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Implementing standard setting into the Conjoint MAFP/FRACGP Part 1 examination - Process and issues.

S C Chan1, S Mohd Amin2, T W Lee3

  • 1FAFPM, FRACGP, Community Based Department, Faculty of Medicine, Universiti Kuala Lumpur Royal College of Medicine Perak, Ipoh, Perak, Malaysia.

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
|May 3, 2017
PubMed
Summary
This summary is machine-generated.

Setting defensible passing standards for the Conjoint Part 1 examination is crucial. Successful standard setting involved judge training and careful selection, achieving high reliability for the Malaysian family medicine specialist assessment.

Keywords:
Conjoint MAFP/FRACGP examinationStandard settingmodified Angoff method

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Area of Science:

  • Medical Education
  • Assessment and Evaluation
  • Family Medicine

Background:

  • The Conjoint MAFP/FRACGP examinations, established in 1982, assess competency for independent general practice and family medicine specialization in Malaysia.
  • A robust standard-set pass mark is essential for differentiating competent from incompetent practitioners.

Purpose of the Study:

  • To discuss the implementation process and challenges of standard setting for the Conjoint Part 1 examination.
  • To ensure a defensible standard for assessing family medicine specialists in Malaysia.

Main Methods:

  • Utilized the modified Angoff method for standard setting.
  • Involved careful selection of 16 judges.
  • Provided judges with repeated hands-on training and detailed guidelines.

Main Results:

  • Achieved high inter-rater reliability for the Applied Knowledge Test (Cronbach's alpha = 0.926).
  • Achieved high inter-rater reliability for Key Feature Problems (Cronbach's alpha = 0.921).
  • Successfully standard-set the Part 1 Conjoint examinations in December 2013.

Conclusions:

  • Judges' understanding of the modified Angoff method and borderline candidate characteristics is critical.
  • Effective training, clear guidelines, and appropriate judge composition enhance standard-setting success.
  • The implemented standard-setting process yielded reliable results for the Conjoint Part 1 examination.