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Related Experiment Videos

Pilot study using 'dangerous answers' as scoring technique on certifying examinations.

H J Mankin, J S Lloyd, R J Rovinelli

    Journal of Medical Education
    |August 1, 1987
    PubMed
    Summary

    Identifying dangerous answers in medical board exams is crucial. Some candidates who passed still chose dangerous incorrect answers, highlighting a potential scoring improvement.

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    Area of Science:

    • Medical Education
    • Patient Safety
    • Assessment

    Background:

    • Medical specialty certifying boards assess physician competency.
    • Written board examinations are a key assessment tool.
    • Ensuring patient safety is paramount in medical practice.

    Purpose of the Study:

    • To explore the identification of dangerous answers in medical board examinations.
    • To assess the potential of using dangerous answer scores for examination scoring.
    • To evaluate the impact of dangerous incorrect answers on candidate performance.

    Main Methods:

    • Four medical specialty boards collaborated on this project.
    • Experts retrospectively identified dangerous incorrect options in past examinations.
    • Dangerous answer scores were calculated for 2,713 candidates (1981-1983).
    • Dangerous answer scores were compared with conventional percent-correct scores.

    Main Results:

    • 3% of candidates who failed by conventional scoring had below-average dangerous incorrect answers.
    • 10% of candidates who passed by conventional scoring had above-average dangerous incorrect answers.
    • Dangerous answers represent a potential area for improved scoring analysis.

    Conclusions:

    • Dangerous answers can be identified in written medical board examinations.
    • A significant percentage of candidates who passed still selected dangerous incorrect answers.
    • This finding suggests dangerous answer analysis may offer valuable insights beyond conventional scoring.

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