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      Relationships between Bloom’s taxonomy, judges’ estimation of item difficulty and psychometric properties of items from a progress test: a prospective observational study

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          ABSTRACT

          BACKGROUND:

          Progress tests are longitudinal assessments of students’ knowledge based on successive tests. Calibration of the test difficulty is challenging, especially because of the tendency of item-writers to overestimate students’ performance. The relationships between the levels of Bloom’s taxonomy, the ability of test judges to predict the difficulty of test items and the real psychometric properties of test items have been insufficiently studied.

          OBJECTIVE:

          To investigate the psychometric properties of items according to their classification in Bloom’s taxonomy and judges’ estimates, through an adaptation of the Angoff method.

          DESIGN AND SETTING:

          Prospective observational study using secondary data from students’ performance in a progress test applied to ten medical schools, mainly in the state of São Paulo, Brazil.

          METHODS:

          We compared the expected and real difficulty of items used in a progress test. The items were classified according to Bloom’s taxonomy. Psychometric properties were assessed based on their taxonomy and fields of knowledge.

          RESULTS:

          There was a 54% match between the panel of experts’ expectations and the real difficulty of items. Items that were expected to be easy had mean difficulty that was significantly lower than that of items that were expected to be medium (P < 0.05) or difficult (P < 0.01). Items with high-level taxonomy had higher discrimination indices than low-level items (P = 0.026). We did not find any significant differences between the fields in terms of difficulty and discrimination.

          CONCLUSIONS:

          Our study demonstrated that items with high-level taxonomy performed better in discrimination indices and that a panel of experts may develop coherent reasoning regarding the difficulty of items.

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          Most cited references41

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          Bloom's taxonomy of cognitive learning objectives.

          Information professionals who train or instruct others can use Bloom's taxonomy to write learning objectives that describe the skills and abilities that they desire their learners to master and demonstrate. Bloom's taxonomy differentiates between cognitive skill levels and calls attention to learning objectives that require higher levels of cognitive skills and, therefore, lead to deeper learning and transfer of knowledge and skills to a greater variety of tasks and contexts.
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            Assessment of higher order cognitive skills in undergraduate education: modified essay or multiple choice questions? Research paper

            Background Reliable and valid written tests of higher cognitive function are difficult to produce, particularly for the assessment of clinical problem solving. Modified Essay Questions (MEQs) are often used to assess these higher order abilities in preference to other forms of assessment, including multiple-choice questions (MCQs). MEQs often form a vital component of end-of-course assessments in higher education. It is not clear how effectively these questions assess higher order cognitive skills. This study was designed to assess the effectiveness of the MEQ to measure higher-order cognitive skills in an undergraduate institution. Methods An analysis of multiple-choice questions and modified essay questions (MEQs) used for summative assessment in a clinical undergraduate curriculum was undertaken. A total of 50 MCQs and 139 stages of MEQs were examined, which came from three exams run over two years. The effectiveness of the questions was determined by two assessors and was defined by the questions ability to measure higher cognitive skills, as determined by a modification of Bloom's taxonomy, and its quality as determined by the presence of item writing flaws. Results Over 50% of all of the MEQs tested factual recall. This was similar to the percentage of MCQs testing factual recall. The modified essay question failed in its role of consistently assessing higher cognitive skills whereas the MCQ frequently tested more than mere recall of knowledge. Conclusion Construction of MEQs, which will assess higher order cognitive skills cannot be assumed to be a simple task. Well-constructed MCQs should be considered a satisfactory replacement for MEQs if the MEQs cannot be designed to adequately test higher order skills. Such MCQs are capable of withstanding the intellectual and statistical scrutiny imposed by a high stakes exit examination.
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              Setting standards on educational tests.

              This instalment in the series on professional assessment provides an introduction to methods of setting standards. A standard is a special score that serves as a boundary between those who perform well enough and those who do not. The practical steps in selecting it include: deciding on the type of standard; deciding the method for setting it; selecting the judges; holding the meeting; calculating the cutpoint, and deciding what to do afterwards. Four of the more popular methods are illustrated for both written and clinical examinations. The most important criteria for selecting a method for setting standards are whether it is consistent with the purpose of the test, based on expert judgement, informed by data, supported by research, transparent, and requires due diligence. The credibility of the standard will rely largely on the nature of the standard setters and the selection of a broadly representative and knowledgeable group is essential. After the standard has been set, it is important to ensure that stakeholders view the results as credible and that the pass rates have sensible relationships with other markers of competence. A standard is an expression of professional values in the context of a test's purpose and content, the ability of the examinees, and the wider social or educational setting. Because standards are an expression of values, methods for setting them are systematic ways of gathering value judgements, reaching consensus and expressing that consensus as a single score on a test.
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                Author and article information

                Journal
                Sao Paulo Med J
                Sao Paulo Med J
                Sao Paulo Med J
                São Paulo Medical Journal
                Associação Paulista de Medicina - APM
                1516-3180
                1806-9460
                22 April 2020
                2020
                : 138
                : 1
                : 33-39
                Affiliations
                [I ] originalMD, PhD. Physician, Department of Neurology, Psychology and Psychiatry, Universidade Estadual Paulista (UNESP), Botucatu (SP), Brazil.
                [II ] originalBSc. Statistical Manager, Edudata Informática, São Paulo (SP), Brazil.
                [III ] originalMD. Assistant Professor, Faculdade de Medicina de Marília (FAMEMA), Marília (SP), Brazil.
                [IV ] originalMD, MSc. Assistant Professor, Faculdade de Medicina de Marília (FAMEMA), Marília (SP), Brazil.
                [V ] originalPhD. Researcher, Department of Medical Psychology and Psychiatry, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.
                [VI ] originalMD, PhD. Associate Professor, Department of Pediatrics, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.
                Author notes
                Address for correspondence: Pedro Tadao Hamamoto Filho. Departamento de Neurologia, Psicologia e Psiquiatria, Universidade Estadual Paulista (UNESP), Campus de Botucatu. Distrito de Rubião Jr, s/n o. Botucatu (SP) - Brasil. CEP 18618-686. Tel. (+55 14) 3880-1220. E-mail: pedro.hamamoto@ 123456unesp.br

                Authors’ contributions: Hamamoto Filho PT and Bicudo AM: study conception and design; Silva E, Ribeiro ZMT and Hafner MLMB: data curation; Silva E and Hamamoto Filho PT: data analysis; Hamamoto Filho PT, Silva E, Ribeiro ZMT, Hafner MLMB and Cecilio-Fernandes D: interpretation of data; Bicudo AM and Hamamoto Filho PT: writing (draft); and Cecilio-Fernandes D: writing review. All authors approved the final version. All authors agree to be accountable for all aspects of the work, so as to ensure that questions relating to the accuracy or integrity of any part of the work are appropriately investigated and resolved

                Conflict of interest: None

                Article
                10.1590/1516-3180.2019.0459.R1.19112019
                9673841
                32321103
                0dc7bd3e-d0ff-4f17-bf9b-754b750fb331
                © 2022 by Associação Paulista de Medicina

                This is an open access article distributed under the terms of the Creative Commons license.

                History
                : 23 October 2019
                : 08 November 2019
                : 19 November 2019
                Page count
                Figures: 3, Tables: 2, Equations: 0, References: 29, Pages: 7
                Categories
                Original Article

                psychometrics,educational measurements,medical education,progress testing,standard setting,bloom’s taxonomy,angoff method

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