Major changes in the content and format, standard-setting procedures, and score reporting policies in the National Board of Medical Examiners' comprehensive Part I examination are described. The phase-in of the United States Medical Licensing Examination and implications for score use are also discussed. (Author/MSE)

Large scale studies of the psychometric characteristics of standardized-patient clinical examinations are reviewed, and recommendations for test improvement are offered, including (1) assessment of history taking, physical examination, and communication skills separately from diagnostic and management skills; (2) a mastery-testing framework for…

Discussion of the newly modified United States Medical Licensing Examination Step 1 reviews the test, phase-in plans, and potential impact on basic biomedical sciences education. It is recommended that medical schools not use the test as the sole criterion for promotion to the third year and carefully review other examination-related requirements…

Shares some lessons learned from performance-based assessment in the health professions, using four performance-based assessment methods as examples: (1) written clinical simulations (patient-management problems); (2) computer-based clinical simulations; (3) oral examinations; and (4) standardized patients (live simulations). (SLD)