Abstract
Objective
The Coordinators of Psychiatric Education (COPE) Residency In-Training Exam is a formative exam for Canadian psychiatric residents that was reconstructed using assessment best practices. An assessment of psychometric properties was subsequently performed on the exam to ensure preliminary validity and reliability.
Methods
An exam blueprint was developed based on the 2007 Royal College objectives for psychiatric training. A minimum pass level was established using a modified Angoff method. The exam was administered to all Canadian psychiatric residents in postgraduate years 2 to 5 with test reliability (Cronbach alpha) and item analysis performed. Exam validity was assessed through blueprint adherence and cross-year resident performance analysis.
Results
Four hundred two exams were suitable for analysis. The overall mean score for all residents was 69.6% (SD=8.5) with significant differences in total scores between each of the postgraduate year groups, with consistently better performance with increasing time in residency. Cronbach alpha was 0.79.
Conclusion
The present study provides preliminary support that the reconstructed COPE Residency In-Training Exam demonstrates adequate reliability and validity, including showing the capacity to discriminate between levels of training.
Similar content being viewed by others
References
Kearney RA, Sullivan P, Skakun E: Performance on ANA-ASA in-training examination predicts success for RCPSC certification. Can J Anaesth 2000; 47:914–918
Holomboe ES, Hawkins RE: Methods for evaluating the clinical competence of residents in internal medicine: a review. Ann Intern Med 1998; 129:42–48
Waxman H, Braunstein G, Dantzker D, et al: Performance on the internal medicine second-year residency in-training examination predicts the outcome of the ABIM certifying examination. J Gen Int Med 1994; 9:692–694
Wade TP, Andrus CH, Kaminski DL: Evaluations of surgery resident performance correlate with success in board examinations. Surgery 1993; 113:644–648
Cox SM, Herbert WN, Grosswald SJ, et al: Assessment of the resident in-training examination in obstetrics and gynecology. Obstet Gynecol 1994; 84:1051–1054
Webb LC, Juul D, Reynolds CF, et al: How well does the Psychiatry Residency In-Training Examination predict performance on the American Board of Psychiatry and Neurology Part I Examination? Am J Psychiatry 1996; 153:831–832
Woodman C, Schultz SK: Faculty assessment of residents and the Psychiatry Resident In-Training Examination: is there a correlation? Acad Psychiatry 1999; 23:137–141
Smeltzer DJ, Jones BA: Reliability and validity of the Psychiatry Resident In-Training Examination. Acad Psychiatry 1990; 14:115–121
The American College of Psychiatrists: The Psychiatry Resident-In-Training Examination (PRITE). Available at www.acpsych.org/prite/prite.html
Royal College of Physicians and Surgeons of Canada: Objectives for Training in Psychiatry, 2007. Available at rcpsc.medical.org/residency/certification/training/psychiatry_e.html
Hopkins K: Educational and Psychological Measurement and Evaluation. Needham Heights, Mass Allyn & Bacon, 1998
Webb LC, Sexson S, Scully J, et al: Training directors opinions about the Psychiatry Resident In-Training Examination (PRITE). Am J Psychiatry 1992; 149:521–524
Sadock BJ, Sadock VA: Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 9th ed. Philadelphia, Lippincott Williams & Wilkins, 2003
Sadock BJ, Sadock VA: Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, 8th ed. Philadelphia, Lippincott Williams & Wilkins, 2005
Chaisson GM: The development and utilization of in-training examinations in graduate medical education. Med Educ 1978; 53:502–504
Norcini JJ: Setting standards on educational tests. Med Educ 2003; 37:464–469
Cizek GJ, Bunch MB: Standard Setting. Thousand Oaks, Calif, Sage Publications, 2007
Royal College of Physicians and Surgeons of Canada: Pass percentage rates, 2007. Available at rcpsc.medical.org/residency/certification/pass_rate_percentages_e.php
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Montgomery, G.P.J., Crockford, D.N. & Hecker, K. The Coordinators of Psychiatric Education (COPE) Residency In-Training Exam: A Preliminary Psychometric Assessment. Acad Psychiatry 34, 203–207 (2010). https://doi.org/10.1176/appi.ap.34.3.203
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1176/appi.ap.34.3.203