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Home Research Research Library Examining the Construct Stability of the Family Medicine Certification Scale Between One-Day Exam and Longitudinal Assessment Examining the Construct Stability of the Family Medicine Certification Scale Between One-Day Exam and Longitudinal Assessment 2025 Author(s) O’Neill, Thomas R, Stelter, Keith L, and Wang, Ting Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Cognitive Expertise, and Graduate Medical Education Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Purpose: To determine whether the construct of family medicine clinical decision making ability was invariant across modes of administration, the 1-day examination and the longitudinal assessment. We attempted to identify item characteristics associated with differences in difficulty across modes of administration.Methods: The data were item difficulty calibrations based on examinee responses to the 1-day examination and the longitudinal assessment. A repeated measures design was employed to identify question calibration differences across modes of administration, so that the stability of the question difficulty across modes of administration could be assessed. A qualitative review of the flagged questions was conducted to identify characteristics associated with questions becoming easier or more difficult.Results: The correlation between the pairs of calibrations was moderately positive r(298) = 0.558, P < .001 suggesting that the questions are functioning somewhat similarly across the different modes of administration; however, the scatterplot demonstrates that many of the questions became easier. Of the 298 repeated measures t test, 37% (110) did not show a significant difference, 43% (128) became easier on the longitudinal assessment, and 20% (60) became more difficult.Conclusions: This study suggests that changes in item difficulty do occur when extra time and the use of external resources are permitted. Usually the questions get easier, but in some cases the question becomes more difficult. Possible reasons for this are presented, and a method to adjust the item difficulty in a way to maintain a single construct is presented. ABFM Research Read all 2021 Re-Envisioning Family Medicine Residencies: The End in Mind Go to Re-Envisioning Family Medicine Residencies: The End in Mind 2024 Timing of Certification Stage Completion Associated with Subsequent Certification Exam Outcomes Among Board-Certified Family Physicians Go to Timing of Certification Stage Completion Associated with Subsequent Certification Exam Outcomes Among Board-Certified Family Physicians 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040
Author(s) O’Neill, Thomas R, Stelter, Keith L, and Wang, Ting Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Cognitive Expertise, and Graduate Medical Education Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2021 Re-Envisioning Family Medicine Residencies: The End in Mind Go to Re-Envisioning Family Medicine Residencies: The End in Mind 2024 Timing of Certification Stage Completion Associated with Subsequent Certification Exam Outcomes Among Board-Certified Family Physicians Go to Timing of Certification Stage Completion Associated with Subsequent Certification Exam Outcomes Among Board-Certified Family Physicians 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040
2021 Re-Envisioning Family Medicine Residencies: The End in Mind Go to Re-Envisioning Family Medicine Residencies: The End in Mind
2024 Timing of Certification Stage Completion Associated with Subsequent Certification Exam Outcomes Among Board-Certified Family Physicians Go to Timing of Certification Stage Completion Associated with Subsequent Certification Exam Outcomes Among Board-Certified Family Physicians
2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access
2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040