SubmissionId 60714

Accepted Type
Oral

Code
OF1-3-1

Acceptance Declaration
Accept

Additional Information
Yes, I have/had in the past 2 years, a financial interest, arrangement, or affiliation with one or more organizations that could be perceived as a direct/indirect conflict of interest in the context/content of the subject of this or any other presentation.

Was this work accepted for CCME 2020?
yes

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Research

Will the presenter be a:
Other

Presenter Other
Psychometrician

Affiliation

Considered for Poster
yes

Title
Gaming the Medical School Application System: Revealing the Coaching Effect Size of a Constructed Response SJT

Length of Presentation

Background/Purpose
Situational judgment tests (SJTs) are increasingly used for medical trainee selection, but the effects of test preparation strategies on these tests, especially open-ended SJTs, has not been explored. The greatest concern is coaching effects, as they threaten score enhancement driven by construct-irrelevant factors like response distortion and test-wiseness, and advantage high SES applicants with access to these resources. This study sought to examine the role of coaching effects on SJT performance.

Methods
We invited test-takers to indicate whether they used any of the following preparation strategies: read the tips for applicants on the test website, completed the free practice test, participated in a commercial test preparation course, studied potential questions based on assessment competencies, rehearsed responses with technology, and rehearsed responses without technology. We conducted a multiple regression analysis to compare the additive effect of each preparation method on SJT scores.

Results
Of the six preparation strategies, only completing the free practice test on the test website (b = 0.16, p < .001), studying potential questions based on the assessment competencies (b = 0.13, p = 0.02), and rehearsing responses with technology (b = 0.18, p < .001) provided significant additive benefit to test scores. Test preparation method only accounted for 2% of the overall variance in test scores (R2 = 0.02, F(6,2887) = 14.44, p < .001).

Conclusion
Results suggest coaching effects are extremely small. These results highlight the importance of ensuring equitable access to practice tests, and relieves concerns over potential socially regressive impact of commercial test preparation.

Keyword 1
Admissions

Keyword 2
Assessment

Keyword 3
Situational Judgement Test

Level of Training
Post Graduate

Abstract Themes
Assessment

Assessment
  • Admission/selection
  • Psychometrics & Measurement
  • Technology

Additional Theme (First choice)
Admissions

Additional Theme (Second Choice)
Assessment

Additional Theme (Third Choice)
Professionalism

Authors
Presenter
    Heather Davidson

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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