Assessing the validity of the USMLE step 2 clinical knowledge examination through an evaluation of its clinical relevance

Academic Medicine : Journal of the Association of American Medical Colleges
Monica M CuddyDavid B Swanson

Abstract

To assess the validity of the USMLE Step 2 Clinical Knowledge (CK) examination by addressing the degree to which experts view item content as clinically relevant and appropriate for Step 2 CK. Twenty-seven experts were asked to complete three survey questions related to the clinical relevance and appropriateness of 150 Step 2 CK multiple-choice questions. Percentages, reliability estimates, and correlation coefficients were calculated and ordinary least squares regression was used. Results showed that 92% of expert judgments indicated the item content was clinically relevant, 90% indicated the content was appropriate for Step 2 CK, and 85% indicated the content was used in clinical practice. The regression indicated that more difficult items and more frequently used items are considered more appropriate for Step 2 CK. Results suggest that the majority of item content is clinically relevant and appropriate, thus providing validation support for Step 2 CK.

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May 22, 2001·Cellular and Molecular Life Sciences : CMLS·P A Brennan

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Citations

Dec 7, 2007·Journal of General Internal Medicine·Elizabeth SteinerNancy C Prouser
Feb 28, 2007·Journal of the American College of Surgeons·Dorothy A AndrioleKenneth B Schechtman
Feb 22, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Jeffrey H SilberKevin G Volpp
Sep 28, 2007·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Saul J WeinerKevin B Weiss
Jun 17, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Stanley J HamstraSally A Santen

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