In response to the COVID-19 pandemic, the American Board of Surgery (ABS) shifted from in-person to remote administrations of the oral certifying exam (CE). Although the overall exam architecture remains the same, there are a number of differences in administration and staffing costs, exam content, security concerns, and the tools used to give the…

Administrative problems such as computer malfunction and power outage occasionally lead to missing item scores and hence to incomplete data on mastery tests such as the AP and U.S. Medical Licensing examinations. Investigators are often interested in estimating the probabilities of passing of the examinees with incomplete data on mastery tests.…

Discusses the factors affecting the decision to use computerized adaptive testing in a nursing certification examination. (SLD)

Describes an integrated approach to test development and administration called computer-adaptive sequential testing (CAST). CAST incorporates adaptive testing methods with automated test assembly. Describes the CAST framework and demonstrates several applications using a medical-licensure example. (SLD)

The process proposed for the development and use of computer-based testing, including simulation and multiple-choice questions, as part of the National Board of Medical Examiners' certification sequence is outlined. Summary reports of first-phase pilot testing in six medical schools are appended. (MSE)