Major changes in the content and format, standard-setting procedures, and score reporting policies in the National Board of Medical Examiners' comprehensive Part I examination are described. The phase-in of the United States Medical Licensing Examination and implications for score use are also discussed. (Author/MSE)

A study investigating possible sex bias, concerning both student and standardized-patient genders, in an objective structured clinical examination found that neither men nor women were afforded an advantage by patient or test location. However, women's scores on tests administered by females were higher than corresponding men's scores. (MSE)

A study investigated the performance of 6 successive medical school classes on 80 standardized-patient case examinations, looking for effects of student or standardized-patient gender on scores. Results showed no interaction of any practical consequence. Cases with gender-related concern (e.g., breast problems) also did not differentiate between…

A study investigated whether the more efficiently graded extended-matching questions were equivalent to short-answer questions in evaluating medical students' (n=98) ability to elicit physical findings and generate diagnoses and treatment plans, using standardized-patient examinations. The differences found in the two question types did not favor…

A study assessed the feasibility of sequential testing of medical students using standardized patients. Sequential testing passes students who score well on the first segment of the test thus eliminating additional student-standardized patient encounters. Subjects were six classes of Southern Illinois University students (n=404). Results strongly…

A survey of 12 constituencies (totaling 2,288 respondents) concerning the National Board of Medical Examiners' (NBME) comprehensive Part I and Part II examinations revealed support for more even distribution of fail rates across examinations, support for a fixed standard, and favorable reaction to setting standards based on review of examination…

A study investigated the degree to which enhancement of instruction in blood transfusion medicine (TM) in the medical school curriculum is reflected in performance on 1989-90 National Board of Medical Examiners examinations in comparison with 1984-85. Students performed better on TM-related items than on items generally in 1989-90, suggesting more…

A study found that trained standardized patients could provide a reliable assessment of English proficiency of foreign medical graduates by comparison with a standardized language test, but further research is needed to determine whether it is necessary to provide a clinical context for language assessment. (MSE)

A study investigated possible differences in standardized patient examination scores for three groups of undergraduate (n=176) and graduate (n=221) medical students assessed at different sites over two years. Results show no systematic change in scores over testing dates, suggesting no problems with breach of test security. (MSE)

A discussion of the National Board of Medical Examiners' (NBME) pass-fail grading for Part I and Part II examinations gives background on procedures previously used for setting criterion-based grading standards, gives an overview of research on standard-setting, and outlines NBME plans for determining new standards and incorporating improvements.…

A study assessed the usefulness of unannounced standardized patients to assess the skills of 284 physicians enrolled in a continuing medical education program in control of sexually transmitted diseases and human immunodeficiency virus. Significant discrepancies were found between physician-reported performance and actual performance, as found in…

A 1990 survey of 102 directors of internal medical residencies with the largest numbers of foreign-born foreign medical graduates revealed the most important performance predictors were performance on the Foreign Medical Graduate Examination or National Board of Medical Examiners test, interviews, and U.S. postgraduate clinical experience.…

A multistation clinical examination using standardized patients was used over 4 years to assess the interpersonal skills of 346 fourth year medical students, 51 internal medicine residents, and 71 foreign medical graduates seeking admission to graduate study. Results indicate that a reliable assessment of interpersonal skills can be achieved this…