The most useful method of item selection for making pass-fail decisions with a Computerized Adaptive Test (CAT) was studied. Medical technology students (n=86) took a computer adaptive test in which items were targeted to the ability of the examinee. The adaptive algorithm that selected items and estimated person measures used the Rasch model and…

This paper explores the effect of reviewing items and altering responses on the efficiency of computer adaptive tests (CATs) and the resultant ability measures of examinees. Subjects included 712 medical students: 220 subjects were randomly assigned to the review condition; 492 were randomly assigned to a review control condition (the usual CAT…

This study examined performance of a simulated computerized adaptive test that was designed to help direct the development of a medical recertification examination. The item pool consisted of 229 single-best-answer items from a random sample of 3,000 examinees, calibrated using the two-parameter logistic model. Examinees' responses were known. For…

The level of confidence in pass/fail decisions obtained with computer adaptive tests (CATs) was compared to decisions based on paper-and-pencil tests. Subjects included 645 medical technology students from 238 educational programs across the country. The tests used in this study constituted part of the subjects' review for the certification…