title: Standard setting for progress tests: combining external and internal standards.
abstract: OBJECTIVE
  There has been little work on standard setting for progress tests and it is common practice to use normative standards. This study aimed to develop a new approach to standard setting for progress tests administered at the point when students approach graduation.
  
  
  METHODS
  In this study we obtained performance data from newly qualified doctors and used this information to set the standard for the last progress test in the final year of undergraduate medical education. This external reference was validated against projections of student performance data based upon normative grading, and other published results. A simple linear growth model was used to set pass scores for progress tests earlier in the final year and this was also validated by published data.
  
  
  RESULTS
  There was good agreement between standards set using the data from newly qualified doctors, the standard expected from extrapolation of the student progression data, and published performance data from another medical school.
  
  
  CONCLUSIONS
  We have demonstrated that a combination of data from independent sources can be used to triangulate standard-setting decisions for progress tests. Performance data from successive cohorts of medical students could provide a fruitful source of information for standard setting for progress tests.
authors.affiliation: Institute for Clinical Education, Peninsula College of Medicine and Dentistry, University of Plymouth, Plymouth, UK. Chris.Ricketts@pms.ac.uk
authors.forename: Chris
authors.initials: C
authors.lastname: Ricketts
authors.forename: Adrian C
authors.initials: AC
authors.lastname: Freeman
authors.forename: Lee R
authors.initials: LR
authors.lastname: Coombes
mesh_terms: D019985:Benchmarking / Q000592:standards*; D002983:Clinical Competence / Q000592:standards; D004503:Education, Medical, Graduate / Q000592:standards*; D004521:Educational Measurement / Q000379:methods / Q000592:standards*; D006801:Humans; D015397:Program Evaluation / Q000592:standards*; D012015:Reference Standards; D013223:Statistics as Topic; D013337:Students, Medical