精神病学第二部分委员会认证考试的可靠性：考试稳定性
Reliability of the Part II board certification examination in psychiatry: examination stability.
作者信息
McDermott J F, Tanguay P E, Scheiber S C, Juul D, Shore J H, Tucker G J, McCurdy L, Terr L C
机构信息
Department of Psychiatry, University of Hawaii, Manoa 96826.
出版信息
Am J Psychiatry. 1993 Jul;150(7):1077-80. doi: 10.1176/ajp.150.7.1077.
OBJECTIVE
The aim of this study was to examine the reliability (examination stability) of the American Board of Psychiatry and Neurology (ABPN) Part II (oral) examination in psychiatry.
METHOD
The authors analyzed the consistency (agreement between grades given by two independent examiners) for a 1-year examination cycle using a weighted kappa statistic and compared different parts of the examination (live patient and videotape), different examination sites, different days, and different times of the day.
RESULTS
There was no significant difference in agreement between examiners by different parts of the examination, examination site, day of the week, or time of day.
CONCLUSIONS
The stability of the Part II ABPN examination in psychiatry is not influenced significantly by the format or site of administration. Candidate performance is the predominant factor in the determination of passing or failing grades.
目的
本研究旨在检验美国精神病学与神经病学委员会（ABPN）精神病学第二部分（口试）考试的可靠性（考试稳定性）。
方法
作者使用加权kappa统计量分析了一个为期1年的考试周期内两位独立考官给出的成绩之间的一致性（一致性），并比较了考试的不同部分（真实患者和录像带）、不同考试地点、不同日期以及一天中的不同时间。
结果
不同考试部分、考试地点、星期几或一天中的时间对考官之间的一致性没有显著差异。
结论
ABPN精神病学第二部分考试的稳定性不受考试形式或管理地点的显著影响。考生表现是决定及格或不及格成绩的主要因素。
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