Open access
Challenges in assessing ethical training in contemporary medicine: Psychometric evidence from two retention exams
F. Miura
Mauro Hilkner
A. I. Fiorelli
A. Arévalo
A. Vattimo
Christiane Cardoso Anicet Leite
Maria Alice Saccani Scardoelli
M. Martinez
Guilherme Lepski
Medicine
Abstract
Highlights • Psychometric analysis improved ethics retention test performance.• KR-20 increased from 0.61 to 0.83 after exam reformulation.• Case-based items showed superior discrimination among residents.• Practical ethics domains yielded the highest item discrimination.• CTT metrics support continuous improvement of ethics education.