RESEARCH LIBRARY

Journal of Pain and Symptom Management: Volume 56, Issue 3, p371-378

This article reviews the USMLE step examinations to determine whether they test the palliative care (PC) knowledge necessary for graduating medical students and residents applying for licensure.

Journal of Medical Regulation (2018) 104 (2): 51–57

There have been a number of important stakeholder opinions critical of the Step 2 Clinical Skills Examination (CS) in the United States Medical Licensing Examination (USMLE) licensure sequence. The Resident Program Director (RPD) Awareness survey was convened to gauge perceptions of current and potential Step 2 CS use, attitudes towards the importance of residents' clinical skills, and awareness of a medical student petition against Step 2 CS. This was a cross-sectional survey which resulted in 205 responses from a representative sampling of RPDs across various specialties, regions and program sizes.

Journal of Educational Measurement: Volume 55, Issue 2, Pages 308-327

The widespread move to computerized test delivery has led to the development of new approaches to evaluating how examinees use testing time and to new metrics designed to provide evidence about the extent to which time limits impact performance. Much of the existing research is based on these types of observational metrics; relatively few studies use randomized experiments to evaluate the impact time limits on scores. Of those studies that do report on randomized experiments, none directly compare the experimental results to evidence from observational metrics to evaluate the extent to which these metrics are able to sensitively identify conditions in which time constraints actually impact scores. The present study provides such evidence based on data from a medical licensing examination.

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.

The authors examined the extent to which USMLE scores relate to the odds of receiving a disciplinary action from a U.S. state medical board.

Academic Medicine: Volume 88 - Issue 11 - p 1670-1675

From 2007 through 2012, the NBME team reviewed literature in physician–patient communication, examined performance characteristics of the Step 2 CS exam, observed case development and quality assurance processes, interviewed SPs and their trainers, and reviewed video recordings of examinee–SP interactions.  The authors describe perspectives gained by their team from the review process and outline the resulting enhancements to the Step 2 CS exam, some of which were rolled out in June 2012.