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Measurement plus judgement in examinations

K R Cox, J P Royle

    Medical Education
    |November 1, 1980
    PubMed
    Summary

    Judgement is crucial in surgical examinations, influencing content, difficulty, and scoring. Adjustments may be needed for candidates facing external disadvantages to ensure fair assessment.

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    Area of Science:

    • Medical Education
    • Surgical Assessment

    Background:

    • Examinations, including the Royal Australasian College of Surgeons Part 1 Examination, necessitate critical judgment in scoring and content selection.
    • Policies regarding testing scope (basic science vs. surgery, knowledge vs. application) and depth are integral to examination design.

    Purpose of the Study:

    • To analyze the multifaceted judgments involved in surgical examination processes.
    • To explore the relationship between examination policies, candidate assessment, and score interpretation.

    Main Methods:

    • Qualitative analysis of judgment points within the examination process.
    • Discussion of score reliability and confidence intervals.
    • Consideration of external factors impacting candidate performance.

    Main Results:

    • Examination scoring involves complex judgments linked to testing policies, practice needs, and expected performance levels.
    • While scores have measurable reliability, decisions near the pass mark require careful consideration.
    • External circumstances affecting candidates necessitate judgment regarding disadvantage and score weighting.

    Conclusions:

    • Judgment is inherent in all aspects of surgical examination, from content to scoring.
    • Fairness in assessment requires acknowledging and potentially mitigating the impact of external factors on candidates.

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