Prior research indicates that the overall reliability of performance ratings can be improved by using ordinary least squares (OLS) regression to adjust for rater effects. The present investigation extends previous work by evaluating the impact of OLS adjustment on standard errors of measurement ("SEM") at specific score levels. In…

The use of standardized patients to assess communication skills is now an essential part of assessing a physician's readiness for practice. To improve the reliability of communication scores, it has become increasingly common in recent years to use statistical models to adjust ratings provided by standardized patients. This study employed ordinary…

The present study examined the long-term usefulness of estimated parameters used to adjust the scores from a performance assessment to account for differences in rater stringency. Ratings from four components of the USMLE[R] Step 2 Clinical Skills Examination data were analyzed. A generalizability-theory framework was used to examine the extent to…