Applying the Bookmark method to medical education: Standard setting for an aseptic technique station

Document Type

Journal Article

Publication Date

7-1-2013

Journal

Medical Teacher

Volume

35

Issue

7

DOI

10.3109/0142159X.2013.778395

Abstract

Introduction: The purpose was to evaluate the Bookmark standard-setting method for use on a performance-based assessment in medical education. Methods: We compared cutscores for Aseptic performance assessment using the modified Angoff, Hofstee and modified Bookmark methods. Results: The Angoff produced a cutscore of 62%, SD=18 and a percent passing (pp)=64%. The Hofstee cutscore was 71%, SD=7 and pp=46%. Bookmark mean cutscores were 65.9% SD=10.7 and pp=42% for advanced beginners; 83.6%, SD=9.2 and pp=17% for competent and the proficient category resulted in a cutscore of 96.4% SD=3.9 and pp=1%. Faculty judges found the Bookmark method to be an easy and acceptable method. Conclusions: The Bookmark method was acceptable to faculty, has reasonable quality metrics when compared to other methods and can be a practical tool for establishing standards in performance-based examinations. The Bookmark method could be useful for establishing multiple levels of competency using the Dreyfus criteria. © 2013 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted.

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