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CS REPORT 4/01 - National Board of Examiners in Optometry

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Part I (Basic Science) Exam<strong>in</strong>ation, December 2002<br />

Statistical Report<br />

<strong>National</strong> <strong>Board</strong> <strong>of</strong> <strong>Exam<strong>in</strong>ers</strong> <strong>in</strong> <strong>Optometry</strong> ®<br />

The Part I (Basic Science or BS) exam<strong>in</strong>ation was adm<strong>in</strong>istered on December 11-12, at<br />

19 test centers. This was the 33 rd adm<strong>in</strong>istration <strong>of</strong> the BS exam<strong>in</strong>ation s<strong>in</strong>ce its <strong>in</strong>ception <strong>in</strong><br />

1987.<br />

The BS exam<strong>in</strong>ation is targeted for students enter<strong>in</strong>g their third year <strong>of</strong> optometric<br />

education. Although the August and December adm<strong>in</strong>istrations are equivalent <strong>in</strong> content and<br />

difficulty, the overwhelm<strong>in</strong>g majority <strong>of</strong> students sit for the August adm<strong>in</strong>istration, partially<br />

because it is their earliest opportunity for successful completion. The candidate population for<br />

the subsequent December adm<strong>in</strong>istration typically has a disproportionate number and percentage<br />

<strong>of</strong> prior failees. For the December 2002 adm<strong>in</strong>istration, the total number <strong>of</strong> candidates (392) and<br />

the number (27) and rounded percentage <strong>of</strong> “first timers” (7%) were the lowest for any NBEO<br />

BS exam<strong>in</strong>ation. One candidate was provided accommodations under the Americans with<br />

Disabilities Act (ADA). The immediately preced<strong>in</strong>g adm<strong>in</strong>istration <strong>of</strong> August 2002 hosted a<br />

record number <strong>of</strong> candidates (1608) for any exam<strong>in</strong>ation that the <strong>National</strong> <strong>Board</strong> has ever<br />

adm<strong>in</strong>istered.<br />

Results<br />

Table 1 displays the number <strong>of</strong> items adm<strong>in</strong>istered, and the number <strong>of</strong> items deleted and<br />

scored. The deletion <strong>of</strong> items was based on the detection <strong>of</strong> psychometric flaws dur<strong>in</strong>g the postadm<strong>in</strong>istration<br />

quality-control review.<br />

The distribution <strong>of</strong> overall test scores is displayed <strong>in</strong> Figure 1. The exam<strong>in</strong>ation Part and<br />

section statistics are displayed <strong>in</strong> Tables 2 and 3, respectively. The data <strong>in</strong> Figure 1 and Tables 2<br />

and 3 are based on the entire candidate population, rather than on any reference or subgroup <strong>of</strong><br />

the population. No scores <strong>of</strong> any candidate were cancelled because <strong>of</strong> evidence <strong>of</strong> cheat<strong>in</strong>g.<br />

<strong>National</strong> <strong>Board</strong> pass-fail decisions for BS are based on Part performance only. However,<br />

s<strong>in</strong>ce some state boards require that candidates pass <strong>in</strong>dividual sections, the <strong>National</strong> <strong>Board</strong><br />

computes section cut<strong>of</strong>f scores that are represented by scaled scores <strong>of</strong> 75. The pass-fail data for<br />

the sections <strong>in</strong>dicate the percentage <strong>of</strong> candidates who would have failed if the section cut<strong>of</strong>f<br />

scores had been applied. The <strong>National</strong> <strong>Board</strong> advises aga<strong>in</strong>st requir<strong>in</strong>g that <strong>in</strong>dividual sections<br />

be passed.


Basic Science, 12/2002 -2-<br />

Table 1: Number <strong>of</strong> Test Items Adm<strong>in</strong>istered and Scored<br />

Number <strong>of</strong> Test Items<br />

Adm<strong>in</strong>istered Deleted Scored<br />

O v e r a l l T e s t 435 8 427<br />

Human Biology 195 5 190<br />

Ocular / Visual Biology 90 1 89<br />

Optics 125 2 123<br />

Psychology 25 0 25<br />

Figure 1: Distribution <strong>of</strong> Overall Test Scores<br />

140<br />

130<br />

120<br />

110<br />

100<br />

90<br />

Frequency<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

25 30 35 40 45 50 55 60 65 70 75 80 85 90 95<br />

P e r c e n t a g e S c o r e s


Basic Science, 12/2002 -3-<br />

The <strong>National</strong> <strong>Board</strong> uses a criterion-based methodology to determ<strong>in</strong>e pass-fail standards.<br />

This methodology is based on many detailed consensual judgments by the <strong>Board</strong>'s exam<strong>in</strong>ation<br />

committees regard<strong>in</strong>g the difficulty <strong>of</strong> each test item. The difficulty <strong>of</strong> test items is based on an<br />

analysis <strong>of</strong> each <strong>of</strong> the options with<strong>in</strong> the items. This procedure is known as the Nedelsky/Gross<br />

technique. Articles describ<strong>in</strong>g this procedure, as well as an empirical study <strong>of</strong> its effectiveness,<br />

may be obta<strong>in</strong>ed by contact<strong>in</strong>g the <strong>National</strong> <strong>Board</strong> <strong>of</strong>fice.<br />

The Part pass-fail cut<strong>of</strong>f score is scaled so that it always equals 300. Similarly, for those<br />

states that have subtest requirements, the sections are scaled so that 75 is reported as the cut<strong>of</strong>f<br />

score. The scaled Part cut<strong>of</strong>f <strong>of</strong> 300 is equal to the weighted average <strong>of</strong> the section scaled cut<strong>of</strong>f<br />

score <strong>of</strong> 75. The scaled scores for each section have a range <strong>of</strong> 0-99, where 0 represents the<br />

lowest score possible (i.e. zero percent correct), and 99 represents the highest score possible (i.e.,<br />

100% correct). The score range for each Part is based on a 100-900 scale, where 100 represents<br />

zero percent correct, and 900 represents 100% correct.<br />

Table 2: Overall Part Summary Statistics*<br />

Raw Score % Score Scaled Score<br />

D e s c r i p t i v e D a t a<br />

Score Range 133-374 31-88 2<strong>01</strong>-707<br />

** Mean Score 253.80 59.44 293.51<br />

Median Score 256 59.95 295.19<br />

Standard Deviation 30.87 7.23<br />

R e l i a b i l i t y D a t a<br />

KR-20 Coefficient 0.91<br />

Kappa Coefficient 0.71<br />

# SEM: All Scores 9.16 2.15<br />

# SEM: Pass-Fail Cut<strong>of</strong>f Score 9.56 2.24<br />

P a s s - F a i l D a t a<br />

Pass-Fail Cut<strong>of</strong>f Score 262 61.36 300<br />

** Number (%) Pass<strong>in</strong>g 158 (40.31)<br />

Number (%) Fail<strong>in</strong>g 234 (59.69)<br />

* Part statistics are based on 427 items and 392 candidates, 27 (6.89%) <strong>of</strong> whom are students tak<strong>in</strong>g<br />

the test for the first time.<br />

** The mean score and pass rate <strong>of</strong> students tak<strong>in</strong>g BS for the first time are 63.49% and 66.67%, respectively.<br />

# Standard error <strong>of</strong> measurement


Basic Science, 12/2002 -4-<br />

The overall mean score (59%) was the second-lowest <strong>in</strong> the history <strong>of</strong> the BS test. The<br />

overall pass rate (40%) was at a record low. These data, and additional analyses, <strong>in</strong>dicate that<br />

the weak performance is the result <strong>of</strong> a poorly prepared candidate population, rather than any<br />

skew<strong>in</strong>g <strong>in</strong> test content or difficulty. This poor performance is consistent with the historical<br />

pattern <strong>of</strong> poor candidate performance <strong>in</strong> the <strong>of</strong>f-cycle adm<strong>in</strong>istration; however, with an<br />

unprecedented low percentage <strong>of</strong> first timers, the typically weak performance was weaker.<br />

Table 3: Section Summary Statistics<br />

Human Biology Ocular / Visual Biology O p t i c s<br />

Psychology<br />

% Scaled % Scaled % Scaled % Scaled<br />

Score Score Score Score Score Score Score Score<br />

D e s c r i p t i v e D a t a<br />

Score Range 31-89 38-92 22-89 27-92 32-86 40-91 44-96 54-96<br />

Mean Score 59.11 72.90 59.26 70.96 58.54 72.99 66.96 76.97<br />

Standard Deviation 7.94 9.57 8.50 10.33<br />

P a s s - F a i l D a t a*<br />

Pass-Fail Cut<strong>of</strong>f Score 60.53 75 62.92 75 60.16 75 64.00 75<br />

Candidates Pass<strong>in</strong>g (%) 43.88 35.71 44.90 67.60<br />

Candidates Fail<strong>in</strong>g (%) 56.12 64.29 55.10 32.40<br />

* Based on <strong>National</strong> <strong>Board</strong> criteria, candidates pass or fail Parts only, not sections. These section data are relevant only to applicable<br />

state board requirements.<br />

Performance among the four sections was generally poor. The mean score was below<br />

60% for three <strong>of</strong> the four sections. The only other BS exam<strong>in</strong>ation <strong>in</strong> which this occurred was <strong>in</strong><br />

April 1997, which was the adm<strong>in</strong>istration with the lowest mean and prior record low pass rate.<br />

The highest section mean was <strong>in</strong> Psychology (67%), which typically atta<strong>in</strong>s the highest section<br />

mean. However, this section has the fewest number <strong>of</strong> items, which limits its impact on the<br />

overall BS mean score.<br />

The next adm<strong>in</strong>istration <strong>of</strong> the Part I (Basic Science) exam<strong>in</strong>ation will be <strong>in</strong> August 2003.

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