| Contextual considerations in summative competency examinations: relevance to the long case. | |
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MedLine Citation:
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PMID: 16306287 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Long-case patient-based examinations previously formed the basis of summative competency testing in physician certification examinations. These exams were found to be unreliable and have fallen from favor. During the authors' deliberation of the long case in the neurology certification examinations of the Royal College of Physicians and Surgeons of Canada, they considered the examination context and concluded that the appropriate psychometric analysis of the exams is highly contingent on the context. The examination context underlying certification examinations has evolved considerably; within a different context, a more cohesive test system based on a quality assurance framework could better manage substantive psychometric issues around case specificity, comprehensiveness, reliability, and compensability. These arguments are in small part psychometric, but are mostly philosophical and have relevance to the profession and the public. |
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Authors:
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John Turnbull; Jeff Turnbull; Pierre Jacob; John Brown; Michel Duplessis; Jean Rivest |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 80 ISSN: 1040-2446 ISO Abbreviation: Acad Med Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2005-11-24 Completed Date: 2006-02-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 1133-7 Citation Subset: AIM; IM |
Affiliation:
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McMaster University Medical Centre, Room 4U7, 1200 Main Street W, Hamilton, Ontario, Canada L8N 3Z5. turnbull@mcmaster.ca. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Certification* Competency-Based Education* Humans Neurology / education*, standards Physician's Role Psychometrics Quality Control Reproducibility of Results |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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