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Related Experiment Videos

A computerized adaptive knowledge test as an assessment tool in general practice: a pilot study.

Ann Roex1, Jan Degryse

  • 1Interuniversitair Centrum voor Huisartsen Opleiding, Flanders, Belgium. ann.roex@med.kuleuven.ac.be

Medical Teacher
|June 19, 2004
PubMed
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Computerized adaptive testing (CAT) is feasible for general practice assessment, correlating well with ability. While not replacing high-stakes exams, CAT can identify at-risk students.

Area of Science:

  • Medical Education
  • Psychometrics
  • Health Professions Education

Background:

  • Computerized adaptive testing (CAT) offers advantages in assessment across various fields.
  • Its application in general practice, however, remains limited.
  • Adapting CAT requires careful consideration of item response theory and case specificity.

Purpose of the Study:

  • To evaluate the feasibility of converting traditional written extended matching tests into a CAT format for general practice.
  • To assess the content validity of CAT in this specific context.
  • To explore the utility of CAT for identifying students at risk of failing.

Main Methods:

  • A pilot study using a stratified sample of students.
  • Conversion of existing written extended matching test items and parameters for CAT.

Related Experiment Videos

  • Analysis of detailed student test paths and performance against a predefined pass-fail standard.

    • Main Results:

    • The conversion of written tests to CAT format was found to be feasible.
    • A positive correlation was observed between the number of items administered and a candidate's ability level.
    • Most students encountered questions across seven out of ten domains, indicating broad content coverage.

    Conclusions:

    • Computerized adaptive testing (CAT) is a viable format for general practice assessment.
    • CAT cannot replace existing high-stakes, large-scale written examinations.
    • CAT shows promise as a reliable tool for early identification of students potentially at risk of failing.