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Evaluation & the Health Professions
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Validation of Professional Licensure Examinations

Professions Theory, Test Design, and Construct Validity

Anthony Laduca

National Board of Medical Examiners

Although the unitary view of test validity has gained support recently, it has real limitations where professional licensing examinations are concerned. A strategyfor validation ofprofessional licensure tests requires modifying con- ventional approaches in three ways. First, a theory of professions must be incorporated into the test development process so as to acknowledge the social character of profes- sions. Second, the importance of test design in the validation of licensing tests should be en- hanced. Third, the concept of construct valida- tion must be expanded to accommodate the specialfeatures of content that inhere to pro- fessional licensure testing. Methods for ac- complishing these three things are described and the implications of these and other views discussed.

Evaluation & the Health Professions, Vol. 17, No. 2, 178-197 (1994)
DOI: 10.1177/016327879401700204
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