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Rethinking critical issues in performance assessment.

M Friedman1, S P Mennin

  • 1Learning Center, University of New Mexico School of Medicine, Albuquerque 87131.

Academic Medicine : Journal of the Association of American Medical Colleges
|July 1, 1991
PubMed
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Medical education faces challenges in performance assessment reliability and validity. Rethinking Classical Test Theory

Area of Science:

  • Medical Education
  • Psychometrics

Background:

  • Growing interest in performance assessment in medical education.
  • Need for robust reliability and validity in assessments.

Purpose of the Study:

  • Examine the application of Classical Test Theory (CTT) to job performance.
  • Critically appraise CTT's suitability for clinical performance assessment.

Main Methods:

  • Literature review and theoretical analysis.
  • Examination of CTT principles in relation to job performance.

Main Results:

  • Existing definitions of reliability and validity may require reevaluation for performance assessments.
  • Key issues include balancing reliability and validity, performance stability, and the role of expert judgment.

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Conclusions:

  • A critical appraisal of applying CTT to assess job-related behaviors in medicine is needed.
  • Rethinking psychometric approaches for medical performance assessment is essential.