Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing Examination

Purpose Computerized adaptive testing (CAT) has been adopted in licensing examinations because it improves the efficiency and accuracy of the tests, as shown in many studies. This simulation study investigated CAT scoring and item selection methods for the Korean Medical Licensing Examination (KMLE)...

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Main Authors: Dong Gi Seo, Jeongwook Choi
Format: Article
Language:English
Published: Korea Health Personnel Licensing Examination Institute 2018-05-01
Series:Journal of Educational Evaluation for Health Professions
Subjects:
Online Access:http://www.jeehp.org/upload/jeehp-15-14.pdf
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author Dong Gi Seo
Jeongwook Choi
author_facet Dong Gi Seo
Jeongwook Choi
author_sort Dong Gi Seo
collection DOAJ
description Purpose Computerized adaptive testing (CAT) has been adopted in licensing examinations because it improves the efficiency and accuracy of the tests, as shown in many studies. This simulation study investigated CAT scoring and item selection methods for the Korean Medical Licensing Examination (KMLE). Methods This study used a post-hoc (real data) simulation design. The item bank used in this study included all items from the January 2017 KMLE. All CAT algorithms for this study were implemented using the ‘catR’ package in the R program. Results In terms of accuracy, the Rasch and 2-parametric logistic (PL) models performed better than the 3PL model. The ‘modal a posteriori’ and ‘expected a posterior’ methods provided more accurate estimates than maximum likelihood estimation or weighted likelihood estimation. Furthermore, maximum posterior weighted information and minimum expected posterior variance performed better than other item selection methods. In terms of efficiency, the Rasch model is recommended to reduce test length. Conclusion Before implementing live CAT, a simulation study should be performed under varied test conditions. Based on a simulation study, and based on the results, specific scoring and item selection methods should be predetermined.
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spelling doaj.art-2673cb021ea943f0896f6196bda8dcc22023-08-02T01:03:08ZengKorea Health Personnel Licensing Examination InstituteJournal of Educational Evaluation for Health Professions1975-59372018-05-011510.3352/jeehp.2018.15.14284Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing ExaminationDong Gi SeoJeongwook ChoiPurpose Computerized adaptive testing (CAT) has been adopted in licensing examinations because it improves the efficiency and accuracy of the tests, as shown in many studies. This simulation study investigated CAT scoring and item selection methods for the Korean Medical Licensing Examination (KMLE). Methods This study used a post-hoc (real data) simulation design. The item bank used in this study included all items from the January 2017 KMLE. All CAT algorithms for this study were implemented using the ‘catR’ package in the R program. Results In terms of accuracy, the Rasch and 2-parametric logistic (PL) models performed better than the 3PL model. The ‘modal a posteriori’ and ‘expected a posterior’ methods provided more accurate estimates than maximum likelihood estimation or weighted likelihood estimation. Furthermore, maximum posterior weighted information and minimum expected posterior variance performed better than other item selection methods. In terms of efficiency, the Rasch model is recommended to reduce test length. Conclusion Before implementing live CAT, a simulation study should be performed under varied test conditions. Based on a simulation study, and based on the results, specific scoring and item selection methods should be predetermined.http://www.jeehp.org/upload/jeehp-15-14.pdfalgorithmscomputerskorealogistic modelsresearch design
spellingShingle Dong Gi Seo
Jeongwook Choi
Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing Examination
Journal of Educational Evaluation for Health Professions
algorithms
computers
korea
logistic models
research design
title Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing Examination
title_full Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing Examination
title_fullStr Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing Examination
title_full_unstemmed Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing Examination
title_short Post-hoc simulation study of computerized adaptive testing for the Korean Medical Licensing Examination
title_sort post hoc simulation study of computerized adaptive testing for the korean medical licensing examination
topic algorithms
computers
korea
logistic models
research design
url http://www.jeehp.org/upload/jeehp-15-14.pdf
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