Using Multigroup Confirmatory Factor Analysis to Test Measurement Invariance in Raters: A Clinical Skills Examination Application

Abstract

Psychometric models based on structural equation modeling framework are commonly used in many multiple-choice test settings to assess measurement invariance of test items across examinee subpopulations. The premise of the current article is that they may also be useful in the context of performance assessment tests to test measurement invariance of raters. The modeling approach and how it can be used for performance tests with less than optimal rater designs are illustrated using a data set from a performance test designed to measure medical students' patient management skills. The results suggest that group-specific rater statistics can help spot differences in rater performance that might be due to rater bias, identify specific weaknesses and strengths of individual raters, and enhance decisions related to future task development, rater training, and test scoring processes.