Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions

Purpose This study aimed to assess the performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions. Specifically, the following parameters were evaluated: in...

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Main Authors: Jimmy Bourque, Haley Skinner, Jonathan Dupré, Maria Bacchus, Martha Ainslie, Irene W. Y. Ma, Gary Cole
Format: Article
Language:English
Published: Korea Health Personnel Licensing Examination Institute 2020-04-01
Series:Journal of Educational Evaluation for Health Professions
Subjects:
Online Access:http://www.jeehp.org/upload/pdf/jeehp-17-12.pdf
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author Jimmy Bourque
Haley Skinner
Jonathan Dupré
Maria Bacchus
Martha Ainslie
Irene W. Y. Ma
Gary Cole
author_facet Jimmy Bourque
Haley Skinner
Jonathan Dupré
Maria Bacchus
Martha Ainslie
Irene W. Y. Ma
Gary Cole
author_sort Jimmy Bourque
collection DOAJ
description Purpose This study aimed to assess the performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions. Specifically, the following parameters were evaluated: inter-rater agreement, the correlations between Ebel scores and item facility indices, the impact of raters’ knowledge of correct answers on the Ebel score, and the effects of raters’ specialty on inter-rater agreement and Ebel scores. Methods Data were drawn from a Royal College of Physicians and Surgeons of Canada certification exam. The Ebel method was applied to 203 multiple-choice questions by 49 raters. Facility indices came from 194 candidates. We computed the Fleiss kappa and the Pearson correlations between Ebel scores and item facility indices. We investigated differences in the Ebel score according to whether correct answers were provided or not and differences between internists and other specialists using the t-test. Results The Fleiss kappa was below 0.15 for both facility and relevance. The correlation between Ebel scores and facility indices was low when correct answers were provided and negligible when they were not. The Ebel score was the same whether the correct answers were provided or not. Inter-rater agreement and Ebel scores were not significantly different between internists and other specialists. Conclusion Inter-rater agreement and correlations between item Ebel scores and facility indices were consistently low; furthermore, raters’ knowledge of the correct answers and raters’ specialty had no effect on Ebel scores in the present setting.
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spelling doaj.art-2c3b9eaaf40e4c56867fef34e24f2a1e2024-05-22T06:57:37ZengKorea Health Personnel Licensing Examination InstituteJournal of Educational Evaluation for Health Professions1975-59372020-04-011710.3352/jeehp.2020.17.12360Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questionsJimmy Bourque0Haley Skinner1Jonathan Dupré2Maria Bacchus3Martha Ainslie4Irene W. Y. Ma5Gary Cole6Exam Quality and Analytics Unit, Royal College of Physicians and Surgeons of Canada, Ottawa, ON, CanadaExam Quality and Analytics Unit, Royal College of Physicians and Surgeons of Canada, Ottawa, ON, CanadaExam Quality and Analytics Unit, Royal College of Physicians and Surgeons of Canada, Ottawa, ON, CanadaDepartment of Medicine, University of Calgary, Calgary, AB, CanadaDepartment of Medicine, University of Manitoba, Winnipeg, MB, CanadaDepartment of Medicine, University of Calgary, Calgary, AB, CanadaExam Quality and Analytics Unit, Royal College of Physicians and Surgeons of Canada, Ottawa, ON, CanadaPurpose This study aimed to assess the performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions. Specifically, the following parameters were evaluated: inter-rater agreement, the correlations between Ebel scores and item facility indices, the impact of raters’ knowledge of correct answers on the Ebel score, and the effects of raters’ specialty on inter-rater agreement and Ebel scores. Methods Data were drawn from a Royal College of Physicians and Surgeons of Canada certification exam. The Ebel method was applied to 203 multiple-choice questions by 49 raters. Facility indices came from 194 candidates. We computed the Fleiss kappa and the Pearson correlations between Ebel scores and item facility indices. We investigated differences in the Ebel score according to whether correct answers were provided or not and differences between internists and other specialists using the t-test. Results The Fleiss kappa was below 0.15 for both facility and relevance. The correlation between Ebel scores and facility indices was low when correct answers were provided and negligible when they were not. The Ebel score was the same whether the correct answers were provided or not. Inter-rater agreement and Ebel scores were not significantly different between internists and other specialists. Conclusion Inter-rater agreement and correlations between item Ebel scores and facility indices were consistently low; furthermore, raters’ knowledge of the correct answers and raters’ specialty had no effect on Ebel scores in the present setting.http://www.jeehp.org/upload/pdf/jeehp-17-12.pdfcanadacertificationmedicinespecializationstandard-setting
spellingShingle Jimmy Bourque
Haley Skinner
Jonathan Dupré
Maria Bacchus
Martha Ainslie
Irene W. Y. Ma
Gary Cole
Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions
Journal of Educational Evaluation for Health Professions
canada
certification
medicine
specialization
standard-setting
title Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions
title_full Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions
title_fullStr Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions
title_full_unstemmed Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions
title_short Performance of the Ebel standard-setting method for the spring 2019 Royal College of Physicians and Surgeons of Canada internal medicine certification examination consisting of multiple-choice questions
title_sort performance of the ebel standard setting method for the spring 2019 royal college of physicians and surgeons of canada internal medicine certification examination consisting of multiple choice questions
topic canada
certification
medicine
specialization
standard-setting
url http://www.jeehp.org/upload/pdf/jeehp-17-12.pdf
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