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PubMed · 7205923

When to use a comprehensive final examination.

R J Markert
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Abstract

In summary, comprehensive testing should be discouraged when it involves simply repeating earlier content by means of new or reused test items designed to assess the same knowledge previously measured. A more advanced approach to comprehensive testing should be encouraged. This approach would challenge the student to integrate earlier concepts and principles as he undertakes more sophisticated tasks such as application of knowledge and problem-solving.

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Education, Medical, UndergraduateEducational MeasurementLearningProblem SolvingTeachingJournal Article

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R J Markert. 1981. When to use a comprehensive final examination.. https://doi.org/10.1097/00001888-198103000-00009

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PubMed2007

Conditional reliability of admissions interview ratings: extreme ratings are the most informative.

CONTEXT: Admissions interviews are unreliable and have poor predictive validity, yet are the sole measures of non-cognitive skills used by most medical school admissions departments. The low reliability may be due in part to variation in conditional reliability across the rating scale. OBJECTIVES: To describe an empirically derived estimate of conditional reliability and use it to improve the predictive validity of interview ratings. METHODS: A set of medical school interview ratings was compared to a Monte Carlo simulated set to estimate conditional reliability controlling for range restriction, response scale bias and other artefacts. This estimate was used as a weighting function to improve the predictive validity of a second set of interview ratings for predicting non-cognitive measures (USMLE Step II residuals from Step I scores). RESULTS: Compared with the simulated set, both observed sets showed more reliability at low and high rating levels than at moderate levels. Raw interview scores did not predict USMLE Step II scores after controlling for Step I performance (additional r2 = 0.001, not significant). Weighting interview ratings by estimated conditional reliability improved predictive validity (additional r2 = 0.121, P < 0.01). CONCLUSIONS: Conditional reliability is important for understanding the psychometric properties of subjective rating scales. Weighting these measures during the admissions process would improve admissions decisions.

Education, Medical, Undergraduate↗