Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/76205
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Type: | Journal article |
Title: | Standard setting of script concordance tests using an adapted Nedelsky approach |
Author: | Linn, A. Tonkin, A. Duggan, P. |
Citation: | Medical Teacher, 2013; 35(4):314-319 |
Publisher: | Carfax Publishing |
Issue Date: | 2013 |
ISSN: | 0142-159X 0142-159X |
Statement of Responsibility: | Andrew M.J. Linn, Anne Tonkin & Paul Duggan |
Abstract: | BACKGROUND: Standard setting in assessment seeks to apply meaning of achievement to an assessment score. Appropriate standard setting for script concordance tests (SCTs) remains a challenge, with existing methods representing norm-referenced approaches. AIMS: To develop a criterion-referenced standard setting approach for SCT using an adapted Nedelsky approach, to pilot feasibility, and to compare failure rates with two other methods. METHODS: Second- and third-year medical students were administered a 45-question SCT and results collated. Standard setting was applied using three approaches: (1) norm-referenced (student cohorts), (2) expert-referenced (student cohort compared to expert mean), and (3) adapted Nedelsky approach using answer key normalization. Feasibility and failure rates were measured. RESULTS: All standard setting approaches were feasible, with 60 additional minutes required for the Nedelsky standard setting exercise. Failure rates between the three approaches were similar (Year 2: 8.0–9.8% and Year 3: 2.1–7.6%), with the adapted Nedelsky approach representing an intermediate option (Year 2: 8.0% and Year 3: 3.5%). CONCLUSION: Standard setting SCT using the criterion-referenced method of an adapted Nedelsky approach was found to be both logically justifiable and logistically simple, and produced failure rates comparable to other currently utilized and less objective approaches. |
Keywords: | Humans Feasibility Studies Achievement Education, Medical, Undergraduate Educational Measurement |
Rights: | © 2012 Informa UK Ltd. |
DOI: | 10.3109/0142159x.2012.746446 |
Published version: | http://dx.doi.org/10.3109/0142159x.2012.746446 |
Appears in Collections: | Aurora harvest 4 Obstetrics and Gynaecology publications |
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