Competency-based assessment and an emphasis on obtaining higher-level outcomes that reflect physicians' ability to demonstrate their skills has created a need for more advanced assessment practices. Simulation-based assessments provide medical education planners with tools to better evaluate the 6 Accreditation Council for Graduate Medical…

Three professional associations, the American Educational Research Association, the American Psychological Association, and the National Council on Measurement in Education, jointly adopted the new "Standards for Educational and Psychological Testing" in 1985. The relationship of these to earlier standards is reviewed, and implications…

A specific application of test equating is described, namely that of credentialing examination programs in the health professions. Considered are: (1) the role of test equating in the credentialing process; and (2) the issues that must be considered when implementing test equating in a credentialing examination program. (Author/LMO)

A brief history of developments in the assessment of the reliability of credentialing examinations is presented, and some new results are outlined that highlight the interactions among scoring, standard setting, and the reliability and validity of pass-fail decisions. Decision consistency is an important concept in evaluating credentialing…

Technical advances of the last 15 years in measurement theory and practice are described, notably criterion-referenced testing, item response theory, and computers and testing. Several remaining problems concerning the development and validation of credentialing examinations are also considered. (Author/LMO)