Does It Matter if You "Kill" the Patient or Order Too Many Tests? Scoring Alternatives for a Test of Clinical Reasoning Skill

This study compares five scoring approaches for a test of clinical reasoning skills. All of the approaches incorporate information about the correct item responses selected and the errors, such as selecting too many responses or selecting a response that is inappropriate and/or harmful to the patien...

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Bibliographic Details
Published in:International journal of testing 2007-05, Vol.7 (2), p.127-139
Main Authors: Childs, Ruth A., Dunn, Jennifer L., van Barneveld, Christina, Jaciw, Andrew P.
Format: Article
Language:English
Subjects:
Alternatives
Clinical Diagnosis
Clinical medicine
Clinical reasoning
clinical reasoning skills
Cognition & reasoning
compensatory scoring
Item Response Theory
Patient safety
Reliability
Scoring
Standardized tests
Test Theory
Theory
Thinking Skills
Validity
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Description
Summary:This study compares five scoring approaches for a test of clinical reasoning skills. All of the approaches incorporate information about the correct item responses selected and the errors, such as selecting too many responses or selecting a response that is inappropriate and/or harmful to the patient. The approaches are combinations of theoretical framework (classical test theory or item response theory) and number of scores (single or multiple). The implications of these alternatives for score reliability and validity are discussed and the impact on pass-fail decisions is examined. The results support the use of a single score.
ISSN:1530-5058
1532-7574
DOI:10.1080/15305050701193488