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Standard Setting in Medical Education: Which Cut-Off Cuts it?

Abstract

Standard setting of exams is an important element of medical education. This is understandably so: it is difficult to qualify for medical school in the first place and once there, most assessments are high-stakes and failure rates need to be justified. As a consequence, numerous procedures have been established to determine cut-off values for exams. A cut-off value is the score of an assessment that determines who passes the exam and who does not. The cut-off in turn determines the failure rate, which is the percentage of students below the cut-off value who fail the exam.

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