@article {338,
	title = {A computerized adaptive knowledge test as an assessment tool in general practice: a pilot study},
	journal = {Medical Teacher},
	volume = {26},
	number = {2},
	year = {2004},
	note = {0142-159xJournal Article},
	month = {Mar},
	pages = {178-83},
	abstract = {Advantageous to assessment in many fields, CAT (computerized adaptive testing) use in general practice has been scarce. In adapting CAT to general practice, the basic assumptions of item response theory and the case specificity must be taken into account. In this context, this study first evaluated the feasibility of converting written extended matching tests into CAT. Second, it questioned the content validity of CAT. A stratified sample of students was invited to participate in the pilot study. The items used in this test, together with their parameters, originated from the written test. The detailed test paths of the students were retained and analysed thoroughly. Using the predefined pass-fail standard, one student failed the test. There was a positive correlation between the number of items and the candidate{\textquoteright}s ability level. The majority of students were presented with questions in seven of the 10 existing domains. Although proved to be a feasible test format, CAT cannot substitute for the existing high-stakes large-scale written test. It may provide a reliable instrument for identifying candidates who are at risk of failing in the written test.},
	keywords = {*Computer Systems, Algorithms, Educational Measurement/*methods, Family Practice/*education, Humans, Pilot Projects},
	author = {Roex, A. and Degryse, J.}
}
@article {234,
	title = {Evaluating the usefulness of computerized adaptive testing for medical in-course assessment},
	journal = {Academic Medicine},
	volume = {74},
	number = {10},
	year = {1999},
	note = {Kreiter, C DFerguson, KGruppen, L DUnited statesAcademic medicine : journal of the Association of American Medical CollegesAcad Med. 1999 Oct;74(10):1125-8.},
	month = {Oct},
	pages = {1125-8},
	edition = {1999/10/28},
	abstract = {PURPOSE: This study investigated the feasibility of converting an existing computer-administered, in-course internal medicine test to an adaptive format. METHOD: A 200-item internal medicine extended matching test was used for this research. Parameters were estimated with commercially available software with responses from 621 examinees. A specially developed simulation program was used to retrospectively estimate the efficiency of the computer-adaptive exam format. RESULTS: It was found that the average test length could be shortened by almost half with measurement precision approximately equal to that of the full 200-item paper-and-pencil test. However, computer-adaptive testing with this item bank provided little advantage for examinees at the upper end of the ability continuum. An examination of classical item statistics and IRT item statistics suggested that adding more difficult items might extend the advantage to this group of examinees. CONCLUSIONS: Medical item banks presently used for incourse assessment might be advantageously employed in adaptive testing. However, it is important to evaluate the match between the items and the measurement objective of the test before implementing this format.},
	keywords = {*Automation, *Education, Medical, Undergraduate, Educational Measurement/*methods, Humans, Internal Medicine/*education, Likelihood Functions, Psychometrics/*methods, Reproducibility of Results},
	isbn = {1040-2446 (Print)},
	author = {Kreiter, C. D. and Ferguson, K. and Gruppen, L. D.}
}
@article {177,
	title = {The effect of item pool restriction on the precision of ability measurement for a Rasch-based CAT: comparisons to traditional fixed length examinations},
	journal = {J Outcome Meas},
	volume = {2},
	number = {2},
	year = {1998},
	note = {983263801090-655xJournal Article},
	pages = {97-122},
	abstract = {This paper describes a method for examining the precision of a computerized adaptive test with a limited item pool. Standard errors of measurement ascertained in the testing of simulees with a CAT using a restricted pool were compared to the results obtained in a live paper-and-pencil achievement testing of 4494 nursing students on four versions of an examination of calculations of drug administration. CAT measures of precision were considered when the simulated examine pools were uniform and normal. Precision indices were also considered in terms of the number of CAT items required to reach the precision of the traditional tests. Results suggest that regardless of the size of the item pool, CAT provides greater precision in measurement with a smaller number of items administered even when the choice of items is limited but fails to achieve equiprecision along the entire ability continuum.},
	keywords = {*Decision Making, Computer-Assisted, Comparative Study, Computer Simulation, Education, Nursing, Educational Measurement/*methods, Human, Models, Statistical, Psychometrics/*methods},
	author = {Halkitis, P. N.}
}
@article {137,
	title = {Methodologic trends in the healthcare professions: computer adaptive and computer simulation testing},
	journal = {Nurse Education},
	volume = {21},
	number = {4},
	year = {1996},
	note = {Forker, J EMcDonald, M EUnited statesNurse educatorNurse Educ. 1996 Jul-Aug;21(4):13-4.},
	month = {Jul-Aug},
	pages = {13-4},
	edition = {1996/07/01},
	abstract = {Assessing knowledge and performance on computer is rapidly becoming a common phenomenon in testing and measurement. Computer adaptive testing presents an individualized test format in accordance with the examinee{\textquoteright}s ability level. The efficiency of the testing process enables a more precise estimate of performance, often with fewer items than traditional paper-and-pencil testing methodologies. Computer simulation testing involves performance-based, or authentic, assessment of the examinee{\textquoteright}s clinical decision-making abilities. The authors discuss the trends in assessing performance through computerized means and the application of these methodologies to community-based nursing practice.},
	keywords = {*Clinical Competence, *Computer Simulation, Computer-Assisted Instruction/*methods, Educational Measurement/*methods, Humans},
	isbn = {0363-3624 (Print)0363-3624 (Linking)},
	author = {Forker, J. E. and McDonald, M. E.}
}
@article {217,
	title = {Moving in a new direction: Computerized adaptive testing (CAT)},
	journal = {Nursing Management},
	volume = {24},
	number = {1},
	year = {1993},
	note = {Jones-Dickson, CDorsey, DCampbell-Warnock, JFields, FUnited statesNursing managementNurs Manage. 1993 Jan;24(1):80, 82.},
	month = {Jan},
	pages = {80, 82},
	edition = {1993/01/01},
	keywords = {*Computers, Accreditation/methods, Educational Measurement/*methods, Licensure, Nursing, United States},
	isbn = {0744-6314 (Print)},
	author = {Jones-Dickson, C. and Dorsey, D. and Campbell-Warnock, J. and Fields, F.}
}
@article {126,
	title = {Computerized adaptive testing for NCLEX-PN},
	journal = {Journal of Practical Nursing},
	volume = {42},
	number = {2},
	year = {1992},
	note = {Fields, F AUnited statesThe Journal of practical nursingJ Pract Nurs. 1992 Jun;42(2):8-10.},
	month = {Jun},
	pages = {8-10},
	edition = {1992/06/01},
	keywords = {*Licensure, *Programmed Instruction, Educational Measurement/*methods, Humans, Nursing, Practical/*education},
	isbn = {0022-3867 (Print)},
	author = {Fields, F. A.}
}
@article {37,
	title = {Future directions for the National Council: the Computerized Adaptive Testing Project},
	journal = {Issues},
	volume = {11},
	number = {4},
	year = {1990},
	note = {911613080885-0046Journal Article},
	pages = {1, 3, 5},
	keywords = {*Computers, *Licensure, Educational Measurement/*methods, Societies, Nursing, United States},
	author = {Bouchard, J.}
}
@article {190,
	title = {National Council Computerized Adaptive Testing Project Review--committee perspective},
	journal = {Issues},
	volume = {11},
	number = {4},
	year = {1990},
	note = {911613110885-0046Journal Article},
	pages = {3},
	keywords = {*Computers, *Licensure, Educational Measurement/*methods, Feasibility Studies, Societies, Nursing, United States},
	author = {Haynes, B.}
}
