The Effect of Standardization on the Reliability of the Philippine Board of Surgery Oral Examinations

Background Cognizant of potential problems with validity and reliability, the Philippine Board of Surgery (PBS) undertook standardization of its oral examination procedures. This retrospective analytic study was conducted to determine and compare the reliability of the Philippine Board of Surgery or...

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Veröffentlicht in:Journal of surgical education 2011-03, Vol.68 (2), p.138-142
1. Verfasser: Crisostomo, Armando C., MD
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creator Crisostomo, Armando C., MD
description Background Cognizant of potential problems with validity and reliability, the Philippine Board of Surgery (PBS) undertook standardization of its oral examination procedures. This retrospective analytic study was conducted to determine and compare the reliability of the Philippine Board of Surgery oral examinations before and after standardization. Methods The records of oral examinations from June 29, 2003 to March 28, 2010 were reviewed and measures of reliability (intraclass correlation coefficient and kappa agreement) were computed and compared between the time periods before and after standardization and among different case content modules administered. The proportion of passers between time periods and different content areas were also compared. Results All measures of interrater reliability (intraclass correlation coefficient and kappa agreement) increased significantly overall and in all content areas and regardless of examinee outcome. There was also a trend to increased proportion of passers overall and significant improvement in passing rate in 4 out of 6 content areas. Conclusions This study validates the role of standardization of the content and scoring in improving the reliability of the oral examination, which is crucial for high stakes certifying examinations.
doi_str_mv 10.1016/j.jsurg.2010.09.013
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This retrospective analytic study was conducted to determine and compare the reliability of the Philippine Board of Surgery oral examinations before and after standardization. Methods The records of oral examinations from June 29, 2003 to March 28, 2010 were reviewed and measures of reliability (intraclass correlation coefficient and kappa agreement) were computed and compared between the time periods before and after standardization and among different case content modules administered. The proportion of passers between time periods and different content areas were also compared. Results All measures of interrater reliability (intraclass correlation coefficient and kappa agreement) increased significantly overall and in all content areas and regardless of examinee outcome. There was also a trend to increased proportion of passers overall and significant improvement in passing rate in 4 out of 6 content areas. Conclusions This study validates the role of standardization of the content and scoring in improving the reliability of the oral examination, which is crucial for high stakes certifying examinations.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2010.09.013</identifier><identifier>PMID: 21338972</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accreditation - methods ; Accreditation - standards ; Confidence Intervals ; Databases, Factual ; Educational Measurement - methods ; Female ; General Surgery - education ; Humans ; inter-rater reliability ; Male ; Medical Knowledge ; Observer Variation ; oral examination ; Philippines ; reliability ; Reproducibility of Results ; Retrospective Studies ; Specialty Boards - standards ; standardization ; Surgery</subject><ispartof>Journal of surgical education, 2011-03, Vol.68 (2), p.138-142</ispartof><rights>Association of Program Directors in Surgery</rights><rights>2011 Association of Program Directors in Surgery</rights><rights>Copyright © 2011 Association of Program Directors in Surgery. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Accreditation - methods
Accreditation - standards
Confidence Intervals
Databases, Factual
Educational Measurement - methods
Female
General Surgery - education
Humans
inter-rater reliability
Male
Medical Knowledge
Observer Variation
oral examination
Philippines
reliability
Reproducibility of Results
Retrospective Studies
Specialty Boards - standards
standardization
Surgery
title The Effect of Standardization on the Reliability of the Philippine Board of Surgery Oral Examinations
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