Abstract
Aims: The Saudi Commission for Health Specialties' question banks for licensing international medical graduates and certifying Saudi trained residents are currently being upgraded. The process is briefly explained with the justification for the developments made to all the banks over the last 3 years. A process of quality assurance has been introduced to ensure the banks are maintained at the highest standards and procedures that are fit for purpose introduced for the management of test results. Results: An analysis of 16 undergraduate exams shows a sigmoid relationship between mean test scores (MTS) and numbers of functioning distractors. Sixteen computer-based Saudi Licencing Exam (SLE) banks were also analyzed to determine the mean MTS for all, 52.3 ± 7.88, which justifies the use of four option items and also validates the quality of the exams with a majority of items falling within the desired range of medium difficulty to obtain the highest reliability. Conclusion: The Saudi Commission believes that it is achieving increased quality in all aspects of test measurement and would hope that over the next 3 - 5 years achieve levels of excellence for all aspects of it licensing and certifying assessments.
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