Journal of Educational Evaluation for Health Professions

Research article

The relationship of examinees’ individual characteristics and perceived acceptability of smart device-based testing to test scores on the practice test of the Korea Emergency Medicine Technician Licensing Examination: Eun Young Lim, Mi Kyoung Yim, Sun Huh; J Educ Eval Health Prof. 2018;15:33. Published online December 27, 2018; DOI: https://doi.org/10.3352/jeehp.2018.15.33

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Purpose
Smart device-based testing (SBT) is being introduced into the Republic of Korea’s high-stakes examination system, starting with the Korean Emergency Medicine Technician Licensing Examination (KEMTLE) in December 2017. In order to minimize the effects of variation in examinees’ environment on test scores, this study aimed to identify any associations of variables related to examinees’ individual characteristics and their perceived acceptability of SBT with their SBT practice test scores.
Methods
Of the 569 candidate students who took the KEMTLE on September 12, 2015, 560 responded to a survey questionnaire on the acceptability of SBT after the examination. The questionnaire addressed 8 individual characteristics and contained 2 satisfaction, 9 convenience, and 9 preference items. A comparative analysis according to individual variables was performed. Furthermore, a generalized linear model (GLM) analysis was conducted to identify the effects of individual characteristics and perceived acceptability of SBT on test scores.
Results
Among those who preferred SBT over paper-and-pencil testing, test scores were higher for male participants (mean± standard deviation [SD], 4.36± 0.72) than for female participants (mean± SD, 4.21± 0.73). According to the GLM, no variables evaluated— including gender and experience with computer-based testing, SBT, or using a tablet PC—showed a statistically significant relationship with the total score, scores on multimedia items, or scores on text items.
Conclusion
Individual characteristics and perceived acceptability of SBT did not affect the SBT practice test scores of emergency medicine technician students in Korea. It should be possible to adopt SBT for the KEMTLE without interference from the variables examined in this study.

Citations

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Application of computer-based testing in the Korean Medical Licensing Examination, the emergence of the metaverse in medical education, journal metrics and statistics, and appreciation to reviewers and volunteers
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Journal of Educational Evaluation for Health Professions.2022; 19: 2. CrossRef
Evaluation of Student Satisfaction with Ubiquitous-Based Tests in Women’s Health Nursing Course
Mi-Young An, Yun-Mi Kim
Healthcare.2021; 9(12): 1664. CrossRef

Review article

Overview and current management of computerized adaptive testing in licensing/certification examinations: Dong Gi Seo; J Educ Eval Health Prof. 2017;14:17. Published online July 26, 2017; DOI: https://doi.org/10.3352/jeehp.2017.14.17

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Abstract PDF

Computerized adaptive testing (CAT) has been implemented in high-stakes examinations such as the National Council Licensure Examination-Registered Nurses in the United States since 1994. Subsequently, the National Registry of Emergency Medical Technicians in the United States adopted CAT for certifying emergency medical technicians in 2007. This was done with the goal of introducing the implementation of CAT for medical health licensing examinations. Most implementations of CAT are based on item response theory, which hypothesizes that both the examinee and items have their own characteristics that do not change. There are 5 steps for implementing CAT: first, determining whether the CAT approach is feasible for a given testing program; second, establishing an item bank; third, pretesting, calibrating, and linking item parameters via statistical analysis; fourth, determining the specification for the final CAT related to the 5 components of the CAT algorithm; and finally, deploying the final CAT after specifying all the necessary components. The 5 components of the CAT algorithm are as follows: item bank, starting item, item selection rule, scoring procedure, and termination criterion. CAT management includes content balancing, item analysis, item scoring, standard setting, practice analysis, and item bank updates. Remaining issues include the cost of constructing CAT platforms and deploying the computer technology required to build an item bank. In conclusion, in order to ensure more accurate estimations of examinees’ ability, CAT may be a good option for national licensing examinations. Measurement theory can support its implementation for high-stakes examinations.

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Technical report

Varying levels of difficulty index of skills-test items randomly selected by examinees on the Korean emergency medical technician licensing examination: Bongyeun Koh, Sunggi Hong, Soon-Sim Kim, Jin-Sook Hyun, Milye Baek, Jundong Moon, Hayran Kwon, Gyoungyong Kim, Seonggi Min, Gu-Hyun Kang; J Educ Eval Health Prof. 2016;13:5. Published online January 15, 2016; DOI: https://doi.org/10.3352/jeehp.2016.13.5

34,990 View
168 Download
1 Crossref

Abstract PDF

Purpose
The goal of this study was to characterize the difficulty index of the items in the skills test components of the class I and II Korean emergency medical technician licensing examination (KEMTLE), which requires examinees to select items randomly.
Methods
The results of 1,309 class I KEMTLE examinations and 1,801 class II KEMTLE examinations in 2013 were subjected to analysis. Items from the basic and advanced skills test sections of the KEMTLE were compared to determine whether some were significantly more difficult than others.
Results
In the class I KEMTLE, all 4 of the items on the basic skills test showed significant variation in difficulty index (P< 0.01), as well as 4 of the 5 items on the advanced skills test (P< 0.05). In the class II KEMTLE, 4 of the 5 items on the basic skills test showed significantly different difficulty index (P< 0.01), as well as all 3 of the advanced skills test items (P< 0.01).
Conclusion
In the skills test components of the class I and II KEMTLE, the procedure in which examinees randomly select questions should be revised to require examinees to respond to a set of fixed items in order to improve the reliability of the national licensing examination.

Citations

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Multimedia-Based online Test on Indonesian Language Receptive Skills Development
M Sudaryanto, D Mardapi, S Hadi
Journal of Physics: Conference Series.2019; 1339(1): 012120. CrossRef

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