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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.
Summary
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.
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.
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