regression and Cohen's methods. RESULTS:The results of this study indicate that Cohen's method yields similar outcomes to the Borderline Regression method, particularly for large examinee cohort sizes. However, with lower examinee numbers on a station, the Borderline Regression method resulted in higher cut scores and larger difference margins in the failure rates. CONCLUSION:Cohen's method yields similar outcomes as the Borderline Regression method and its application for benchmarking purposes and in resource-limited settings is justifiable, particularly with large examinee numbers.

journal_name

Med Teach

journal_title

Medical teacher

authors

Malau-Aduli BS,Teague PA,D'Souza K,Heal C,Turner R,Garne DL,van der Vleuten C

doi

10.1080/0142159X.2017.1372565

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1261-1267

issue

12

eissn

0142-159X

issn

1466-187X

journal_volume

39

pub_type

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