Abstract
To reduce the incidence of hypoxic brain injuries among newborns a national cardiotocography (CTG) education program was implemented in Denmark. A multiple-choice question test was integrated as part of the program. The aim of this article was to describe and discuss the test development process and to introduce a feasible method for written test development in general. The test development was based on the unitary approach to validity. The process involved national consensus on learning objectives, standardized item writing, pilot testing, sensitivity analyses, standard setting and evaluation of psychometric properties using Item Response Theory models. Test responses and feedback from midwives, specialists and residents in obstetrics and gynecology, and medical and midwifery students were used in the process (proofreaders n = 6, pilot test participants n = 118, CTG course participants n = 1679). The final test included 30 items and the passing score was established at 25 correct answers. All items fitted a loglinear Rasch model and the test was able to discriminate levels of competence. Seven items revealed differential item functioning in relation to profession and geographical regions, which means the test is not suitable f...Continue Reading
References
Sep 1, 1990·Academic Medicine : Journal of the Association of American Medical Colleges·G E Miller
Mar 22, 2003·BMJ : British Medical Journal·Lambert W T Schuwirth, Cees P M van der Vleuten
Dec 16, 2005·Teaching and Learning in Medicine·Steven M DowningRachel Yudkowsky
Dec 26, 2007·Acta Obstetricia Et Gynecologica Scandinavica·Lars Dahlgaard HoveMorten Hedegaard
Jan 15, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·S BerglundS Cnattingius
May 23, 2008·The Journal of Perinatal & Neonatal Nursing·Dawn E Collins
Oct 1, 2008·Medical Education·Douglas P LarsenHenry L Roediger
Mar 3, 2009·American Journal of Obstetrics and Gynecology·Christian M PettkerEdmund F Funai
May 1, 2009·BMC Medical Education·Nathan ZoanettiEuan M Wallace
Jun 11, 2011·BJOG : an International Journal of Obstetrics and Gynaecology·C PehrsonI Amer-Wåhlin
Mar 5, 2013·BMC Medical Education·Nathan ZoanettiEuan M Wallace
Oct 12, 2013·American Journal of Obstetrics and Gynecology·Richard L BerkowitzMichael P Nageotte
Nov 5, 2014·Acta Anaesthesiologica Scandinavica·J L SørensenC VAN DER Vleuten
Apr 22, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Line ThellesenJette L Sorensen
Citations
May 20, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Line ThellesenThomas Bergholt
Jan 10, 2018·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Neville G ChiavaroliClaire Palermo
May 30, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Line ThellesenMorten Hedegaard
Jul 1, 2019·BMJ Open·Guillaume LaméMary Dixon-Woods