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Examination Program Guide Table of Contents IFOMExaminationProgramGuide￨May2016

Examination Program Guide Table of Contents IFOMExaminationProgramGuide￨May2016 Overview and Regulations for Use of IFOM ...... 3 Mission of the Program. ............................................. 3 Background .............................................................. 3 Description of IFOM Examinations .............................. 4 Exam Languages ....................................................... 4 IFOM Examinations Program Goals ............................ 4 Policy on Use of IFOM Examinations ........................... 4 Executive Chief Proctor (ECP) ...................................... 4 Primary Responsibilities of the ECP .............................. 5 Security of Examinations ............................................. 5 Test Delivery Options ........................................... 6 Paper and Pencil Examinations .................................... 6 Web-based Examinations ........................................... 6 Examination Content ........................................... 7 Content Outlines and Sample Items ............................ 7 Practice Examinations ................................................ 7 Item Format ............................................................... 7 NBME Services Portal and Ordering Exams ..... 8 NBME Services Portal (NSP) ........................................ 8 Online Ordering System ............................................. 8 Revising and Cancelling Orders ............................ 8 Ordering Paper and Pencil Examinations ..................... 8 Ordering Examinations at Prometric Testing Centers ..... 8 Payment Policy and Procedures ......................... 9 Billing Accounts ......................................................... 9 Payment Terms ........................................................... 9 Payment Options ....................................................... 9 Administering IFOM Examinations .................. 10 Paper and Pencil Examinations .................................. 10 Web-Based Administrations ...................................... 10 Test Administration Support and Test Accommodations for Examinees ...................... 11 Administration Support ............................................ 11 Paper and Pencil Examinations ............................ 11 Web-based Examinations ................................... 11 Examinees with Disabilities ....................................... 11 Requesting an Extra Time Web-based Examinations ...11 Examination Scoring ......................................... 12 Scoring, Scaling, and Equating ................................. 12 Recommended International Standard of Competence ...12 International Comparison Group .............................. 12 Scoring Feedback .............................................. 13 Examinee Score Report ............................................. 13 Score Interpretation Guide ....................................... 13 Score Roster ............................................................. 13 Performance Feedback ............................................ 13 School Performance Reports ...................................... 13 School Norm Table Report ........................................ 13 School Boxplot Report .............................................. 13 School Performance by Cohort Report ........................ 13 Accessing Score Reports on NSP ................................ 14 Paper and Pencil Examination Score Reports ......... 14 Web-based Examination Score Reports ................ 14 Score Report Processing ............................................ 14 New Forms of Existing Examinations ..................... 14 New Examinations ............................................. 14 Additional Information ..................................... 15 Agreement Analysis for Irregular Testing Behavior ....... 15 Research ............................................................... 15 Additional Resources ............................................... 15 Contact Us ........................................................... 16 Copyright © 2007, 2011-2016 National Board of Medical Examiners® (NBME®). All rights reserved. OverviewandRegulationsforUseofIFOM Exams IFOMExaminationProgramGuide￨MAY 2016 3 This guide provides general information about the International Foundations of Medicine® (IFOM)® Examination Pro- gram offered by the National Board of Medical Examiners® (NBME®). MISSION The primary mission of the IFOM Examination Program is to serve the international medical education commu- nity by providing high-quality assessment tools as well as information and assistance to medical educators. IFOM exams are achievement tests in a broad sense, requiring medical students to solve scientific and clinical problems. Although students’ performance on the exams will reflect the learning specific to their course experiences, their test scores will also reflect educational development resulting from their overall medical school experiences. These exams are constructed to be appropriate for a broad range of curricular approaches. BACKGROUND The NBME offers standardized, objective exams that measure the core knowledge internationally expected of students at critical points in undergraduate medical edu- cation. The exams are designed to provide institutions with effective evaluation tools and useful examinee per- formance data that can be compared with a large repre- sentative group of international examinees at the same stage of training. IFOM exams are available globally and provide faculty with valuable feedback on the per- formance of their students. IFOM exams are developed and reviewed by committees of international content experts following the same rigor- ous protocol used to build Step 1 and Step 2 Clinical Knowledge (CK) of the United States Medical Licensing Examination® (USMLE®). IFOM exams have distinct ad- vantages over locally constructed exams in the assess- ment of student achievement: • IFOM exams provide international norms and rele- vant descriptive information. These norms reflect the performance of examinees from participating med- ical schools around the world. • Items are selected only after extensive review. • Item formats are similar to those used on Step 1 and Step 2 CK. • The exams concentrate heavily on application and integration of knowledge rather than on recall of iso- lated facts. Many items are framed in the context of clinical vignettes. • Multiple forms of each exam are available for use. IFOM exams are intended to complement other sources of information about the educational progress of med- ical students and others who take these exams. The re- sults of IFOM exams should not be viewed as the beginning and end of evaluation. They should be inter- preted in light of other available information, just as cur- riculum evaluation cannot be based on exam results alone. The quality of teaching can and should be evalu- ated by frequent peer observation and personal feed- back, not inferred solely from the level of test scores. IFOMExaminationProgramGuide￨MAY 2016 4 OverviewandRegulationsforUseofIFOM DESCRIPTION OF IFOM EXAMINATIONS The IFOM Basic Science Examination (BSE) is de- signed to assess the common international core of knowledge expected of students who have completed the preclinical curriculum and are about to begin study of clinical medicine. The IFOM Clinical Science Examination (CSE) is designed to assess the international core of clinical knowledge in medicine, surgery, pediatrics, obstetrics and gynecology, and psychiatry expected of students in the final year of undergraduate medical education. Paper IFOM exams contain 160 single-best-answer mul- tiple-choice questions and are administered in one four- hour session. Examinees can take a break if escorted by a proctor. Web-based IFOM exams contain 160 single- best-answer multiple-choice questions and are administered in two two-hour sessions with an optional 15-minute break in between. Examinees can take additional breaks if escorted by a proctor. The IFOM Clinical Science Exam Self-Assessment is also available for examinees who would like to prepare for the IFOM CSE or for other benchmarking purposes. This is an 80-item self-administered exam; read more at http://www.nbme.org/Students/sas/ifom.html EXAM LANGUAGES The IFOM BSE is available in International English. The CSE is available in International English, Spanish, Portuguese, and Italian. • information on student areas of strength and weak- ness to help advance educational improvement and equity; and • support services for a range of assessment and edu- cational programs. POLICY ON USE OF IFOM EXAMINATIONS The NBME provides IFOM Basic and Clinical Science exams for the purpose of assessing the educational achievement of individuals in specific content areas. These exams may be provided to medical schools and institutions listed in the Foundation for the Advancement of International Medical Education and Research’s (FAIMER®) International Medical Education Directory (IMED; https://imed.faimer.org/). All institutions using these exams must comply with test administration standards, including security protocols. In addition, any current medical student or graduate is eligible to take IFOM independent of their university or institution. IFOM EXAMINATION PROGRAM GOALS Our multifaceted program goals are to provide: • high-quality assessments that are efficient and cost effective; • new forms of assessment that promote improvements in learning and instruction; • opportunities to conduct and disseminate research that informs faculty and policy makers and promotes their understanding of assessment; THE EXECUTIVE CHIEF PROCTOR (ECP) The NBME requires that a single individual be designated to oversee all NBME examination services used by an institution. At medical schools, the ECP is nominated by the dean and approved by the NBME. The ECP role is usually filled by someone in the dean’s office (e.g., an associate dean) who has a commensurate level of authority. At residency programs or other organizations, these respon- sibilities may be carried out by a designated individual approved by the NBME. IFOMExaminationProgramGuide￨MAY 2016 5 OverviewandRegulationsforUseofIFOM PRIMARY RESPONSIBILITIES OF THE ECP ECP responsibilities will vary according to the exam service provided. The following list outlines the primary duties of the posi- tion: • Ensure that the security of all (paper, web-based, and customized assessment) examination content is maintained at all times. • Oversee administrative tasks for the local provision of services, particularly online ordering of subject and web-based examinations. • Ensure that all staff responsible for administering ex- aminations (i.e., Chief Proctors) prepare for and con- duct the test sessions in strict compliance with the procedures and regulations outlined in the Chief Proctor’s Manual for Basic/Clinical Science Exami- nations (paper) or Web-based Examinations Chief Proctor’s Manual. • Ensure that all NBME examinations are administered in a secure, proctored setting. • Ensure that examinees follow test day rules and pro- cedures. • Report any suspicious activities observed during an administration to the NBME immediately. • Conduct investigations regarding irregular behavior, if necessary, and promptly provide the NBME with the outcome of any such investigation. • Cooperate with the NBME in any investigation of a possible security breach. • Order examination reviews for faculty through the NBME Exam Review Service (NERS) and proctor the examination reviews. • Establish and monitor local financial accounts for services. SECURITY OF EXAMINATIONS To ensure the integrity of the IFOM Examination Program and the validity of the scores reported, it is essential to maintain the secu- rity and confidentiality of test ma- terials at all times. All items used in IFOM exams are owned and copyrighted by the NBME. Any unauthorized reproduction or dissemination of uploads/s1/ ifom-program-guide.pdf