Norcini J J, Swanson D B, Grosso L J, Shea J A, Webster G D
Eval Health Prof. 1984 Dec;7(4):485-99. doi: 10.1177/016327878400700409.
This study compares the reliability, validity, and efficiency of three multiple-choice question (MCQs) ability scales with patient management problems (PMPs). Data are from the 1980, 1981, and 1982 American Board of Internal Medicine Certifying Examinations. The MCQ ability scales were constructed by classifying the one best answer and multiple-true/false questions in each examination as measuring predominantly clinical judgment, synthesis, or knowledge. Clinical judgment items require prioritizing or weighing management decisions; synthesis items require the integration of findings into a diagnostic decision; and knowledge items stress recall of factual information. Analyses indicate that the MCQ ability scales are more reliable and valid per unit of testing time than are PMPs and that clinical judgment and synthesis scales are slightly more correlated with PMPs than is the knowledge scale. Additionally, all MCQ ability scales seem to be measuring the same aspects of competence as PMPs.
本研究比较了三种多项选择题（MCQ）能力量表与患者管理问题（PMP）的可靠性、有效性和效率。数据来自1980年、1981年和1982年美国内科医学委员会认证考试。MCQ能力量表是通过将每次考试中的最佳单项选择题和多项是非题分类为主要测量临床判断、综合或知识来构建的。临床判断项目要求对管理决策进行优先级排序或权衡；综合项目要求将检查结果整合到诊断决策中；知识项目强调对事实信息的回忆。分析表明，MCQ能力量表每单位测试时间比PMP更可靠、更有效，并且临床判断和综合量表与PMP的相关性略高于知识量表。此外，所有MCQ能力量表似乎都在测量与PMP相同的能力方面。
