Issues associated with incorporation of computerized test development and administration into licensure of health professionals are discussed. Specific issues covered include reporting of test procedures and results, computerized test administration, open-book testing, and the impact of regulation. (TJH)

Part III of the National Board Examination--a certifying examination of medical knowledge and patient management abilities--was assessed using 1,866 first-year residents. This 15-year study comparing Part III results with those of Parts I and II and with superiors' ratings indicates Part III's validity and provides a model for future research.…

Five physicians were tape recorded during their initial interviews with 52 adult patients to quantify behaviors in physicians' initial interviewing style. Patients were asked to complete the Medical Interview Satisfaction Scale. Silences or reaction time latencies, reciprocity, and reflective use of interruptions were significantly correlated with…

This study compares physician performance on the Computer-Aided Simulation of the Clinical Encounter with peer ratings and performance on multiple choice questions and patient management problems. Results indicate that all formats are equally valid, although multiple choice is the most reliable method of assessment per unit of testing time.…

The level of confidence in pass/fail decisions obtained with computerized adaptive tests and paper-and-pencil tests was greater for 645 medical technology students when the computer adaptive test implemented a 90 percent confidence stopping rule than for paper-and-pencil tests of comparable length. (SLD)

Two types of computer-administered unit quizzes in a systematic pathology course for second-year medical students were compared. Quizzes composed of questions selected on the basis of a student's ability had higher correlations with the final examination than did quizzes composed of questions randomly selected from topic areas. (Author/JAZ)

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)

Implications of case specificity in two computer-based clinical-simulation examination cases were examined by a classical measurement approach and by a Bayesian analysis of test characteristics. Results from 163 medical students indicate that such examinations cannot be used in high-stakes situations without additional research. (SLD)