CBSE Content Area Item Analysis
CBSE Content Area Item Analysis
Subject examinations provide institutions with one tool for measuring examinees’ understanding of the basic
biomedical and clinical sciences. While responsibility for use of NBME ® subject examinations lies with the
institution, this document provides information to assist institutions in carrying out that responsibility and offers
recommendations regarding use of test scores. Test scores should not be used alone, but rather in conjunction
with other indications of examinee performance in determination of grades.
A Content Area Item Analysis is available for any subject examination with 10 or more examinees. Item analysis
data and content area descriptors of the items, when reviewed together, can be helpful in determining the extent
to which your examinees have learned the content of individual items.
● the content area classification, including a description summarizing the general content of the item;
● the proportion of your examinees (Schl) who correctly answered the item;
● the projected proportion of examinees nationally (Natl) who correctly answered the item; and
The content area classification may include a Physician Task/Competency that appears at the beginning of the
item description. Each Physician Task/Competency is listed below in bold and represents:
● Diagnosis: knowledge pertaining to history, exam, diagnostic studies, and patient outcomes
● Prevention: health maintenance, disease prevention, and surveillance for disease recurrence
Items are listed in ascending order by Schl value: items that were the most difficult for your examinees appear
first, followed by items that were increasingly easy. Thus, the Content Area Item Analysis provides an item-by-
item summary of examinee performance, making it possible to identify areas of high and low achievement. Areas
of poorer performance may primarily reflect lack of emphasis in course coverage; this may be useful information
for score interpretation.
A Content Area Item Analysis is provided solely for faculty use to better understand examinee performance.
The written authorization of the NBME must be obtained prior to any other use of the information contained
in the analysis.
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CONFIDENTIAL
National Board of Medical Examiners ®
Subject Examination Program
Content Area Item Analysis Report
Comprehensive Basic Science
This report provides the content area classification for each item on the examination, along with the proportion of the
examinees from your institution (Schl) and a projected proportion of examinees nationally (Natl) who answered each item
correctly. These proportions (also referred to as p-values) represent the difficulty of the items for the examinees at your
institution and for the national group. In addition, differences between the p-values for your examinees and for the
national group are shown in the last column (Difference). Items are sorted in ascending order by institution p-value so
that the items that were the most difficult for your examinees are listed first.
Total
Item Difficulty
(p-value) Difference
Content Area Classification Schl Natl (Schl-Natl)