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Anatomy of a clerkship test
Emily L Senecal1, Kim Askew, Barbara Gorney
1Department of Emergency Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA. ESenecal@Partners.org
Abstract:
Written examinations are frequently used to assess medical student performance. Within emergency medicine (EM), a National Board of Medical Examiners (NBME) subject examination for EM clerkships does not exist. As a result, clerkship directors frequently generate examinations within their institution. This article reviews the literature behind the use of standardized examinations in evaluating medical student performance, describes methods for generating well-written test questions, reviews the statistical concepts of reliability and validity that are necessary to evaluate an examination, and proposes future directions for testing EM students.
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