Increased accessibility of computer-based testing for residency application to a hospital in Brazil with item characteristics comparable to paper-based testing: a psychometric study Article Swipe
Marcos de Carvalho Borges
,
Luciane Loures dos Santos
,
Paulo Henrique Manso
,
Elaine Christine Dantas Moisés
,
Pedro Soler Coltro
,
P. Fonseca
,
Paulo Roberto Alves Gentil
,
Rodrigo de Carvalho Santana
,
Luís Monteiro Rodrigues
,
Benedito Carlos Maciel
,
Hilton Marcos Alves Ricz
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3352/jeehp.2024.21.32
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3352/jeehp.2024.21.32
Purpose: With the coronavirus disease 2019 pandemic, online high-stakes exams have become a viable alternative. This study evaluated the feasibility of computer-based testing (CBT) for medical residency applications in Brazil and its impacts on item quality and applicants’ access compared to paper-based testing.Methods: In 2020, an online CBT was conducted in a Ribeirao Preto Clinical Hospital in Brazil. In total, 120 multiple-choice question items were constructed. Two years later, the exam was performed as paper-based testing. Item construction processes were similar for both exams. Difficulty and discrimination indexes, point-biserial coefficient, difficulty, discrimination, guessing parameters, and Cronbach’s α coefficient were measured based on the item response and classical test theories. Internet stability for applicants was monitored.Results: In 2020, 4,846 individuals (57.1% female, mean age of 26.64±3.37 years) applied to the residency program, versus 2,196 individuals (55.2% female, mean age of 26.47±3.20 years) in 2022. For CBT, there was an increase of 2,650 applicants (120.7%), albeit with significant differences in demographic characteristics. There was a significant increase in applicants from more distant and lower-income Brazilian regions, such as the North (5.6% vs. 2.7%) and Northeast (16.9% vs. 9.0%). No significant differences were found in difficulty and discrimination indexes, point-biserial coefficients, and Cronbach’s α coefficients between the 2 exams.Conclusion: Online CBT with multiple-choice questions was a viable format for a residency application exam, improving accessibility without compromising exam integrity and quality.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3352/jeehp.2024.21.32
- https://www.jeehp.org/upload/pdf/jeehp-21-32.pdf
- OA Status
- diamond
- Cited By
- 1
- References
- 13
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4404220642
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4404220642Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3352/jeehp.2024.21.32Digital Object Identifier
- Title
-
Increased accessibility of computer-based testing for residency application to a hospital in Brazil with item characteristics comparable to paper-based testing: a psychometric studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-11-11Full publication date if available
- Authors
-
Marcos de Carvalho Borges, Luciane Loures dos Santos, Paulo Henrique Manso, Elaine Christine Dantas Moisés, Pedro Soler Coltro, P. Fonseca, Paulo Roberto Alves Gentil, Rodrigo de Carvalho Santana, Luís Monteiro Rodrigues, Benedito Carlos Maciel, Hilton Marcos Alves RiczList of authors in order
- Landing page
-
https://doi.org/10.3352/jeehp.2024.21.32Publisher landing page
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https://www.jeehp.org/upload/pdf/jeehp-21-32.pdfDirect link to full text PDF
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YesWhether a free full text is available
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-
diamondOpen access status per OpenAlex
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https://www.jeehp.org/upload/pdf/jeehp-21-32.pdfDirect OA link when available
- Concepts
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Computer science, Item response theory, Psychometric testing, Educational measurement, Medical education, Psychometrics, Medical physics, Medicine, Psychology, Clinical psychology, Curriculum, Pedagogy, Internal consistencyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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13Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.differences | 156, 188 |
| abstract_inverted_index.difficulty, | 90 |
| abstract_inverted_index.feasibility | 19 |
| abstract_inverted_index.high-stakes | 8 |
| abstract_inverted_index.individuals | 118, 133 |
| abstract_inverted_index.paper-based | 41, 74 |
| abstract_inverted_index.parameters, | 93 |
| abstract_inverted_index.significant | 155, 163, 187 |
| abstract_inverted_index.Cronbach’s | 95, 199 |
| abstract_inverted_index.alternative. | 14 |
| abstract_inverted_index.applications | 27 |
| abstract_inverted_index.coefficient, | 89 |
| abstract_inverted_index.coefficients | 201 |
| abstract_inverted_index.compromising | 223 |
| abstract_inverted_index.constructed. | 65 |
| abstract_inverted_index.construction | 77 |
| abstract_inverted_index.lower-income | 171 |
| abstract_inverted_index.accessibility | 221 |
| abstract_inverted_index.applicants’ | 37 |
| abstract_inverted_index.coefficients, | 197 |
| abstract_inverted_index.computer-based | 21 |
| abstract_inverted_index.discrimination | 86, 194 |
| abstract_inverted_index.point-biserial | 88, 196 |
| abstract_inverted_index.discrimination, | 91 |
| abstract_inverted_index.multiple-choice | 61, 209 |
| abstract_inverted_index.characteristics. | 159 |
| abstract_inverted_index.testing.Methods: | 42 |
| abstract_inverted_index.exams.Conclusion: | 205 |
| abstract_inverted_index.monitored.Results: | 114 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/5 |
| sustainable_development_goals[0].score | 0.5 |
| sustainable_development_goals[0].display_name | Gender equality |
| citation_normalized_percentile.value | 0.90871109 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |