{"content":[{"text":"Item Reengineering Report","bbox":{"left":0.147059,"top":0.045014,"width":0.17726999999999998,"height":0.015448000000000003}},{"text":"- 2 -","bbox":{"left":0.825761,"top":0.045014,"width":0.02727299999999999,"height":0.015448000000000003}},{"text":"development committees were structured as two subcommittees: one for a Part I section, \n and the other for the corresponding Part II section. For example, one committee was \n responsible for both the Human Biology Section in Part I and the Systemic Conditions \n Section in Part II. Another committee was responsible for the Optics Section in Part I \n and the Refractive … Conditions Section in Part II. The intent was for the Part II \n subcommittee to instill a clinical perspective on the Part I items.","bbox":{"left":0.147059,"top":0.101545,"width":0.6943030000000001,"height":0.10733300000000001}},{"text":"To further the integration of content, two examination councils were formed: one for each \n examination Part. Each council was structured as a committee of examination \n subcommittee chairs, with the addition of a second examination subcommittee member \n for lengthy sections (e.g., Optics). The examination councils replaced the Board (i.e., by \n Board delegation) as the final post examination committee meeting integrator and arbiter \n of content. The councils also replaced the examination committees in conducting the \n usual telephone conference call reviews of the initial scoring data in determining what, if \n any, items were flawed, and how they should be handled in the final scoring iteration.","bbox":{"left":0.147059,"top":0.223439,"width":0.7058530000000001,"height":0.14218000000000003}},{"text":"In 1993, the TMOD content was absorbed within Part II. To avoid a resultant skewing of \n content, Part II was lengthened by nearly 50% to retain the robust sampling of content \n from the other content areas within Part II. A comparable lengthening of Part I occurred \n also, similarly to avoid a skewing of content that would have resulted from the expanded \n content in Human Biology.","bbox":{"left":0.147059,"top":0.380256,"width":0.7024110000000001,"height":0.08990900000000002}},{"text":"Also significant in 1993 was the launch of the new Part III Patient Care examination. \n The Clinical Skills examination (CSE), which had been administered as a special test \n since 1989, and the VRICS (Visual Recognition and Interpretation of Clinical Signs) \n examination, which had been administered as a special test since 1991, were \n complemented by the initial administration of Patient Management, which consisted of \n paper-and-pencil simulations of patient encounters, known as patient management \n problems (PMPs).","bbox":{"left":0.147059,"top":0.484801,"width":0.682474,"height":0.12475700000000006}},{"text":"The combination of these three sections formed Part III. Although Part III has since \n evolved to include more TMOD content within CSE, and PAM (Patient Assessment and \n Management) has replaced the VRICS and PMP sections, these changes are small in \n impact in comparison with the impact of adding Part III to the National Board \n examination sequence in 1993. There was a sense of completeness that characterized the \n launch of Part III, as this examination included an assessment of all of the skills \n (including psychomotor, affective, and communication) and formats (including a \n practical or performance test, and visual) for the broadest feasible assessment of entry- \n level competence.","bbox":{"left":0.147059,"top":0.624194,"width":0.6991100000000001,"height":0.159605}},{"text":"Item Reengineering","bbox":{"left":0.147059,"top":0.816148,"width":0.16507900000000003,"height":0.02098500000000003}},{"text":"This history of continual enhancing and updating is an important context for the Part I \n item reengineering project. The underlying philosophy guiding this project was that the \n Basic Science examination could and should be enhanced with regard to item clinicality.","bbox":{"left":0.147059,"top":0.850709,"width":0.6953590000000001,"height":0.05506}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}