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Testing psychiatric knowledge with in-house examinations

G D Strauss, J Yager, E G Liston

    The American Journal of Psychiatry
    |May 1, 1981
    PubMed
    Summary
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    Developing an in-house psychiatric knowledge test offers residency programs a tailored assessment solution. This approach addresses educational accountability needs beyond standardized national examinations.

    Area of Science:

    • Medical Education
    • Psychiatry Training
    • Assessment Methods

    Background:

    • Formal assessment in psychiatric training is increasing due to educational and fiscal accountability demands.
    • Standardized national tests may not adequately serve all residency program requirements.
    • There is a need for alternative, program-specific evaluation tools in psychiatric education.

    Purpose of the Study:

    • To describe an alternative approach to formal assessment in psychiatric training: the development of an in-house test.
    • To highlight key components in creating a reliable and valid in-house psychiatric knowledge test.
    • To examine the cost-effectiveness of implementing an in-house testing strategy.

    Main Methods:

    • Developing an in-house test requires careful attention to educational objectives and detailed test specifications.

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  • Piloting the test with the target audience is crucial for refinement.
  • Conducting item analyses ensures the quality and validity of individual test questions.

    • Main Results:

    • The development and implementation of an in-house psychiatric knowledge test is a feasible alternative to national examinations.
    • Key steps include defining objectives, creating specifications, piloting, and performing item analyses.
    • While time-consuming, this method offers specific advantages for residency program evaluation.

    Conclusions:

    • An in-house psychiatric knowledge test provides a customizable and effective method for evaluating trainee competency.
    • Careful planning and execution, including item analysis, are vital for test success.
    • Programs must weigh the time investment against the benefits of tailored assessment for accountability.