ERIC Number: EJ772226
Record Type: Journal
Publication Date: 2007
Reference Count: 0
Does It Matter if You "Kill" the Patient or Order Too Many Tests? Scoring Alternatives for a Test of Clinical Reasoning Skill
Childs, Ruth A.; Dunn, Jennifer L.; van Barneveld, Christina; Jaciw, Andrew P.
International Journal of Testing, v7 n2 p127-139 2007
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.
Descriptors: Scoring, Clinical Diagnosis, Thinking Skills, Reliability, Validity, Test Theory, Item Response Theory
Lawrence Erlbaum. Available from: Taylor & Francis, Ltd. 325 Chestnut Street Suite 800, Philadelphia, PA 19106. Tel: 800-354-1420; Fax: 215-625-2940; Web site: http://www.tandf.co.uk/journals/default.html
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A