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mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Garamond;} </style> <![endif]--> <!--StartFragment--> <p class="MsoNormal" style="margin-top: 0in; margin-right: 1.0in; margin-bottom: .0001pt; margin-left: 1.0in; text-align: justify; tab-stops: 9.0pt;"><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: "Times New Roman";">The Texas State University-San Marcos undergraduate healthcare administration program requires all bachelors of health administration (BHA) students to pass a comprehensive examination to demonstrate their knowledge of specific core competencies. This also demonstrates completion of their didactic coursework in order to enter a practical internship or residency experience. Since this examination provided important documentation of student learning, the program conducted a detailed psychometric analysis of its three most recent undergraduate comprehensive exit examinations.  In order to determine the value of this examination psychometrically, an evaluation of item validity evidence, between-exam reliability, and related assessment of descriptive statistics with regard to overall exam results and individual healthcare administration competency outcomes was necessary. Using Classical Test Theory (CTT) as a methodological framework, the psychometric analysis involved calculating item-level indices that assessed descriptive, validity, difficulty, and discrimination characteristics. This allowed the program’s faculty to better interpret student exam outcomes at the overall exam and within-exam competency levels. Additionally, this analysis provided an evaluation of the score reliability of the three alternate exam forms, as well as within-exam healthcare administration competency items, furthering the program’s comprehensive exit exam test development process. The outcomes of the analysis included an increased awareness of potential non-equivalent test forms for the total exam and within each exam (competency) level, increased level of interpretation the descriptive results for each exam, and the establishment of a more robust test development process to guide future comprehensive examination efforts.</span></p> <!--EndFragment-->}, number={2}, journal={Current Issues in Education}, author={Lieneck, Cristian and Morrison, Eileen and Price, Larry}, year={2013}, month={Aug.} }