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The impact of differential item functioning on ability estimation using the Korean Medical Licensing Examination with
Dogyeong Kim1, Jeongwook Choi1, Dong Gi Seo1
1Department of Psychology, College of Social Science, Hallym University, Chuncheon, Korea.
Journal of Educational Evaluation for Health Professions
|January 25, 2026
Summary
Excluding differential item functioning (DIF) items in computerized adaptive testing (CAT) improved ability estimation accuracy and fairness, especially for diverse examinees. This management enhances precision in high-stakes exams.
Area of Science:
- Psychometrics
- Educational Measurement
- Computerized Adaptive Testing
Background:
- Differential item functioning (DIF) can introduce bias in ability estimation.
- Computerized adaptive testing (CAT) environments require robust methods to ensure accurate measurement.
- Real-world data from high-stakes examinations like the Korean Medical Licensing Examination (KMLE) are crucial for validating psychometric models.
Purpose of the Study:
- To investigate the impact of excluding gender-based DIF items on ability estimation accuracy within a CAT environment.
- To evaluate whether removing DIF items improves fairness and precision in ability estimation, particularly for examinees at the extremes of the ability scale.
- To provide practical evidence for fairness-oriented test design in high-stakes CAT.
Main Methods:
- Differential item functioning (DIF) was detected using the residual-based DIF method on data from 3,259 examinees.
- Two CAT conditions were simulated: one with all items and one excluding DIF items.
- Ability estimates were compared against a 'true θ' using bias, root mean square error (RMSE), and correlation.
Main Results:
- Excluding DIF items improved accuracy, reducing RMSE and increasing correlation with true ability.
- DIF removal reduced underestimation for females but increased it for males, leading to fairer estimates across genders.
- Estimation errors were more pronounced at the low and high ends of the ability scale when DIF items were included.
Conclusions:
- Managing DIF in CAT is essential for enhancing fairness and precision in high-stakes testing.
- This study demonstrates the practical implications of DIF for CAT-based measurement using real examinee data.
- Implementing fairness-oriented test design principles can improve the quality of standardized assessments.
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