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Three controversies over item disclosure in medical licensure examinations

 Yoon Soo Park  ;  Eunbae B. Yang 
 Medical Education Online, Vol.20 : 28821, 2015 
Journal Title
 Medical Education Online 
Issue Date
Clinical Competence ; Disclosure/legislation & jurisprudence ; Disclosure/standards* ; Educational Measurement ; Humans ; Licensure, Medical/legislation & jurisprudence ; Licensure, Medical/standards* ; Licensure, Medical/statistics & numerical data* ; Reproducibility of Results
fairness ; passing level ; standards in testing ; utility of disclosure ; validity
In response to views on public's right to know, there is growing attention to item disclosure - release of items, answer keys, and performance data to the public - in medical licensure examinations and their potential impact on the test's ability to measure competence and select qualified candidates. Recent debates on this issue have sparked legislative action internationally, including South Korea, with prior discussions among North American countries dating over three decades. The purpose of this study is to identify and analyze three issues associated with item disclosure in medical licensure examinations - 1) fairness and validity, 2) impact on passing levels, and 3) utility of item disclosure - by synthesizing existing literature in relation to standards in testing. Historically, the controversy over item disclosure has centered on fairness and validity. Proponents of item disclosure stress test takers' right to know, while opponents argue from a validity perspective. Item disclosure may bias item characteristics, such as difficulty and discrimination, and has consequences on setting passing levels. To date, there has been limited research on the utility of item disclosure for large scale testing. These issues requires ongoing and careful consideration.
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1. College of Medicine (의과대학) > Dept. of Medical Education (의학교육학과) > 1. Journal Papers
Yonsei Authors
Yang, Eun Bae(양은배) ORCID logo https://orcid.org/0000-0002-6771-1929
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