For certification and licensure, content experts work with a psychometric staff to develop test items and, from them, construct examinations. In some cases, the content experts know and/or care little about statistical analysis, making it crucial that psychometric information be presented to them in a form which is understandable, informative and non-threatening. Variables defined by the locations of calibrated items, supplemented with item content descriptions, have been useful for this purpose.
The Rasch model constructs a variable by locating each item on a logit scale oriented to extend from most to least difficult. It is fairly easy to attach a brief description of item content, task and taxonomy to each item calibration, and then to sort these annotated items by difficulty order within subtests. The printout of these sorted items, spaced out to represent the item calibrations, constructs a variable map detailing item difficulty and content within each subtest (or the entire item pool). From this, examinations can be constructed to meet desired test specifications and exam difficulty.
The abbreviated variable map shown in the Figure illustrates the use of this technique for examination development. The content and calibrated difficulty are provided for each item. The items are listed in ascending order of difficulty. An advance of more than 0.1 logits between adjacent items is indicated by a blank line. The variable map summarizes the availability of items across tasks, content and taxonomy areas in the subtest.
The variation of item difficulty calibrations within each subtest is easily seen. For instance, the committee might not have otherwise noticed that the SCOA items are easy, but the ELD items are on the harder side. Similarly, the Taxonomy 3, "problem solving", items are generally either very easy or very hard. All these considerations are easily overlooked when the committee merely select items from a long list of items, probably arranged by bank accession item number, or, if they are lucky, by task.
Certification requires accuracy at the decision point. Selecting items which are close to the decision point increases decision certainty by decreasing the error of measurement at that point. It is useful, therefore, to construct examinations with items "targeted" around the decision point (MPS: "minimum passing score" in Figure). Item difficulty and person ability are calibrated onto the same scale, so the ability measure that represents the decision point (MPS) can be designated on the itemized variable and the committee can see where the difficulties of the items selected for the examination stand in relation to the MPS.
It becomes obvious when unproductive items at the easy or hard ends of the variable are selected instead of items close to the MPS. Content experts do not need to be psychometrically oriented to see the difficulty level of the examination being constructed, and the number of items near the MPS.
Finally, the variable map is useful for identifying items needing revision. The items calibrated at the extreme ends of the variable can be seen to be the least useful for making decisions. Content experts can review these extreme items and revise them in order to make them more or less challenging as needed. The results of their revisions can be verified by the revised items' subsequent changes in position on the variable. If items representing a content, task or taxonomy area are scarce, that also becomes obvious and new items can be written to fill the gaps. In this example, it is clear that the item density is thin around the MPS, but that there are several very easy items.
Adding the ability distribution of a typical candidate group to the variable map would further increase its usefulness. This distribution reminds the committee what is the expected range of competency of those likely to sit the examination. This also encourages the committee to exclude items that are much too easy or too hard. At the same time, it facilitates the construction of an examination containing items targeted at all relevant ability levels, allowing almost all candidates to feel that at least some of the test items gave them the opportunity to demonstrate their own level of proficiency.
Variable maps can be constructed for subtests, examinations or entire item pools. The Rasch model provides the frame of reference and the item calibrations. The measurement system enables examinations to be constructed to match the desired standard and test specifications.
Mary Lunz
American Society of Clinical Pathologists
ITEM VARIABLE FOR MICROBIOLOGY (Subtest: Fungus) | |||||
---|---|---|---|---|---|
Item No. |
Task* | Content Description |
Taxonomy** | Item Calibration |
Perceived Difficulty |
5l6 341 224 520 474 217 378 584 335 196 188 203 216 479 652 209 201 357 457 707 362 646 706 478 377 705 198 709 648 219 645 |
SCOA DFC CCLD CCLD CLD CLD CLD ISOP SM CLD CCLD DFC SCOA ELD DFC DFC CLD DFC DFC CCLD CCLD DFC CLD SM ELD ELD CLD CLD DFC SM CCLD |
infec detection - yeast micro morphology - mold infec pathology - yeast-candida mic-mac morphology - yeast mic-mac morphology - mold-aspergillus id procedure - dimorph-sporothrix macro morphology - dermatophyte incubation - dimorph micro morphology - mold micro morphology - mold-penicillium mic-mac morphology - dimorph micro morphology - dimorph-blasto incubation - dermatophyte-genl mic morphology - dermat-trichophyton antigen detect - yeast micro morphology - mold micro morphology - dermatophytes micro morphology - dimorph incubation - dimorph infection detec - yeast micro morphology - dimorph-histoplasma micro-mac morph - mold mic-mac morphology - mold culture - yeast micro morphology - dimorph micro morphology - yeast macro morphology - dematiaceous mic mac morph - mold micro morphology - dermatophyte growth requirement - yeast micro morphology - dimorph |
3 1 3 2 2 2 2 1 1 2 3 1 1 2 1 1 2 1 1 2 2 1 2 3 2 2 2 2 1 1 3 |
-3.28 -1.97 -0.81 -0.72 -0.67 -0.55 -0.45 -0.37 -0.26 -0.15 -0.08 0.02 0.09 0.12 0.18 0.24 0.29 0.30 0.36 0.53 0.59 0.67 0.76 0.89 0.92 1.07 1.11 1.33 2.00 2.51 2.65 |
Too Easy MPS Too Hard |
* Task: SCOA - Selected Course of Action; DFC - Define Fundamental
Characteristic; CCLD - Correlate Clinical and Laboratory Data; CLD - Correlate Laboratory Data; ELD - Evaluate Laboratory Data; ISOP - Identify Standard Operating Procedure; SM - Select Method |
|||||
** Taxonomy: 1 = Recall; 2 = Interpretation; 3 = Problem
Solving |
Constructing Examinations From Calibrated Items. Lunz M. Rasch Measurement Transactions, 1989, 3:2 p.56-57
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