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CONTENTS  \nOVERVIEW ......................................................................................................... 4  \n1. EXAM DEVELOPMENT ................................................................................ 6  \nBlueprint and test specifications .................................................................... 6  \nContent changes due to COVID-19 protocols ............................................... 7  \nExam content ................................................................................................. 8  \nContent validity............................................................................................... 8  \nExam format ................................................................................................. 10  \nScoring candidate performance ................................................................... 10  \n2. EXAM ADMINISTRATION .......................................................................... 11  \nExam sites and candidate numbers ............................................................. 11  \nCandidate orientation ................................................................................... 12  \nNAC administration under COVID-19 protocols .......................................... 13  \nExam administration staff............................................................................. 13  \nStandardized Participant training ................................................................. 13  \nChief examiners ........................................................................................... 14  \nCommon examiner recruitment requirements for all MCC exams............... 14  \nNAC examiner recruitment requirements..................................................... 15  \n3. EXAM SCORING ......................................................................................... 16  \nStandard quality assurance and quality control procedures ........................ 16  \nExam result approval ................................................................................... 17  \nExam result reporting ................................................................................... 18  \nEstablishing the standard for determining exam status ............................... 18  \n4. PSYCHOMETRIC RESULTS ...................................................................... 19  \nEstimates of score reliability and classification decisions ............................20  \nCronbach alpha ............................................................................................ 20  \nStandard error of measurement ................................................................... 21  \nDecision accuracy and decision consistency ............................................... 21  \nOSCE station statistics ................................................................................ 22  \nExaminer analyses ....................................................................................... 24  \nStep One ................................................................................................ 24  \nStep Two ................................................................................................ 24  \nStep Three .............................................................................................. 25  \n5. REFERENCES............................................................................................. 26  \nAPPENDIX A: NAC EXAMINATION COMPETENCY RATINGS ....................27  \nAPPENDIX B: NAC EXAMINATION COMPETENCY DESCRIPTORS...........28  \nTABLES AND FIGURES  \nTable 1: Test specifications for the September 2020 NAC Examination............. 7  \nTable 2: Sampling of OSCE content by test specifications for the September 2020 NAC Examination test forms ...................................... 9  \nTable 2 (cont.): Sampling of OSCE con","cbCaig4nDjLxtH1v","https://ap.wps.com/l/cbCaig4nDjLxtH1v","pdf",1611121,28,"English","# OVERVIEW\n# EXAM DEVELOPMENT\n## Blueprint and test specifications\n## Content changes due to COVID-19 protocols\n## Content validity\n## Exam format\n## Scoring candidate performance\n# EXAM ADMINISTRATION\n## Exam sites and candidate numbers\n## Candidate orientation\n## NAC administration under COVID-19 protocols\n## Exam administration staff\n## Standardized Participant training\n## Chief examiners\n## Common examiner recruitment requirements for all MCC exams\n## NAC examiner recruitment requirements\n# EXAM SCORING\n## Standard quality assurance and quality control procedures\n## Exam result approval\n## Exam result reporting\n## Establishing the standard for determining exam status\n# PSYCHOMETRIC RESULTS\n## Estimates of score reliability and classification decisions\n## Cronbach alpha\n## Standard error of measurement\n## Decision accuracy and decision consistency\n## OSCE station statistics\n## Examiner analyses","[{\"question\":\"What is the purpose of the NAC Examination?\",\"answer\":\"The NAC Examination supports Canadian medical school residency programs in selecting international medical graduates into the first year of postgraduate training while avoiding duplication of provincial IMG assessment activities.\"},{\"question\":\"How does the report address changes due to COVID-19 protocols?\",\"answer\":\"It describes content changes tied to COVID-19 protocols and explains how NAC administration is conducted under those protocols, including candidate orientation and staff processes.\"},{\"question\":\"Which psychometric measures are used to evaluate exam performance?\",\"answer\":\"The report includes score reliability and classification decisions, Cronbach alpha, standard error of measurement, decision accuracy and decision consistency, and OSCE station statistics.\"}]","NAC Examination Annual Technical Report - September 2020 | PDF",1789970442,71]