title: Setting and validating the pass/fail score for the NBDHE.
abstract: OBJECTIVE
  This report describes the overall process used for setting the pass/fail score for the National Board Dental Hygiene Examination (NBDHE).
  
  
  METHODS
  The Objective Standard Setting (OSS) method was used for setting the pass/fail score for the NBDHE. The OSS method requires a panel of experts to determine the criterion items and proportion of these items that minimally competent candidates would answer correctly, the percentage of mastery and the confidence level of the error band. A panel of 11 experts was selected by the Joint Commission on National Dental Examinations (Joint Commission). Panel members represented geographic distribution across the U.S. and had the following characteristics: full-time dental hygiene practitioners with experience in areas of preventive, periodontal, geriatric and special needs care, and full-time dental hygiene educators with experience in areas of scientific basis for dental hygiene practice, provision of clinical dental hygiene services and community health/research principles. Utilizing the expert panel's judgments, the pass/fail score was set and then the score scale was established using the Rasch measurement model.
  
  
  RESULTS
  Statistical and psychometric analysis shows the actual failure rate and the OSS failure rate are reasonably consistent (2.4% vs. 2.8%). The analysis also showed the lowest error of measurement, an index of the precision at the pass/fail score point and that the highest reliability (0.97) are achieved at the pass/fail score point.
  
  
  CONCLUSIONS
  The pass/fail score is a valid guide for making decisions about candidates for dental hygiene licensure. This new standard was reviewed and approved by the Joint Commission and was implemented beginning in 2011.
authors.forename: Tsung-Hsun
authors.initials: TH
authors.lastname: Tsai
authors.forename: Barbara Leatherman
authors.initials: BL
authors.lastname: Dixon
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003756:Dental Hygienists / Q000193:education*; D004521:Educational Measurement / Q000379:methods* / Q000592:standards; D005178:Faculty; D006801:Humans; D008004:Licensure; D011340:Problem Solving; D015203:Reproducibility of Results; D014481:United States
keywords: NBDHE; Objective Standard Setting method; pass/fail score; validity