Content specificity and oral certification exams.

Abstract:

:This study reports on the generalizability of different skills assessed in the oral certification examinations in Internal Medicine of the Royal College of Physicians and Surgeons of Canada. Assessments from the 1992 examination were examined prospectively to determine (i) inter-rater reliability, (ii) correlation from morning to afternoon sessions, and (iii) overall test reliability. While inter-rater reliability was acceptable and in the range reported from previous studies, the generalizability across sessions was very low, ranging from 0.30 to 0.47, presumably reflecting content specificity. As a consequence, the overall test reliability was low, ranging from 0.57 to 0.69. Collapsing the overall scores into three decision categories (pass, borderline, fail) lowered the test reliability still further. Strategies to resolve this problem are suggested.

journal_name

Med Educ

journal_title

Medical education

authors

Turnbull J,Danoff D,Norman G

doi

10.1111/j.1365-2923.1996.tb00718.x

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

56-9

issue

1

eissn

0308-0110

issn

1365-2923

journal_volume

30

pub_type

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