2016至2020年医师资格考试医学综合考试决策一致性分析  

Estimation of decision consistency in National Medical Licensing Examination medical comprehensive examination(2016-2020)

作　　者：冯攀[1] 张泉慧[2] 罗慧琴[3] Feng Pan;Zhang Quanhui;Luo Huiqin(Department of General Management,National Medical Examination Center,Beijing 100097,China;Department of Information and Research,National Medical Examination Center,Beijing 100097,China;Second Department of Item Development,National Medical Examination Center,Beijing 100097,China)

机构地区：[1]国家医学考试中心综合管理部,北京100097 [2]国家医学考试中心信息评价部,北京100097 [3]国家医学考试中心试题开发二部,北京100097

出　　处：《中华医学教育杂志》2022年第8期753-756,共4页Chinese Journal of Medical Education

摘　　要：决策一致性(decision consistency,DC)分析是医师资格考试效度验证的重要环节。本研究采用W-DC法估计了2016至2020年医师资格考试医学综合考试决策一致性指标。研究结果显示,医学综合考试DC指标系数最低值为0.8267,最高值为0.9709。各类别考试中,公共卫生类别执业助理医师各年份间DC极差最大(0.1442)。医学综合考试决策一致性整体较好,考生实测分数靠近合格分数是造成个别考试DC指标系数较低的直接原因。本研究结果可为医师资格考试分数的解释和应用提供证据支持。Decision consistency(DC)is a key index in National Medical Licensing Examination(NMLE)validation.In this study,W-DC method was used to estimate DC index of medical comprehensive examination during 2016 to 2020.The results show that the lowest value of DC index coefficient is 0.8267 and the highest one is 0.9709.Among all types of examinations,the biggest variation between years is present in public health assistant physician test(0.1442).The consistency of decision-making in medical comprehensive examination is good on the whole,and the examinee's actual test score is close to the qualified score,which contribute to the low DC index coefficient of individual examination.Our result provides evidence to support the interpretation and application of NMLE scores.

关 键 词：效度验证 决策一致性 医师资格考试 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]