Interexaminer agreement on the American Board of Emergency Medicine oral certification examination

Annals of Emergency Medicine
Leonard BianchiHazen P Ham

Abstract

One of the principal criticisms of performance assessments, particularly those using an oral format to evaluate physician performance, is the lack of interrater reliability. The objective of this study was to assess interexaminer agreement in the scoring of candidates taking the American Board of Emergency Medicine (ABEM) oral certification examination. Examiner-observer pairs independently scored individual candidates on each of the 6 simulated cases selected for the October 1999 examination. Simple proportionate agreement for "acceptable" and "unacceptable" scores on critical actions and performance ratings were used to measure interexaminer (examiner-observer) agreement. Further analyses were performed to assess interexaminer agreement at the level of the raw scores of all performance ratings. The candidate's actual score was determined entirely by the examiner administering the case. The study examiner was present only to observe and independently score the candidate. Examiners were blinded to each other's scoring. All examiner-observer, examiner-candidate, and observer-candidate pairings were uniquely randomized and occurred only once during the examination. Of 564 candidates, 186 were randomly selected for scoring by exam...Continue Reading

Citations

Apr 24, 2010·International Journal of Emergency Medicine·Sean P KellyKevin M Ban
Mar 13, 2014·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Michael S Beeson, John A Vozenilek
Aug 31, 2010·Evaluation & the Health Professions·Mark R Raymond, Ulana A Luciw-Dubas
Aug 16, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Terry KowalenkoEarl J Reisdorff
Jan 28, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joseph LaMantiaUNKNOWN SDOT Study Group II
May 20, 2018·Advances in Health Sciences Education : Theory and Practice·G Bordage, G Page
Jan 3, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James Kimo TakayesuChad Kessler
Oct 15, 2011·Emergency Medicine Australasia : EMA·Allen YuenWayne Hazell
Jan 3, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jonathan S IlgenJonathan Sherbino
Apr 28, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jillian SchwaabRichard Nelson
Dec 21, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nikhil GoyalChad Kessler
Jan 27, 2019·AEM Education and Training·Mark J BullardDeborah Navedo

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