Journal of Educational Measurement: Volume 55, Issue 4, Pages 582-594
This article proposes and evaluates a new method that implements computerized adaptive testing (CAT) without any restriction on item review. In particular, it evaluates the new method in terms of the accuracy on ability estimates and the robustness against test‐manipulation strategies. This study shows that the newly proposed method is promising in a win‐win situation: examinees have full freedom to review and change answers, and the impacts of test‐manipulation strategies are undermined.
Academic Medicine: May 2018 - Volume 93 - Issue 5 - p 781-785
In 2007, the United States Medical Licensing Examination embedded multimedia simulations of heart sounds into multiple-choice questions. This study investigated changes in item difficulty as determined by examinee performance over time. The data reflect outcomes obtained following initial use of multimedia items from 2007 through 2012, after which an interface change occurred.