A Comparison of Approaches for Mastery Learning Standard Setting

Academic Medicine : Journal of the Association of American Medical Colleges
Jeffrey H BarsukRachel Yudkowsky

Abstract

Defensible minimum passing standards (MPSs) must be used to evaluate learner performance outcomes in health professions education. In this study, the authors compared the results of traditional Angoff and Hofstee standard-setting exercises with the Mastery Angoff and Patient-Safety approaches for central venous catheter (CVC) insertion skills examinations. The authors also evaluated how these standards affected the historical performance of residents who participated in a simulation-based mastery learning (SBML) curriculum for CVC insertion skills. In April and May 2015, 12 physicians with expertise in CVC insertion set MPSs for previously published internal jugular (IJ) and subclavian (SC) CVC insertion checklists using Angoff, Hofstee, Mastery Angoff, and Patient-Safety approaches. The resulting MPSs were compared using historical performance of internal medicine and emergency medicine residents who participated in CVC insertion SBML. The MPSs were set as follows: Angoff: IJ 91% checklist items correct, SC 90%. Hofstee: IJ 88%, SC 90%. Mastery Angoff: IJ 98%, SC 98%. Patient-Safety: IJ 98%, SC 98%. Based on the historical performance of 143 residents assessed on IJ and SC insertion, applying the 98% MPS would result in additi...Continue Reading

References

Oct 4, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Diane B WayneWilliam C McGaghie
Jan 26, 2007·The New England Journal of Medicine·Ronald M Epstein
Oct 18, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Diane B WayneWilliam C McGaghie
Feb 8, 2008·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Diane B WayneWilliam C McGaghie
Aug 12, 2009·Archives of Internal Medicine·Jeffrey H BarsukDiane B Wayne
Sep 16, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jeffrey H BarsukDiane B Wayne
Apr 15, 2010·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Elaine R CohenDiane B Wayne
Oct 15, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Jeffrey H BarsukDiane B Wayne
Jan 22, 2013·Teaching and Learning in Medicine·Elaine R CohenDiane B Wayne
Sep 5, 2014·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Rachel YudkowskyCindy Ledonne
Aug 20, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·William C McGaghieDiane B Wayne
Sep 17, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Rachel YudkowskyE Matthew Ritter
Sep 17, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·William C McGaghie
Jan 9, 2017·Journal of Pain and Symptom Management·Rashmi K SharmaDiane B Wayne
May 31, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Kimberly LomisUNKNOWN AAMC Core EPAs for Entering Residency Pilot Team
May 31, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·David R BrownUNKNOWN AAMC Core Entrustable Professional Activities for Entering Residency Entrustment Concept Group

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Citations

Jan 31, 2019·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jonathan Fryer
Aug 30, 2018·Journal of Graduate Medical Education·Julia Vermylen, Gordon J Wood
Feb 25, 2020·Journal of Graduate Medical Education·David H SalzmanDanielle M McCarthy
Mar 19, 2020·Journal of General Internal Medicine·Rebecca MillerRehan Qayyum
Sep 25, 2020·The Western Journal of Emergency Medicine·Nicholas PokrajacMichael A Gisondi
Nov 7, 2020·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·William C McGaghieJeffrey H Barsuk

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