Abstract

BackgroundThe MRCP(UK) exam, in 2008 and 2010, changed the standard-setting of its Part 1 and Part 2 examinations from a hybrid Angoff/Hofstee method to statistical equating using Item Response Theory, the reference group being UK graduates. The present paper considers the implementation of the change, the question of whether the pass rate increased amongst non-UK candidates, any possible role of Differential Item Functioning (DIF), and changes in examination predictive validity after the change.MethodsAnalysis of data of MRCP(UK) Part 1 exam from 2003 to 2013 and Part 2 exam from 2005 to 2013.ResultsInspection suggested that Part 1 pass rates were stable after the introduction of statistical equating, but showed greater annual variation probably due to stronger candidates taking the examination earlier. Pass rates seemed to have increased in non-UK graduates after equating was introduced, but was not associated with any changes in DIF after statistical equating. Statistical modelling of the pass rates for non-UK graduates found that pass rates, in both Part 1 and Part 2, were increasing year on year, with the changes probably beginning before the introduction of equating. The predictive validity of Part 1 for Part 2 was higher with statistical equating than with the previous hybrid Angoff/Hofstee method, confirming the utility of IRT-based statistical equating.ConclusionsStatistical equating was successfully introduced into the MRCP(UK) Part 1 and Part 2 written examinations, resulting in higher predictive validity than the previous Angoff/Hofstee standard setting. Concerns about an artefactual increase in pass rates for non-UK candidates after equating were shown not to be well-founded. Most likely the changes resulted from a genuine increase in candidate ability, albeit for reasons which remain unclear, coupled with a cognitive illusion giving the impression of a step-change immediately after equating began. Statistical equating provides a robust standard-setting method, with a better theoretical foundation than judgemental techniques such as Angoff, and is more straightforward and requires far less examiner time to provide a more valid result. The present study provides a detailed case study of introducing statistical equating, and issues which may need to be considered with its introduction.

Highlights

  • The MRCP(UK) exam, in 2008 and 2010, changed the standard-setting of its Part 1 and Part 2 examinations from a hybrid Angoff/Hofstee method to statistical equating using Item Response Theory, the reference group being United Kingdom (UK) graduates

  • The red box indicates the diets for which statistical equating was used, and the green vertical arrows indicate the diet used as the base form, and the diet for which re-equating occurred

  • Increased pass rate of non-UK candidates For Part 1 there is a strong suggestion, at least visibly, that the average pass rate for UK graduates remains stable, the pass rate for non-UK graduates jumps after the introduction of statistical equating and remains higher for the four years

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Summary

Introduction

The MRCP(UK) exam, in 2008 and 2010, changed the standard-setting of its Part 1 and Part 2 examinations from a hybrid Angoff/Hofstee method to statistical equating using Item Response Theory, the reference group being UK graduates. The introduction of statistical equating was generally satisfactory, but several unexpected changes occurred, of which the most striking change was that the overall pass rates for UK graduates (the reference group) remained stable, the pass rate for non-UK candidates seemed to increase Any such possible changes need understanding, and in the empirical part of this paper we will analyse data from a series of recent examinations in order to test explanations for the changes which have occurred. In this paper we will compare the hybrid Angoff-Hofstee method which we used previously for stand-setting MRCP(UK), with the statistical equating which replaced it, in terms of predictive validity

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