@article{pearce_neill_royal_pairis-garcia_2023, title={Can dogs help chickens? Pet owners' willingness to pay for animal welfare-friendly pet food in the United States}, volume={32}, ISSN={["2054-1538"]}, url={https://doi.org/10.1017/awf.2022.3}, DOI={10.1017/awf.2022.3}, abstractNote={Abstract}, journal={ANIMAL WELFARE}, author={Pearce, Hillary and Neill, Clinton L. and Royal, Kenneth and Pairis-Garcia, Monique}, year={2023}, month={Jan} } @article{knight_royal_robertson_2023, title={Hurdles of Cataract Surgery: Veterinary Ophthalmology Resident's Perspective (Part B)}, volume={3}, ISSN={["1943-7218"]}, url={https://doi.org/10.3138/jvme-2022-0082}, DOI={10.3138/jvme-2022-0082}, abstractNote={ The purpose of this study was to describe the perceived preparedness for performing cataract surgery of veterinary ophthalmology residents’ who are currently enrolled in, or recently graduated from, veterinary academic or private practice institutions. A descriptive survey was distributed online to 127 residents at academic and private practice training programs in the United States. The survey included items about educational resources available for residents and techniques commonly taught during cataract surgery. Residents were asked to describe their perceived preparedness in performing various surgical steps or techniques, difficulty of each surgical step, and the available educational resources. Thirty-five (27.5%) residents completed the survey and were included in this study. Residents who had access to wet labs gained surgical competency in creating a clear corneal incision, capsulorhexis, and wound closure. They reported sculpting with the phacoemulsification handpiece, quadrant or cortical removal, and capsulorhexis as most difficult and were not as prepared or a little prepared in performing capsulorhexis and sculpting during active phacoemulsification. When comparing residents’ perceived competency before and after their first surgical experience, there was a significant change in their ability to perform all surgical steps except hydrodissection ( p < .05). Cataract surgery is one of the more advanced surgical skills obtained during residency training. Supervised wet lab time improves a resident’s preparedness for executing certain surgical steps. However, further research is needed to determine whether educational resources such as structured curriculum or virtual simulation may improve residents’ preparedness for executing surgical steps not easily replicated in a wet lab. }, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Knight, LaTisha N. and Royal, Kenneth D. and Robertson, James B.}, year={2023}, month={Mar} } @article{knight_royal_2023, title={Training Veterinary Ophthalmology Residents on Cataract Surgery (Part A: Diplomate's Survey)}, volume={3}, ISSN={["1943-7218"]}, url={https://doi.org/10.3138/jvme-2022-0081}, DOI={10.3138/jvme-2022-0081}, abstractNote={ The purpose of this study was to explore the teaching methods used to train residents in cataract surgery at academic and private practice institutions. A descriptive survey was distributed online to 186 active supervising diplomates of the American Board of Veterinary Ophthalmologists (ABVO) listserv. The survey included items about various educational resources and techniques available to ophthalmology residents when performing cataract surgery. Thirty-seven (19.9%) supervising diplomates completed the survey. Most supervising diplomates (29, 78.4%) required supervised practice in the wet lab. Fourteen supervising diplomates (37.8%) provided mandatory cataract surgery lectures. Nine diplomates (24.3%) required their residents to attend a formal phacoemulsification wet lab course. There was no difference in the number of diplomates who allowed their residents to perform cataract surgery as the primary surgeon during their second year compared to any other year. Thirty-three surveyed diplomates supported the idea of creating an assessment tool to improve surgical competency. This article describes the current trends in veterinary ophthalmology residency education and provides support for the creation of an assessment tool to improve surgical competency. The goal is to stimulate future research on how educators can effectively train veterinary ophthalmology residents to improve surgical proficiency. }, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Knight, LaTisha N. and Royal, Kenneth}, year={2023}, month={Mar} } @article{caddiell_white_lascelles_royal_ange-van heugten_gruen_2023, title={Veterinary education and experience shape beliefs about dog breeds Part 1: Pain sensitivity}, volume={13}, ISSN={["2045-2322"]}, DOI={10.1038/s41598-023-40671-y}, abstractNote={Abstract}, number={1}, journal={SCIENTIFIC REPORTS}, author={Caddiell, Rachel M. P. and White, Philip and Lascelles, B. Duncan X. and Royal, Kenneth and Ange-van Heugten, Kimberly and Gruen, Margaret E.}, year={2023}, month={Aug} } @article{caddiell_white_lascelles_royal_ange-van heugten_gruen_2023, title={Veterinary education and experience shape beliefs about dog breeds. Part 2: Trust}, volume={13}, ISSN={["2045-2322"]}, DOI={10.1038/s41598-023-40464-3}, abstractNote={Abstract}, number={1}, journal={SCIENTIFIC REPORTS}, author={Caddiell, Rachel M. P. and White, Philip and Lascelles, B. Duncan X. and Royal, Kenneth and Ange-van Heugten, Kimberly and Gruen, Margaret E.}, year={2023}, month={Aug} } @article{harrison_morello_royal_petritz_snyder_2022, title={Effects of gender on income and family planning for diplomates of the American College of Zoological Medicine}, volume={260}, ISSN={["1943-569X"]}, DOI={10.2460/javma.20.05.0250}, abstractNote={Abstract}, number={2}, journal={JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION}, author={Harrison, Tara M. and Morello, Samantha and Royal, Kenneth and Petritz, Olivia and Snyder, Amy}, year={2022}, month={Jan}, pages={251–256} } @article{park_royal_gruen_2021, title={A Literature Review: Pet Bereavement and Coping Mechanisms}, volume={6}, ISSN={["1532-7604"]}, url={https://doi.org/10.1080/10888705.2021.1934839}, DOI={10.1080/10888705.2021.1934839}, abstractNote={ABSTRACT The loss of a companion animal results in millions of pet owners grieving annually. To date, little information has been synthesized on the grief response and coping mechanisms of bereaved pet owners. The aim of this review was to examine the relationship between pet loss and owner grief response. Major themes included: factors that influence the grief response, the disenfranchised nature surrounding pet loss, ambiguous pet loss and coping mechanisms used. Across the 48 studies included in this review, bereaved pet owners frequently reported feelings of embarrassment and loneliness following the loss of their pet. Types of coping mechanisms used by bereaved pet owners were identified and included: isolation, social support, continuing bonds, memorialization, religion, and relationships with other animals. Overall, this review was able to identify a consensus among the literature that bereaved pet owners are likely to experience disenfranchisement surrounding their loss. Based on the present findings, suggestions for future research include a focus on the effectiveness of coping mechanisms used by bereaved pet owners.}, journal={JOURNAL OF APPLIED ANIMAL WELFARE SCIENCE}, author={Park, Rachel M. and Royal, Kenneth D. and Gruen, Margaret E.}, year={2021}, month={Jun} } @article{trivedi_clark_deprospero_royal_see_2021, title={A novel career development course for animal science students pursuing veterinary college admissions}, volume={5}, ISSN={["2573-2102"]}, DOI={10.1093/tas/txab106}, abstractNote={Abstract}, number={3}, journal={TRANSLATIONAL ANIMAL SCIENCE}, author={Trivedi, Shweta and Clark, Jessica C. and Deprospero, Dylan and Royal, Kenneth and See, Miles Todd}, year={2021}, month={Jul} } @article{park_gruen_royal_2021, title={Association between Dog Owner Demographics and Decision to Seek Veterinary Care}, volume={8}, ISSN={["2306-7381"]}, url={https://doi.org/10.3390/vetsci8010007}, DOI={10.3390/vetsci8010007}, abstractNote={(1) Background: An important aspect of dog ownership is providing veterinary care. However, features of dog ownership differ across demographic groups and these may influence veterinary client decision making and behavior. The purpose of the present study was to elucidate relationships between American dog owner characteristics and willingness to seek veterinary care. (2) Methods: A total of 858 dog owners completed an online questionnaire asking participants to rate their level of likelihood to seek veterinary care for different medical conditions, answer supplemental questions about their previous veterinary barriers, and indicate barriers that prevent them from seeking veterinary care. (3) Results: Dog owners did not differ by demographics in their willingness to seek veterinary care. However, dog owner demographic groups varied in their relationship with their dog(s), previous behaviors accessing veterinary care, and barriers that make seeking veterinary care challenging. (4) Conclusions: Education, outreach and community-based veterinary medicine efforts should allocate resources to underserved communities identified within the context that they are affected by barriers to obtaining veterinary care for their dog(s).}, number={1}, journal={VETERINARY SCIENCES}, author={Park, Rachel M. and Gruen, Margaret E. and Royal, Kenneth}, year={2021}, month={Jan} } @article{stowe_schoenfeld-tacher_royal_neel_2021, title={Evaluation of Retention of Veterinary Clinical Pathology Knowledge between Second-Year and Fourth-Year Clinical Pathology Courses}, volume={48}, ISSN={0748-321X 1943-7218}, url={http://dx.doi.org/10.3138/jvme-2020-0038}, DOI={10.3138/jvme-2020-0038}, abstractNote={ There is a concern over long-term retention of knowledge in professional programs. The goal of this study was to evaluate the retention of veterinary clinical pathology knowledge between the fourth-semester and fourth-year clinical pathology courses. We hypothesize that students will forget a significant amount of content area knowledge between the fourth semester and fourth year in the Doctor of Veterinary Medicine (DVM) program. We further hypothesize that a review of material during the fourth-year clinical pathology rotation will help students rebuild existing knowledge and increase performance on specific test questions, between T2 (rotation pre-test) and T3 (rotation post-test). Initial mastery of course material was assessed via a 94-item multiple-choice final exam (T1) given in the semester 4 clinical pathology course. Retention of course material from semester 4 to year 4 was assessed via a 55-item multiple-choice pre-test, administered at the start of the clinical pathology rotation in year 4 while learning/mastery during the clinical rotation was assessed via a 55-item multiple-choice post-test, administered at the end of each clinical pathology rotation. In this study, evidence of knowledge retention between semester 4 and year 4 was 55.5%. There is a small increase in the measure of knowledge gain from the beginning to the end of the rotation. As an added benefit, we were able to use identified trends for retention of knowledge within specific subject areas as a mechanism to evaluate the effectiveness of our course and reallocate additional instructional time to topics with poorer retention. }, number={6}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Stowe, Devorah M. and Schoenfeld-Tacher, Regina M. and Royal, Kenneth D. and Neel, Jennifer A.}, year={2021}, month={Dec}, pages={664–669} } @article{trivedi_clark_royal_2021, title={The Impact of COVID-19 on Pre-Veterinary Opportunities and Recommendations for DVM Admissions}, volume={5}, ISSN={["1943-7218"]}, DOI={10.3138/jvme-2020-0145}, abstractNote={ During the summer of 2020, a survey-based study was conducted at North Carolina State University, a land-grant university, to evaluate the impact of COVID-19 on pre-veterinary students’ ability to gain experience hours for Doctor of Veterinary Medicine (DVM) admissions. Of the 286 respondents (47% of the respondent pool), 92% reported losing at least one animal, veterinary, research, extracurricular, or work opportunity due to COVID-19, and 59% were not able to find a replacement. Of the lost experiences, 74 (20.8%) were for academic credit, resulting in 131 total academic credit hours lost, while only 12 credit hours were gained via alternative experiences. Of respondents, 30% (29.7%) identified as applicants of the 2020–2021 Veterinary Medical College Application Service (VMCAS) cycle. More than half (52.6%) of the sample identified being concerned about the strength of their VMCAS experiences due to these lost opportunities. Many respondents reported considering delaying application submissions by taking a gap year (17.5%) or having had their intended graduation timeline affected (14.8%). Since the majority of veterinary colleges utilize a holistic review process, this study provides a basis for understanding the effects of COVID-19 on the duration, depth, and diversity of experiences gained by future DVM applicants. This article also provides recommendations for DVM admissions adaptations based on the outcomes of the data. }, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Trivedi, Shweta and Clark, Jessica C. and Royal, Kenneth D.}, year={2021}, month={May} } @article{olin_springer_royal_2021, title={Veterinary Students' Use of Learning Objectives}, volume={12}, ISSN={["1943-7218"]}, DOI={10.3138/jvme-2021-0023}, abstractNote={ Learning objectives (LO) are the foundation of a competency-based curriculum, but no studies assess how students use LO for exam preparation and/or their general attitudes toward LO. Therefore, the objectives were to evaluate how much veterinary students use LO to study, assess student attitudes toward simple and expanded LO, and determine if LO type impacts grade performance. An alternative-treatment design with pre-test and nonrandom groups was used. Veterinary students in the Endocrine Systems course in the 2019 spring ( n = 89) and fall ( n = 86) semesters were invited to participate and provided with simple and expanded LO, respectively. After an examination, participants completed an online survey before and after receiving their grade. Overall, 114 students (65%) responded. The percentage of students using simple versus expanded LO was not statistically different (χ2 = 1.874, df = 1, p = .171). Fifty-five students did not use LO; the majority (76.4%) preferred other study methods. Independent samples t-tests found no significant differences in student perceptions of helpfulness ( t(30) = −1.118, p = .272), format ( t(29) = 0.813, p = .423), or relevance ( t(30) = 0.326, p = .747) between simple and expanded LO. Students agreed that LO were helpful ( M = 3.33) and well formatted ( M = 3.42) and that the provided information was relevant and detailed ( M = 3.36). An ANOVA tested whether exam grade differed between students using simple versus expanded LO and for students who did not use LO; no significant differences were found ( F(2,78) = .087, p = .917). In conclusion, students did not prefer more detailed LO and LO use did not impact grade performance. }, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Olin, Shelly J. and Springer, Cary and Royal, Kenneth}, year={2021}, month={Dec} } @misc{royal_hecker_2021, title={What Matters Most to Residency and Intern Selection Committees in Veterinary Medicine?}, volume={48}, ISSN={["1943-7218"]}, DOI={10.3138/jvme-2020-0098}, abstractNote={ A recent survey of members of residency selection committees for the American College of Veterinary Internal Medicine and American College of Veterinary Surgeons boards found letters of recommendation to be the most important factor when reviewing a resident’s application followed by class rank as the second most important factor. These statistics indicate an interesting, but possibly troubling trend. This Letter to The Editor discusses the major problems concerning these findings and what residency program committees might consider as an alternative. }, number={3}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Royal, Kenneth D. and Hecker, Kent G.}, year={2021}, month={Jun}, pages={239–239} } @misc{royal_hedgpeth_2020, title={A Call for an AAVMC-Led Employer Survey of Veterinary Medical School Graduates}, volume={47}, ISSN={["1943-7218"]}, DOI={10.3138/jvme.2019-0099}, number={1}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Royal, Kenneth D. and Hedgpeth, Mari-Wells}, year={2020}, month={Feb}, pages={1–1} } @article{kedrowicz_royal_2020, title={A Comparison of Public Perceptions of Physicians and Veterinarians in the United States}, volume={7}, ISSN={["2306-7381"]}, url={https://doi.org/10.3390/vetsci7020050}, DOI={10.3390/vetsci7020050}, abstractNote={Veterinary medicine consists of virtually the same medical specialties as human medicine, with veterinarians performing similar roles as medical doctors, albeit with different species. Despite these similarities, anecdotally, some perceptions of veterinarians as not “real doctors” persist. The purpose of this study was to explore and compare public perceptions of physicians and veterinarians. Participants were provided brief definitions of a physician and a veterinarian and then asked to provide a rating that best describes their perception with respect to 25 different personality characteristics/traits. A sample of 606 participants (unweighted) in the United States completed the survey. The results of this research show that the public tends to perceive veterinarians more favorably than physicians. More specifically, veterinarians were viewed as more approachable, sensitive, sympathetic, patient and understanding, while physicians were viewed as more proud, arrogant and overconfident. These results point to the favorable public perceptions of veterinarians. These findings are particularly relevant for veterinary educators who train the future workforce and have a significant role both in how the profession is portrayed and emphasizing the relationship between the public trust and social responsibility. Reinforcing the public’s strong trust in the veterinary profession throughout students’ education could enhance their own self-concept, self-esteem and overall mental health and well-being.}, number={2}, journal={VETERINARY SCIENCES}, author={Kedrowicz, April A. and Royal, Kenneth D.}, year={2020}, month={Jun} } @article{park_royal_2020, title={A National Survey of Companion Animal Owners’ Self-Reported Methods of Coping Following Euthanasia}, url={https://doi.org/10.3390/vetsci7030089}, DOI={10.3390/vetsci7030089}, abstractNote={(1) Background: The human–animal bond is often regarded as a special relationship in which owners benefit from unconditional love and perceived understanding from their companion animal. Thus, end-of-life decisions such as euthanasia may inflict significant emotional impact upon the companion animal owner and result in a complicated grief response. The purpose of this study was to examine the methods American companion animal owners utilize to cope with loss following companion animal euthanasia. (2) Methods: A total of 340 companion animal owners with experience euthanizing a companion animal completed an online survey asking how they found comfort after the loss of their companion animal. (3) Results: A total of 74.7% noted that they mourned privately, 58.2% sought social support, 32.1% adopted a new companion animal, 12.4% relied on faith or prayer and 0.9% participated in a support group. (4) Conclusions: Grief associated with companion animal loss is important. As a majority of clients that euthanized their companion animal mourn privately, the veterinary community must work towards identifying and providing appropriate, accessible social resources for bereaved companion animal owners to utilize, if desired.}, journal={Veterinary Sciences}, author={Park, Rachel and Royal, Kenneth}, year={2020}, month={Jul} } @article{adin_royal_adin_2020, title={Cross-Sectional Assessment of the Emotional Intelligence of Fourth-Year Veterinary Students and Veterinary House Officers in a Teaching Hospital}, volume={47}, ISSN={["1943-7218"]}, DOI={10.3138/jvme.0518-065r}, abstractNote={ Emotional intelligence (EI) is the recognition and management of emotions. This skill set is important to work relationships and professional success. In this cross-sectional, observational study, we investigated EI scores of 4th-year veterinary students, interns, and residents in a teaching hospital, using a psychometric tool with professional population norms. Participants’ EI scores were compared with professional norms and between the sample groups. Scores were examined on the basis of demographics and residency program type. Twenty-four 4th-year students and 43 interns and residents completed the survey. Total, composite, and subscale scores for all groups were lower than professional means. We noted no statistically significant differences in EI scores between training levels, but evaluation of effect sizes showed a medium negative effect of higher training levels on Self-Perception Composite, Self-Regard, Emotional Expression, Interpersonal Composite, Flexibility, and Optimism and a medium positive effect of higher training levels on Impulse Control. Medium effects for residency type were found for Stress Tolerance, Flexibility, and Stress Management, with higher scores for residencies with heavy inpatient loads. Medium effects for residency type were found on Flexibility scores, with higher scores for residents in disciplines with a perceived high stress level. We found that baseline EI scores of 4th-year veterinary students, interns, and residents at a teaching hospital were similar to, but uniformly lower than, those of other professionals and did not increase with training level. These results may be used to build on strengths and address weaknesses associated with EI of students and house officers at this institution. }, number={2}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Adin, Darcy B. and Royal, Kenneth D. and Adin, Christopher A.}, year={2020}, month={Apr}, pages={193–201} } @article{wagner_royal_caddiell_pairis-garcia_2020, title={Identifying Barriers to Implementing Pain Management for Piglet Castration: A Focus Group of Swine Veterinarians}, volume={10}, url={https://www.mdpi.com/2076-2615/10/7/1202}, DOI={10.3390/ani10071202}, abstractNote={Surgical castration is a painful husbandry procedure performed on piglets in the United States (US) to improve meat quality. Veterinarians play a crucial role in developing pain management protocols. However, providing pain management for castration is not common practice in US swine production systems. Therefore, the objective of the present study is to identify factors influencing swine veterinarian decision-making in regard to pain management protocols for piglet castration using focus group methodologies. Swine veterinarians (n = 21) were recruited to participate in one of three focus groups. Audio recordings were transcribed verbatim and analyzed by two independent coders who identified three areas of focus, including (1) the lack of approved products validated for efficacy, (2) economic limitations and challenges, and (3) deficient guidelines and training for veterinarians to develop protocols. Although participating veterinarians acknowledged the importance of pain management from an animal welfare standpoint, these barriers must be addressed to ensure that castration pain can be successfully mitigated on-farm.}, number={7}, journal={Animals}, publisher={MDPI AG}, author={Wagner, Brooklyn and Royal, Kenneth and Caddiell, Rachel M.P. and Pairis-Garcia, Monique}, year={2020}, month={Jul}, pages={1202} } @article{birkenheuer_royal_cerreta_hemstreet_lunn_gookin_mcgarvey_2020, title={Perceptions and attitudes of Small Animal Internal Medicine specialists toward the publication requirement for board certification}, volume={34}, ISSN={["1939-1676"]}, DOI={10.1111/jvim.15717}, abstractNote={Abstract}, number={2}, journal={JOURNAL OF VETERINARY INTERNAL MEDICINE}, author={Birkenheuer, Adam J. and Royal, Kenneth D. and Cerreta, Anthony and Hemstreet, Daniel and Lunn, Katharine F. and Gookin, Jody L. and McGarvey, Stephanie}, year={2020}, month={Mar}, pages={574–580} } @article{royal_2019, title={"Physician, Heal Yourself!" The Importance of Understanding Scripture}, volume={36}, ISSN={["1931-7662"]}, DOI={10.1097/CNJ.0000000000000559}, abstractNote={Kenneth D. Royal, PhD, is an assistant professor of Educational Assessment & Outcomes, director of Assessment, Evaluation, & Research, and executive director of the Academy of Educators at the North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina. Royal writes primarily about psychometrics and medical education. The author declares no conflict of interest.}, number={1}, journal={JOURNAL OF CHRISTIAN NURSING}, author={Royal, Kenneth D.}, year={2019}, pages={11–11} } @article{royal_hedgpeth_posner_2019, title={A Simple Methodology for Discerning Item Construction Flaws in Health Professions Examinations}, volume={5}, ISSN={2452-3011}, url={http://dx.doi.org/10.1016/J.HPE.2018.03.001}, DOI={10.1016/j.hpe.2018.03.001}, abstractNote={To introduce to health professions educators a simple methodology that can help discern item construction flaws and mitigate testwiseness effects. The methodology involved administering a veterinary medical school exam to medical school professional staff participants with no formal training in the medical and health sciences. The methodology was evidenced to be robust, as multiple items containing item construction flaws were identified by inflated success rates for a group of examinees who had no prior training in the subject matter. Health professions educators are encouraged to utilize the methodology presented in this paper, where appropriate, to discern item construction flaws, reduce measurement error, and increase score validity relating to their assessments.}, number={1}, journal={Health Professions Education}, publisher={Elsevier BV}, author={Royal, Kenneth D. and Hedgpeth, Mari-Wells and Posner, Lysa P.}, year={2019}, month={Mar}, pages={82–89} } @article{young_royal_lovee_davidson_2019, title={Baseline Knowledge of Potential Pet Toxins among the US General Public}, volume={22}, url={https://doi.org/10.1080/10888705.2018.1473158}, DOI={10.1080/10888705.2018.1473158}, abstractNote={ABSTRACT In 2014, the American Society for the Prevention of Cruelty toAnimals Animal Poison Control Center fielded more than 167,000cases of potential nonhuman animal toxicosis. Concomitantly, thereremain limited free and reputable veterinary toxicology resourcesavailable for companion-animal (pet) caregivers (owners) seekingassistance and advice about potentially harmful exposures inanimals. The objective of this study was to assess pet toxicantknowledge among a representative sample of Americans andgauge the need for additional toxicology resources. The studyinvolved a survey designed to capture participants’ ability to identifypotential animal toxicants and what resource they would use ifan accidental toxic ingestion occurred. Participants were ableto correctly identify 52% of potential pet toxins. Women, olderparticipants and participants from the South expressed moreconcern about each potential pet poison. Approximately halfof participants indicated they would consult a veterinarian andwhereas most others indicated they would search the Internet formore information about pet toxicology. The findings suggest moreveterinary poisoning education is needed for pet owners to be ableto accurately distinguish potential pet toxicants from nontoxicants.}, number={3}, journal={Journal of Applied Animal Welfare Science}, publisher={Informa UK Limited}, author={Young, Natalie and Royal, Kenneth and Lovee, Bryan and Davidson, Gigi}, year={2019}, month={Jul}, pages={219–228} } @article{adin_royal_roe_mathews_risselada_scharf_2019, title={Comparison of still image quality between traditional 35 mm digital and GoPro cameras in a surgical setting}, volume={42}, url={https://doi.org/10.1080/17453054.2019.1618702}, DOI={10.1080/17453054.2019.1618702}, abstractNote={Abstract Intraoperative photography is used to obtain images for both education and research purposes, but poses challenges due concerns regarding aseptic technique. Waterproof digital cameras have sterilisable cases that can be used by the surgeon for intraoperative photography. We compared the quality of still intraoperative images obtained by a non-scrubbed observer using a 35 mm single lens reflex (SLR) camera to images obtained by the surgeon using a GoPro camera in a sterilised case. Image quality was scored using a 4 point Likert scale by 3 groups of end users with differing experience: faculty surgeons, surgical residents, and 3rd year veterinary students. Mean ± SEM overall image quality scores were higher for the traditional 35 mm digital SLR camera when compared to the GoPro (3.25 ± 0.08 vs. 2.0 ± 0.08, p < .0001), as were scores for each image characteristic (brightness, colour, sharpness, and contrast). Image quality scores for each camera also differed significantly between user groups, with expert users (faculty and residents) giving lower quality scores when compared to scores from novices (students). Findings suggest that GoPro cameras provide lower intraoperative image quality than digital SLR cameras, although lower quality images may be more accepted by novices than by experienced users.}, number={3}, journal={Journal of Visual Communication in Medicine}, publisher={Informa UK Limited}, author={Adin, C. and Royal, K. and Roe, S. and Mathews, K. and Risselada, M. and Scharf, V.}, year={2019}, month={Jul}, pages={114–119} } @article{stevens_royal_ferris_taylor_snyder_2019, title={Effect of a mindfulness exercise on stress in veterinary students performing surgery}, volume={48}, ISSN={0161-3499 1532-950X}, url={http://dx.doi.org/10.1111/vsu.13169}, DOI={10.1111/vsu.13169}, abstractNote={Abstract}, number={3}, journal={Veterinary Surgery}, publisher={Wiley}, author={Stevens, Brenda S. and Royal, Kenneth D. and Ferris, Kelli and Taylor, Abigail and Snyder, Amy M.}, year={2019}, month={Jan}, pages={360–366} } @article{westermeyer_druley_royal_mowat_2019, title={Use of a Versatile, Inexpensive Ophthalmoscopy Teaching Model in Veterinary Medical Student Education Increases Ophthalmoscopy Proficiency}, volume={46}, ISSN={["1943-7218"]}, url={https://doi.org/10.3138/jvme.1117-157r}, DOI={10.3138/jvme.1117-157r}, abstractNote={ Ophthalmoscopy is an important examination technique in the diagnosis of disease. Although it is difficult to learn, practice increases confidence and proficiency. Practicing ophthalmoscopy on live animals presents an additional level of complexity, so we sought to evaluate how students would respond to practicing ophthalmoscopy on an ocular fundus model. We constructed a simple and inexpensive model and allowed half of the students (49/100) in a first-year veterinary medicine class to practice ophthalmoscopy (direct, PanOptic, and indirect) for 20 minutes using the model. Students completed a questionnaire regarding ease of use, enjoyment, and recommendations for future use of the model immediately after the practice session. Six weeks later, we tested students’ ability to correctly match a fundus to a photograph using indirect ophthalmoscopy. All students who used the model rated it as ‘easy’ or ‘somewhat easy’ to use. All students reported that they ‘enjoyed’ (93.9%) or ‘somewhat enjoyed’ (6.1%) using the model. Also, all students who used the model stated the models should continue to be used to aid student learning. Students who used the model were significantly more likely ( p = .013) to correctly match a fundus photograph to the fundus being observed than students who had not used the model. These findings demonstrate that the model used in this study is well received by students and results in discernible gains in proficiency. }, number={4}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, author={Westermeyer, Hans D. and Druley, Gail E. and Royal, Kenneth D. and Mowat, Freya M.}, year={2019}, pages={518–522} } @article{defrancesco_royal_2018, title={A survey of point-of-care ultrasound use in veterinary general practice}, volume={1}, ISSN={2590-1761}, url={http://dx.doi.org/10.4103/ehp.ehp_21_18}, DOI={10.4103/ehp.ehp_21_18}, abstractNote={Background: The use of ultrasound (US) continues to expand in veterinary and human medicine. The purpose of this study was to assess the current practices and potential barriers to the use of US in veterinary small animal general practices. Methods: An electronic survey was administered to approximately 1000 veterinary practitioners in the Southeastern United States. A total of 296 veterinarians completed the survey. Results: Among respondents, 53% reported having an US unit in their practice and 45% reported performing USs more than five times weekly. The most common reasons for not having an US unit were prohibitive cost (27%) and lack of training (27%). In addition, 74% responded that US training for a new graduate was extremely or very important. Conclusions: This study is the first to document the common use of US in small animal general practices and highlights the need for instruction of basic US skills for veterinary students and small animal practitioners.}, number={2}, journal={Education in the Health Professions}, publisher={Medknow}, author={DeFrancesco, Teresa and Royal, Kenneth}, year={2018}, pages={50} } @article{royal_hedgpeth_jeon_colford_2018, title={Automated Item Generation: The Future of Medical Education Assessment?}, volume={2}, number={1}, journal={European Medical Journal: Innovations}, author={Royal, K.D. and Hedgpeth, M.W. and Jeon, T.K. and Colford, C.}, year={2018}, pages={8–92} } @article{royal_dorman_2018, title={Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course}, volume={5}, ISSN={2306-7381}, url={http://dx.doi.org/10.3390/vetsci5020055}, DOI={10.3390/vetsci5020055}, abstractNote={Background: The number of answer options is an important element of multiple-choice questions (MCQs). Many MCQs contain four or more options despite the limited literature suggesting that there is little to no benefit beyond three options. The purpose of this study was to evaluate item performance on 3-option versus 4-option MCQs used in a core curriculum course in veterinary toxicology at a large veterinary medical school in the United States. Methods: A quasi-experimental, crossover design was used in which students in each class were randomly assigned to take one of two versions (A or B) of two major exams. Results: Both the 3-option and 4-option MCQs resulted in similar psychometric properties. Conclusion: The findings of our study support earlier research in other medical disciplines and settings that likewise concluded there was no significant change in the psychometric properties of three option MCQs when compared to the traditional MCQs with four or more options.}, number={2}, journal={Veterinary Sciences}, publisher={MDPI AG}, author={Royal, Kenneth and Dorman, David}, year={2018}, month={Jun}, pages={55} } @article{royal_erdmann_2018, title={Evaluating the readability levels of medical infographic materials for public consumption}, volume={41}, ISSN={["1745-3062"]}, url={https://doi.org/10.1080/17453054.2018.1476059}, DOI={10.1080/17453054.2018.1476059}, abstractNote={Abstract Readability is an important element of any published material. In recent years, various health organisations have utilised infographics to communicate important medical information. Established guidelines for readability suggest levels should be targeted between a 4th and 6th grade education level (United States) in order to avoid disadvantaging individuals with lower literacy skills. The purpose of this case study was to evaluate the readability levels of several published materials from the field of athletic training and demonstrate a model for evaluating readability levels in other medical and health professions.}, number={3}, journal={JOURNAL OF VISUAL COMMUNICATION IN MEDICINE}, publisher={Informa UK Limited}, author={Royal, Kenneth D. and Erdmann, Kristan M.}, year={2018}, pages={99–102} } @article{exploring shyness among veterinary medical students: implications for mental and social wellness_2018, url={http://www.mdpi.com/2306-7381/5/2/56}, DOI={10.3390/vetsci5020056}, abstractNote={Background: Shyness is defined as “the tendency to feel awkward, worried or tense during social encounters, especially with unfamiliar people.” While shyness is not necessarily a social disorder, extreme cases of shyness may classify as a social phobia and require medical treatment. Extant research has noted shyness may be correlated with social problems that could be detrimental to one’s health, career, and social relationships. This exploratory study examined the prevalence, source, and nature of shyness among incoming Doctor of Veterinary Medicine (DVM) program students at one veterinary medical school. Methods: One hundred first-year DVM program students were administered a modified version of the Survey on Shyness. Results: Results indicate most students (85%) self-identified as at least a little shy, a figure that is believed to be significantly higher than national population norms in the United States. Students attributed the primary source of shyness to personal fears and insecurities. Students reported frequent feelings of shyness and generally perceived shyness as an undesirable quality. Students reported that strangers, acquaintances, authority figures, and classmates often make them feel shy. Conclusions: Given the high prevalence of self-reported shyness among veterinary medical students, institutions may wish to include strategies to address shyness as part of a comprehensive wellness program.}, journal={Veterinary Sciences}, year={2018}, month={Jun} } @article{royal_2018, title={Forty-five common rater errors in medical and health professions education}, volume={1}, DOI={10.4103/ehp.ehp_27_18}, abstractNote={Minimizing the influence of rater errors is a persistent and considerable challenge for educators in the medical and health professions. This article presents a list of 45 common rater errors that assessors and evaluators should be cognizant of while rating performance assessments. Readers are encouraged to examine each rater error type, reflect on the extent to which s/he has previously committed each error, and identify strategies for mitigating and preventing errors in future performance assessment scenarios.}, number={2}, journal={Education in the Health Professions}, publisher={Medknow}, author={Royal, KennethD}, year={2018}, pages={33} } @article{royal_rinaldo_2018, title={How common are experimental designs in medical education? Findings from a bibliometric analysis of recent dissertations and theses}, volume={1}, journal={Education in the Health Professions}, author={Royal, K.D. and Rinaldo, J.C.}, year={2018}, month={Oct}, pages={28–30} } @article{adin_royal_moore_jacob_2018, title={Hydrogen peroxide plasma sterilization of a waterproof, high‐definition video camera case for intraoperative imaging in veterinary surgery}, url={https://doi.org/10.1111/vsu.12904}, DOI={10.1111/vsu.12904}, abstractNote={Abstract}, journal={Veterinary Surgery}, author={Adin, Christopher A. and Royal, Kenneth D. and Moore, Brandon and Jacob, Megan}, year={2018}, month={Jul} } @article{royal_hardie_2018, title={Is verification of peer review service necessary to support scientific growth?}, volume={216}, ISSN={0002-9610}, url={http://dx.doi.org/10.1016/J.AMJSURG.2017.11.028}, DOI={10.1016/j.amjsurg.2017.11.028}, abstractNote={•Many journals are experiencing greater difficulty finding peer reviewers. •Despite numerous incentives, peer review fails to keep pace with submission volume. •Performing peer review is a professional expectation of the research community. •Peer review is difficult to quantify and difficult for evaluators to substantiate. •Greater scrutiny of peer review service is necessary for advancing science.}, number={2}, journal={The American Journal of Surgery}, publisher={Elsevier BV}, author={Royal, Kenneth D. and Hardie, Elizabeth M.}, year={2018}, month={Aug}, pages={202–203} } @article{royal_2018, title={Medical Students Rate Black Female Peers as Less Socially Connected}, volume={110}, ISSN={["1943-4693"]}, DOI={10.1016/j.jnma.2017.04.003}, abstractNote={Social and cultural outcomes are critically important in medical education. A large medical school located in the United States implemented a learning community model intended to promote social and cultural growth among its medical students. The purpose of this study was to evaluate the degree to which medical students from the same peer cohort were socially connected across racial and sex groups.Because most assessments involving social and cultural outcomes involve self-reported data of a personal nature, the possibility of social desirability bias is increased. To mitigate this threat, this study utilized a novel method for measuring medical students social connectedness by having peers in one's advisory college provide social connectedness ratings about one another.While surface level results did not reveal any significant differences, a closer inspection of data revealed Black females were less socially connected with medical student peers from their cohort than other peer groups.Possible explanations for this are discussed. Future research should continue to investigate the experiences of Black females in medical schools so as to better understand the needs of this important and valuable subpopulation of students.}, number={2}, journal={JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION}, publisher={Elsevier BV}, author={Royal, Kenneth D.}, year={2018}, month={Apr}, pages={157–162} } @article{mowat_royal_westermeyer_2018, title={Ophthalmoscopy skills in primary care: a cross-sectional practitioner survey}, volume={182}, ISSN={["2042-7670"]}, url={https://doi.org/10.1136/vr.104569}, DOI={10.1136/vr.104569}, abstractNote={Ophthalmoscopy is challenging to master. Medical professionals regularly practising ophthalmoscopy exhibit greater confidence1–3 and competence.4 Methods practised in veterinary medicine include direct, PanOptic and indirect ophthalmoscopy (Fig 1). Direct ophthalmoscopy is relatively straightforward, but its utility is diminished by a narrow field of view, limiting the ability to visualise the entire fundus during examination, although its use can complement other methods by providing a magnified view of a detected lesion. The PanOptic ophthalmoscope provides a wider field of view, intermediate between direct and indirect ophthalmoscopy. Indirect ophthalmoscopy is arguably the most technically challenging method (requiring optimal orientation of light source, lens and eye), but allows visualisation of a wide fundus area5 facilitating quick identification of lesions during short periods in which an animal’s eye is still. Indirect ophthalmoscopy use by primary care veterinary practitioners is low compared with direct ophthalmoscopy, although no studies have confirmed this speculation. This limited use of indirect ophthalmoscopy could impair detection of ophthalmic diseases with focal or multifocal manifestation that may not be immediately obvious from the small fields of view visible with direct ophthalmoscopy. Since in some cases of systemic illness ophthalmic manifestations may be the only changes present on physical examination, inability to perform comprehensive funduscopic examination may result in delay in diagnosis and poorer patient outcomes. …}, number={15}, journal={VETERINARY RECORD}, publisher={BMJ}, author={Mowat, Freya M. and Royal, Kenneth D. and Westermeyer, Hans D.}, year={2018}, month={Apr}, pages={435-+} } @article{young_royal_park_davidson_2018, title={Pharmacists' Knowledge of Veterinary Pharmacotherapy and the Impact of an Educational Intervention}, volume={34}, ISSN={["1549-4810"]}, url={https://doi.org/10.1177/8755122518794023}, DOI={10.1177/8755122518794023}, abstractNote={ Background: To date, there is very limited data regarding pharmacists’ preparedness to handle animal prescriptions. No previous studies exist examining the impact of a veterinary-pharmacy–focused educational intervention. Objective: To assess pharmacists’ baseline knowledge of veterinary pharmacotherapy, as relevant to their professional responsibilities, and assess the impact of a piloted educational program. Methods: Two studies were conducted. The first study involved a statewide assessment of pharmacists’ knowledge of veterinary pharmacotherapy; the second study assessed the impact of an educational intervention to improve pharmacists’ veterinary pharmacotherapy knowledge base. Participants in the pilot study were assessed via pretest and posttest. Results: The statewide sample of participants (n = 602) received a mean score of 5.9 (SD = 2.6) on a 17-item questionnaire. There were no discernible differences in participants’ knowledge based on the subject matter of the question (pathophysiology, dosing, counseling, compounding, legality, and toxicology). Using the same 17-item questionnaire, pilot study participants (n = 60) received a mean score of 5.2 (SD = 2.4) on the pretest and 16.6 (SD = 0.7) on the posttest. Conclusion: The findings of this study suggest that a substantial portion of pharmacists lack the knowledge needed to process and dispense the veterinary prescriptions most commonly encountered in community pharmacies. Furthermore, this study shows that implementation of an educational intervention can increase pharmacists’ knowledge of core concepts necessary to safely care for animal patients. }, number={6}, journal={JOURNAL OF PHARMACY TECHNOLOGY}, publisher={SAGE Publications}, author={Young, Natalie W. and Royal, Kenneth D. and Park, Mina and Davidson, Gigi S.}, year={2018}, month={Dec}, pages={244–251} } @article{royal_temple_neel_nelson_2018, title={Psychometric Validation of a Medical and Health Professions Course Evaluation Questionnaire}, volume={6}, DOI={10.12691/education-6-1-6}, abstractNote={Education in the medical and health professions is considerably different than education in most higher education contexts (e.g., multiple instructors, clinical focus, student cohorts, etc.). Thus, despite a mature research literature relating to course and instructor evaluations in higher education, there largely is an absence of such literature in medical and health professions education. This study sought to contribute to the medical and health professions education literature by: 1) introducing a new instrument for evaluating course effectiveness; 2) demonstrating how to conduct a state-of-the-art psychometric validation study of an instrument’s psychometric properties; and 3) providing a framework for interpreting construct validity evidence. Results of the validation study indicated a considerable amount of construct validity evidence is discernible to conclude the instrument is capable of producing valid and reliable measures of course quality and effectiveness. Other medical and health professions educators are encouraged to adopt the instrument for use at one’s own campus, and/or replicate the validation procedures on other survey instruments.}, number={1}, journal={American Journal of Educational Research}, publisher={Science and Education Publishing Co., Ltd.}, author={Royal, Kenneth D. and Temple, Leigh Jay and Neel, Jennifer A. and Nelson, Laura L.}, year={2018}, month={Jan}, pages={38–42} } @article{royal_sheats_kedrowicz_2018, title={Readability Evaluations of Veterinary Client Handouts and Implications for Patient Care}, volume={33}, ISSN={["1946-9837"]}, DOI={10.1053/j.tcam.2018.03.005}, abstractNote={Health literacy and readability are important considerations for veterinary medicine, as veterinarians commonly distribute brochures, leaflets and info-graphics to explain health related issues to pet owners. Educational materials that are poorly comprehended by the intended audience could result in negative, unintended consequences. Thus, the National Institutes of Health (NIH) and the American Medical Association (AMA) have recommended readability levels for text on health information be targeted between the fourth and sixth grade levels to accommodate a highly diverse public. In the context of veterinary medicine, an increased awareness among veterinary professionals and educators regarding readability scores and the tools available to generate "easy-to-read" text would likely benefit client adherence with veterinary recommendations, client satisfaction with their veterinarian, and ultimately, pet health. Therefore, the goal of this study was to evaluate the readability levels of a sample of popular client handout materials prepared expressly for veterinarians to download and distribute to their pet-owning clients. Results indicate that 9 of 10 client brochures were written above the recommended sixth grade reading level. Recommendations for improving readability are provided.}, number={2}, journal={TOPICS IN COMPANION ANIMAL MEDICINE}, publisher={Elsevier BV}, author={Royal, Kenneth D. and Sheats, M. Katie and Kedrowicz, April A.}, year={2018}, month={Jun}, pages={58–61} } @book{royal's directory of journals for publishing medical education scholarship_2018, DOI={10.5281/zenodo.1874197}, journal={Zenodo}, year={2018}, month={Nov} } @book{royal's directory of journals for publishing medical education scholarship_2018, DOI={10.5281/zenodo.1874196}, journal={Zenodo}, year={2018}, month={Nov} } @article{royal_hunt_scharf_correa_mariani_2018, title={Strategies Used for Making Healthy Eating Choices among Veterinary Medical Students}, volume={45}, ISSN={0748-321X 1943-7218}, url={http://dx.doi.org/10.3138/jvme.0317-041r}, DOI={10.3138/jvme.0317-041r}, abstractNote={ Healthy eating is a challenge for most college students, and students in the field of veterinary medicine are no exception. Health experts have recommended that universities emphasize the importance of healthy eating and promote healthy eating habits among students. However, before we can begin offering targeted interventions to promote healthy eating strategies and behaviors, we must first understand students' current strategies used for making healthy eating choices, self-reported eating habits, and perceptions of diet quality. Thus, the purpose of this study was to understand veterinary medical students' perceptions of current diet quality and to characterize their strategies for making healthy eating choices. Results indicate veterinary medical students employ a wide range of strategies and behaviors for healthy eating, yet few students reported eating a diet of poor quality. We conclude that while most students report eating a relatively healthy diet, variation in strategies used suggests room for improvement for many. This article discusses potential intervention strategies to promote healthy eating among veterinary students. }, number={3}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Hunt, Suzanne and Scharf, Valery and Correa, Maria and Mariani, Christopher}, year={2018}, month={Aug}, pages={364–380} } @article{royal_2018, title={Teaching Tip A Method for Evaluating Learning Evidence when Using Cumulative Final Examinations}, volume={45}, ISSN={["1943-7218"]}, DOI={10.3138/jvme.0117-015r}, abstractNote={ Cumulative final examinations create a unique opportunity to investigate repeated-measures of an examinee's performance. This article outlines a framework for evaluating authentic learning evidence when presented with repeated measurement opportunities. The article explains how to apply the framework, including how to conduct the procedure using Microsoft Excel. Others are encouraged to adopt this framework when appropriate to evaluate authentic learning evidence. }, number={3}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth}, year={2018}, pages={343–346} } @article{royal_hedgpeth_2018, title={Think Subscores Are a Helpful Form of Feedback? Think Again}, volume={45}, ISSN={["1943-7218"]}, DOI={10.3138/jvme.0117-014r1}, abstractNote={ Many educators believe subscores offer an easy approach for (1) discerning what students know/can do, and (2) providing more analytical feedback to students. In addition, many educators use subscores as a tool for guiding targeted remediation in specific areas of study. Unfortunately, there are several significant problems associated with subscores, and such beliefs and practices may be problematic and ill-advised. The purpose of this article is to address some of the problems relating to subscores in classroom assessment scenarios and to encourage educators to be cautious of these often deceptive and problematic measures. }, number={4}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Hedgpeth, Mari-Wells}, year={2018}, pages={567–570} } @article{sheats_royal_kedrowicz_2018, title={Using readability software to enhance the health literacy of equine veterinary clients: An analysis of 17 American Association of Equine Practitioners’ newsletter and website articles}, volume={51}, ISSN={0425-1644 2042-3306}, url={http://dx.doi.org/10.1111/evj.13042}, DOI={10.1111/evj.13042}, abstractNote={Summary}, number={4}, journal={Equine Veterinary Journal}, publisher={Wiley}, author={Sheats, M. K. and Royal, K. and Kedrowicz, A.}, year={2018}, month={Dec}, pages={552–555} } @article{royal_2018, title={Using “Educational Handoffs” to Improve Curricular Integration and Overcome Faculty Disconnectedness}, volume={7}, DOI={10.5455/jcme.20170726074821}, abstractNote={In recent years, virtually every specialty under the medical education umbrella (e.g., medicine, pharmacy, veterinary, etc.) has placed a premium on designing integrated curricula. Although institutions have attempted a wide variety of strategies, most experience their share of struggles. Some challenges are of a substantive nature. For example, how to integrate curricula within and across a program year(s), how to cut content without compromising quality, and so on. Much literature has been published on these issues and offer a variety of potentially effective strategies and solutions. Other challenges, however, are equally daunting and to date have received relatively little attention in the literature. For example, how to get faculty who represents diverse disciplinary backgrounds and specialties to work effectively together? Extant research has identified several factors associated with faculty teamwork that often thwart curricular integration attempts. These include 1) faculty unfamiliarity with the norms and values of other specialties; 2) disciplinary hegemony; and 3) selfish agendas and “turf wars” [1,2]. A commonality among each of these factors is lack of communication and teamwork. In this article, I propose a theoretical framework already well-understood by most medical educators and encourage the application of its principles to an educational setting. More specifically, I propose faculty view integrated curricular design much like the continuum of medical care in which handoffs are made, as handoffs emphasize communication and teamwork. I will introduce the concept of an “educational handoff” and argue how this strategy can mitigate many of the challenges faculty in medical and health programs face, while simultaneously improving the learning experience for students.}, number={2}, journal={Journal of Contemporary Medical Education}, publisher={ScopeMed International Medical Journal Management and Indexing System}, author={Royal, Kenneth}, year={2018}, pages={10} } @article{royal_hunt_gonzalez_lewbart_bailey_2018, title={Veterinary Medical Students' Motivations for Exercise}, volume={45}, ISSN={0748-321X 1943-7218}, url={http://dx.doi.org/10.3138/jvme.0117-004r}, DOI={10.3138/jvme.0117-004r}, abstractNote={ The Centers for Disease Control (CDC) declares exercise to be one of the most important activities one can do to improve health. The benefits of exercise are well documented and include both physiologic and psychological health. Given the current landscape of wellness issues in veterinary medical education, it is necessary that students engage in exercise activities to manage stress and increase overall health. Therefore, to develop targeted interventions with the greatest likelihood for success, it is first necessary to understand what motivates veterinary medical students to exercise given their unique situational and environmental factors. This study is the first to explore this issue systematically in veterinary medical education, thus it is the authors' hope that the findings from this research will help identify exercise-related wellness interventions that could be implemented in veterinary medical schools. }, number={3}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Hunt, Suzanne A. and Gonzalez, Liara M. and Lewbart, Gregory A. and Bailey, Kate M.}, year={2018}, month={Aug}, pages={367–373} } @article{royal_hunt_gonzalez_lewbart_bailey_2018, title={Veterinary Medical Students' Motivations for Exercise}, volume={1}, ISSN={0748-321X 1943-7218}, url={http://dx.doi.org/10.3138/jvme.0117-004}, DOI={10.3138/jvme.0117-004}, abstractNote={The Centers for Disease Control (CDC) declares exercise to be one of the most important activities one can do to improve health. The benefits of exercise are well documented and include both physiologic and psychological health. Given the current landscape of wellness issues in veterinary medical education, it is necessary that students engage in exercise activities to manage stress and increase overall health. Therefore, to develop targeted interventions with the greatest likelihood for success, it is first necessary to understand what motivates veterinary medical students to exercise given their unique situational and environmental factors. This study is the first to explore this issue systematically in veterinary medical education, thus it is the authors' hope that the findings from this research will help identify exercise-related wellness interventions that could be implemented in veterinary medical schools.}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Hunt, Suzanne A. and Gonzalez, Liara M. and Lewbart, Gregory A. and Bailey, Kate M.}, year={2018}, month={Jan}, pages={1–7} } @article{royal_2017, title={A Guide for Making Valid Interpretations of Student Evaluation of Teaching (SET) Results}, volume={44}, ISSN={0748-321X 1943-7218}, url={http://dx.doi.org/10.3138/jvme.1215-201r}, DOI={10.3138/jvme.1215-201r}, abstractNote={ Student evaluations of teaching (SETs) are conducted in virtually every veterinary medical school in the world. Results of these evaluations are typically used to evaluate faculty performance and often serve as the primary basis for promotion and tenure decisions. However, given the high-stakes nature of these evaluations, it is critical that stakeholders (faculty, curriculum committees, department chairs, deans, etc.) be able to identify the extent to which the scores are likely to be valid or not. Thus, the purpose of this article was to develop a guide for faculty and administrators to assess the interpretative validity of SET scores given an array of sample size, response rate, and score standard deviation possibilities. }, number={2}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth}, year={2017}, month={May}, pages={316–322} } @article{royal_2017, title={A Plea to Discontinue Acknowledging “Face Validity” as a Legitimate Type of Validity Evidence}, volume={44}, DOI={10.3138/jvme.0416-091}, number={2}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D.}, year={2017}, month={May}, pages={206–206} } @article{royal_royal_2017, title={An Evaluation of the Psychometric Properties of the Behavior Change Strategies for Healthy Eating Scale}, volume={25}, DOI={10.1891/1061-3749.25.3.411}, abstractNote={Background and Purpose: The Behavior Change Strategies for Healthy Eating Scale (BCSHES) has potentially broad implications for use by researchers, practitioners, and educators across various medical and allied health professions. To date, however, the psychometric properties of the BCSHES have not been rigorously evaluated, potentially limiting its use. The purpose of this study was to thoroughly evaluate the psychometric properties of the BCSHES. Methods: The Rasch Rating Scale Model was used to analyze BCSHES data on a sample of 191 graduate/professional program students. Results: Messick’s framework for construct validity was used to discern validity evidence, which noted the BCSHES possessed very strong psychometric properties and is capable of yielding valid and reliable scores. Conclusions: Use of the scale is encouraged, where appropriate.}, number={3}, journal={Journal of Nursing Measurement}, publisher={Springer Publishing Company}, author={Royal, Kenneth D. and Royal, Rachael A.}, year={2017}, pages={411–420} } @article{young_royal_davidson_2017, title={Baseline knowledge of potential pet toxins: a survey of pharmacists}, volume={15}, url={https://doi.org/10.18549/PharmPract.2017.04.1058}, DOI={10.18549/PharmPract.2017.04.1058}, abstractNote={Background: Consumer expenditures on their family pets are rapidly increasing, part of which can be attributed to prescription and OTC medications. In turn, community pharmacies are seeking and receiving an increased number of prescriptions for animals. Community pharmacists’ ability to safely care for animal patients is relatively unexplored. Human medications, their normal dosing and even medication excipients could be lethal in some animal patients. Objective: The overarching objective of this study was to assess pharmacists’ baseline knowledge of potential pet poisons. Methods: The sample consisted of licensed pharmacists registered with the North Carolina Board of Pharmacy. The Pet Toxins Survey (PTS), a survey consisting of 25 potential pet toxins, was administered during October and November 2015. Analyses consisted of calculating descriptive statics (including graphical summaries to test for normality), and inferential statistics (two-tailed t-tests and ANOVAs) to compare responses across demographic variables. Results: A 6.3% response rate was obtained. After selecting either a dog or a cat to establish a frame of reference, participants in this study were able to correctly identify 15 of the 25 listed items as toxic to a pet (60% accuracy). Participants did not express adequate concern for the ingestion of several potential toxins. This includes potential excipients found in medication formulations such as xylitol, tea tree oil and caffeine. Female participants and those age 50 years and older were more likely to indicate concern for each potential toxin. There was no significant difference observed in responses based on the pharmacists’ work setting. Conclusions: The findings of this investigation suggest that pharmacists are deficient in their understanding of veterinary toxicology. Given the rise of community pharmacists caring for animal patients, it’s paramount that pharmacists be able to confidently distinguish potential pet toxins from non-toxins. It is also important that pharmacists receive a better understanding of what exposures require immediate action and what action should be taken.}, number={4}, journal={Pharmacy Practice}, publisher={Centro de Investigaciones y Publicaciones Farmaceuticas (CIPF)}, author={Young, Natalie W. and Royal, Kenneth D. and Davidson, Gigi S.}, year={2017}, month={Dec}, pages={1058–1058} } @article{royal_university_raleigh_nc_usa_2017, title={Clarifying the Instructional Role of Faculty in Medical and Health Professions Programs}, volume={9}, DOI={10.21315/eimj2017.9.2.10}, abstractNote={Many medical educators appear to struggle with their educational identity.Most all faculty will agree that their job is to provide the best instruction (training) possible to students.However, a large contingent of faculty will also agree that they have a responsibility to both their institution and their profession to essentially serve as "gatekeepers of the curriculum" by attempting to distinguish the most able from the least able students.In fact, many calls from graduate medical education encourage such behaviours.Unfortunately, this dual-purpose identity increases the risk of causing significant harm to both instructional effectiveness and student learning.This article discusses the philosophical differences in assessment approaches and challenges educators to consider the question "Is it my job to sort talent, or develop talent?" and respond appropriately with one's teaching and assessment practices.}, number={2}, journal={Education in Medicine Journal}, publisher={Penerbit Universiti Sains Malaysia}, author={Royal, Kenneth and University, North Carolina State and Raleigh and NC and USA}, year={2017}, pages={75–77} } @article{schoenfeld-tacher_horn_scheviak_royal_hudson_2017, title={Evaluation of 3D Additively Manufactured Canine Brain Models for Teaching Veterinary Neuroanatomy}, volume={44}, ISSN={["1943-7218"]}, DOI={10.3138/jvme.0416-080r}, abstractNote={Physical specimens are essential to the teaching of veterinary anatomy. While fresh and fixed cadavers have long been the medium of choice, plastinated specimens have gained widespread acceptance as adjuncts to dissection materials. Even though the plastination process increases the durability of specimens, these are still derived from animal tissues and require periodic replacement if used by students on a regular basis. This study investigated the use of three-dimensional additively manufactured (3D AM) models (colloquially referred to as 3D-printed models) of the canine brain as a replacement for plastinated or formalin-fixed brains. The models investigated were built based on a micro-MRI of a single canine brain and have numerous practical advantages, such as durability, lower cost over time, and reduction of animal use. The effectiveness of the models was assessed by comparing performance among students who were instructed using either plastinated brains or 3D AM models. This study used propensity score matching to generate similar pairs of students. Pairings were based on gender and initial anatomy performance across two consecutive classes of first-year veterinary students. Students' performance on a practical neuroanatomy exam was compared, and no significant differences were found in scores based on the type of material (3D AM models or plastinated specimens) used for instruction. Students in both groups were equally able to identify neuroanatomical structures on cadaveric material, as well as respond to questions involving application of neuroanatomy knowledge. Therefore, we postulate that 3D AM canine brain models are an acceptable alternative to plastinated specimens in teaching veterinary neuroanatomy.}, number={4}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, publisher={University of Toronto Press Inc. (UTPress)}, author={Schoenfeld-Tacher, Regina M. and Horn, Timothy J. and Scheviak, Tyler A. and Royal, Kenneth D. and Hudson, Lola C.}, year={2017}, pages={612–619} } @article{royal_2017, title={Four tenets of modern validity theory for medical education assessment and evaluation}, volume={8}, ISSN={["1179-7258"]}, DOI={10.2147/amep.s139492}, abstractNote={Validity is considered by many to be the most important criterion for evaluating a set of scores, yet few agree on what exactly the term means. Since the mid-1800s, scholars have been concerned with the notion of validity, but over time, the term has developed a variety of meanings across academic disciplines and contexts. Accordingly, when scholars with different academic backgrounds, many of whom hold deeply entrenched perspectives about validity conceptualizations, converge in the field of medical education assessment, it is a recipe for confusion. Thus, it is important to work toward a consensus about validity in the context of medical education assessment. Thus, the purpose of this work was to present four fundamental tenets of modern validity theory in an effort to establish a framework for scholars in the field of medical education assessment to follow when conceptualizing validity, interpreting validity evidence, and reporting research findings.}, journal={ADVANCES IN MEDICAL EDUCATION AND PRACTICE}, publisher={Dove Medical Press Ltd.}, author={Royal, Kenneth D.}, year={2017}, pages={567–570} } @article{royal_zakrajsek_2017, title={Good teaching is not a race to cover content: Less can be more}, volume={96}, number={10-11}, journal={Earn, Nose & Throat Journal}, author={Royal, K. D. and Zakrajsek, T.}, year={2017}, month={Nov}, pages={402-} } @article{royal_2017, title={Improving student wellness by promoting social fitness}, volume={251}, DOI={10.2460/javma.251.8.890.}, number={8}, journal={Journal of the American Veterinary Medical Association}, author={Royal, Kenneth}, year={2017}, month={Oct}, pages={890–890} } @misc{royal_2017, title={Improving student wellness by promoting social fitness}, volume={251}, number={8}, journal={Journal of the American Veterinary Medical Association}, author={Royal, K. D.}, year={2017}, pages={890–890} } @misc{royal_2017, title={Quality Teaching Matters More than Innovative Curricula}, volume={130}, ISSN={["1555-7162"]}, DOI={10.1016/j.amjmed.2016.11.014}, abstractNote={Research that has attempted to untangle the complex web of curricular effects has found that curricular differences across institutions essentially have little to no discernible effect on student outcomes1Ripkey D.R. Swanson D.B. Case S.M. School-to-school differences in step 1 performance as a function of curriculum type and use of step 1 in promotion/graduation requirements.Acad Med. 1998; 73: 16-18Crossref PubMed Scopus (21) Google Scholar, 2Hecker K. Violato C. How much do differences in medical schools influence student performance? A longitudinal study employing hierarchical linear modeling.Teach Learn Med. 2008; 20: 104-113Crossref PubMed Scopus (44) Google Scholar or physician competence.2Hecker K. Violato C. How much do differences in medical schools influence student performance? A longitudinal study employing hierarchical linear modeling.Teach Learn Med. 2008; 20: 104-113Crossref PubMed Scopus (44) Google Scholar Hecker's study2Hecker K. Violato C. How much do differences in medical schools influence student performance? A longitudinal study employing hierarchical linear modeling.Teach Learn Med. 2008; 20: 104-113Crossref PubMed Scopus (44) Google Scholar found the greatest influence on physician outcomes pertained to student characteristics and teacher competency. Relating these findings back to the broader education literature reveals several interesting trends that warrant greater attention in medicine. Specifically, approximately 4 decades of education research have continually concluded that teacher quality has the single greatest impact on student learning.3National Council on Teaching and America's Future (NCTAF)What matters most: teaching for America's future.http://nctaf.org/wp-content/uploads/2012/01/WhatMattersMost.pdfDate: 2012Google Scholar Therefore, it is essential that medical education increase its focus and efforts on improving instructor quality, especially given that the majority of individuals in the field of medicine have little to no formal training in education science and pedagogy.4Royal K.D. Rinaldo J.C.B. There's education, and then there's education in medicine.J Adv Med Educ Prof. 2016; 4: 150-154PubMed Google Scholar The issue of student quality also is less important in medical education. Higher education scholars have long noted that academically elite students admitted to elite institutions often experience marginal growth compared with less academically qualified students accepted to less prestigious institutions. This phenomenon is attributed to the vast differences in student quality and the larger ceiling for potential growth. However, medical education does not suffer from this problem because there is no shortage of high-quality talent applying for admission to medical school. Given that student characteristics explain only a small amount of variance in studies predicting physician performance, it further evidences the need to focus on what matters most: teaching. At present, medicine uses a model that places more emphasis on medical student quality than instructor quality. This position is in juxtaposition to almost all other areas of education. Further, medicine spends exorbitant amounts of time and money on curricular changes intended to improve educational outcomes5American Medical AssociationAMA to triple number of medical schools participating in unique initiative aimed at transforming medical education.http://www.ama-assn.org/ama/pub/news/news/2015/2015-07-30-transforming-medical-education.pageDate: 2015Google Scholar when extant research has demonstrated that curricular differences result in only trivial improvements at best. It seems clear when collectively weighing the evidence that medicine should spend less time and resources attempting to reconfigure curricula and more time attempting to improve instructor quality and instructional effectiveness.}, number={4}, journal={AMERICAN JOURNAL OF MEDICINE}, author={Royal, Kenneth D.}, year={2017}, month={Apr}, pages={E167–E167} } @article{martinelli_chen_dilorenzo_mayer_fairbanks_moran_ku_mitchell_bowe_royal_et al._2017, title={Results of a Flipped Classroom Teaching Approach in Anesthesiology Residents}, volume={6}, DOI={10.4300/jgme-d-17-00128.1}, abstractNote={ABSTRACT}, journal={Journal of Graduate Medical Education}, publisher={Journal of Graduate Medical Education}, author={Martinelli, Susan M. and Chen, Fei and DiLorenzo, Amy N. and Mayer, David C. and Fairbanks, Stacy and Moran, Kenneth and Ku, Cindy and Mitchell, John D. and Bowe, Edwin A. and Royal, Kenneth D. and et al.}, year={2017}, month={Jun} } @article{royal_2017, title={Robust (and Ethical) Educational Research Designs}, volume={6}, DOI={10.3138/jvme.1015-162r1}, abstractNote={ Educational research can be quite confusing to individuals without formal training in educational research methods. Many educators trained in “high-consensus” fields such as the health and medical sciences often expect to utilize the same esteemed experimental and quasi-experimental designs in their educational research efforts, but are surprised to learn that this is often impossible for ethical reasons. This article presents five robust research designs that generally are compatible with education studies, and discusses how each design may be used in a variety of educational research scenarios. }, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth}, year={2017}, month={Jun}, pages={1–5} } @article{sun_royal_2017, title={School Climate in American Secondary Schools: A Psychometric Examination of PISA 2009 School Climate Scale}, url={https://doi.org/10.5430/jct.v6n2p6}, DOI={10.5430/jct.v6n2p6}, abstractNote={The purpose of this study was to examine the quality of the Program for International Student Assessment (PISA)2009 school climate survey instrument and evaluate perceptions of secondary school principals' located in the UnitedStates about school climate using an Item Response Theory (IRT) methodological approach. In particular, this studysought to determine if the instrument’s items are of sufficient psychometric quality to effectively measure schools'climate status in the United States. Collectively, results indicate the School Climate Assessment (SCA) scale is ofsufficient psychometric quality to effectively measure schools' climate status in the United States. However, there areareas for which the instrument can be improved. Recommendations for improvement are provided.}, journal={Journal of Curriculum and Teaching}, author={Sun, Letao and Royal, Kenneth D.}, year={2017}, month={Aug} } @article{greene_royal_bradley_lascelles_johnson_hawkins_2017, title={Severity of Nasal Inflammatory Disease Questionnaire for Canine Idiopathic Rhinitis Control: Instrument Development and Initial Validity Evidence}, volume={31}, ISSN={["1939-1676"]}, url={https://dx.doi.org/10.1111/jvim.14629}, DOI={10.1111/jvim.14629}, abstractNote={BackgroundEffective treatments are needed for idiopathic chronic rhinitis in dogs, but assessment of efficacy requires a practical, quantifiable method for assessing severity of disease.}, number={1}, journal={JOURNAL OF VETERINARY INTERNAL MEDICINE}, publisher={Wiley-Blackwell}, author={Greene, L. M. and Royal, K. D. and Bradley, J. M. and Lascelles, B. D. X. and Johnson, L. R. and Hawkins, E. C.}, year={2017}, pages={134–141} } @article{royal_2017, title={Success Rates Depend on the Appropriateness of the Outcome Measures}, volume={7}, DOI={10.2458/jmm.v7i1.21282}, abstractNote={This "Cheap Lessons" article emphasizes the importance of selecting an appropriate outcome. A brief example from the sports medicine literature relating to baseball pitching performance and the “Tommy John surgery” (TJS) is discussed. The example illustrates how an inappropriate outcome measure often utilized in studies involving the TJS has resulted in deceptive, overestimates of the surgery’s success rate. The unintended consequence of this methodological miscalculation is that numerous athletes have elected to pursue this unnecessary medical procedure and put both their health and sporting careers at risk.}, number={1}, journal={Journal of Methods and Measurement in the Social Sciences}, publisher={University of Arizona}, author={Royal, Kenneth D.}, year={2017}, month={Oct} } @article{royal_flammer_2017, title={Survey Incentives in Medical Education: What Do Students Say Will Entice Them to Participate in Surveys?}, volume={27}, ISSN={2156-8650}, url={http://dx.doi.org/10.1007/S40670-017-0407-3}, DOI={10.1007/s40670-017-0407-3}, number={2}, journal={Medical Science Educator}, publisher={Springer Nature}, author={Royal, Kenneth D. and Flammer, Keven}, year={2017}, month={Mar}, pages={339–344} } @article{royal_hedgpeth_2017, title={The Prevalence of Item Construction Flaws in Medical School Examinations and Innovative Recommendations for Improvement}, volume={1}, url={http://emjreviews.com/wp-content/uploads/The-Prevalence-of-Item-Construction-Flaws-in-Medical-School-Examinations-and-Innovative-Recommendations-for-Improvement.pdf}, number={1}, journal={European Medical Journal}, author={Royal, K.D. and Hedgpeth, M.W.}, year={2017}, month={Jan}, pages={61–66} } @article{royal_stockdale_2017, title={The impact of 3-option responses to multiple-choice questions on guessing strategies and cut score determinations}, volume={5}, url={http://jamp.sums.ac.ir/index.php/JAMP/article/view/725/145}, number={2}, journal={Journal of Advances in Medical Education and Professionalism}, author={Royal, K.D. and Stockdale, M.R.}, year={2017}, month={Apr}, pages={84–89} } @article{royal_kedrowicz_2017, title={Turning a blind eye: How lack of communication with ER nurses nearly cost a patient permanent vision loss}, volume={4}, number={3}, journal={Patient Experience Journal}, author={Royal, K.D. and Kedrowicz, A.K.}, year={2017}, month={Nov}, pages={12–14} } @article{royal_2017, title={Understanding the Cognitive Development of Medical Students and Residents}, volume={28}, url={https://doi.org/10.1080/14739879.2017.1344880}, DOI={10.1080/14739879.2017.1344880}, abstractNote={Dear Editor Medical educators are continually in pursuit of ways to develop critical thinking, problem solving, clinical reasoning and other cognitive skills that will serve learners well as future physicians. While most educators have some understanding of pedagogy and the fundamentals of effective instruction, very few are aware of the learner’s cognitive processes. Perry’s Theory of Cognitive Development[1,2] is one of the most widely recognized theories for understanding adult learners’ cognitive development. I challenge readers to consider how this theory might aid the instruction of medical students and residents. Perry’s schema consists of nine ‘positions’. These refer to one’s intellectual position, or vantage point, for viewing the world. As learners navigate intellectual positions, they do so along a continuum from a passive receiver of facts to an active agent capable of complex thinking in a contextually relativistic world. Along this intellectual journey students advance positions largely in sequential order. but certain factors can advance or reverse these positions. Some theorists now view Perry’s theory from four major positions: dualism, multiplicity, relativism, and commitment to relativism[2–4]: (i) Dualism; Learners hold a naïve epistemology where they believe the world consists of facts and correct answers. Authority figures (professors, doctors) offer all the answers. For dualistic thinkers, education is about accessing these authority figures and absorbing facts. Learning consists of taking, memorizing notes and regurgitating these for assessments. (ii) Multiplicity, Learners take a position where knowledge is a matter of opinion. Authority figures are perceived simply as people with opinions, all equally valid. Learners view personal feelings as the criteria through which the quality of their work should be evaluated. They feel frustrated when educators criticize their ideas or tasks. (iii) Relativism; Learners learn to evaluate information and distinguish between levels of evidence and support. They recognise that what one ‘knows’ is based on their perspective, assumptions, values, and other contextual factors. Educators become resources to help them learn the conventions of their discipline. (iv) Commitment to relativism; Learners recognize they must continue to use relativistic thinking to make sense of the world. This involves committing to integrating information about academic pursuits with various aspects of their personal lives.}, number={6}, journal={Education for Primary Care}, publisher={Informa UK Limited}, author={Royal, Kenneth D.}, year={2017}, month={Nov}, pages={356–356} } @article{royal_neel_munana_flammer_2017, title={Using a Modified Bookmark Procedure to Help Identify Reasonable Consequences for Academic Integrity Violations}, volume={7}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-85043509585&partnerID=MN8TOARS}, DOI={10.3138/jvme.0816-126r2}, abstractNote={ It is recommended that institutions develop academic conduct policies to help preserve academic integrity, enforce compliance, and aid in legal defensibility. These policies should also articulate reasonable consequences for persons found in violation. The problem, however, is that all academic misconduct offenses are not created equal, and determining reasonable consequences for these violations can be particularly challenging due to their subjective nature. Thus, the purpose of this study was to introduce a novel method for more objectively determining reasonable sanctions for several academic misconduct offenses of varying degrees of severity. We utilized a variation of the Bookmark procedure, a popular standard-setting technique used primarily by psychometricians in high-stakes testing environments, to investigate empirical survey data and develop policy recommendations. We encourage others to use this procedure, where appropriate, to identify appropriate cut scores and ranges to aid in policy development across a variety of contexts. }, number={1}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Neel, Jennifer A. and Munana, Karen R. and Flammer, Keven}, year={2017}, month={Jul}, pages={1–8} } @article{royal_2017, title={Using the Spearman-Brown Prophecy Formula to Improve Medical School Examination Quality}, volume={5}, DOI={10.5455/jcme.20170705091608}, abstractNote={Most measurement experts suggest a minimum reliability estimate of .60 to .70 is desirable for routine medical education assessments with low to moderate stakes. The most common recommendation for improving examination reliability is to increase examination length. Unfortunately, adjustments in examination length may result in unpredictable reliability estimation and involve a great deal of trial and error for educators. The Spearman-Brown prophecy formula may help medical educators accurately predict the effects of adding or removing items on reliability estimation, and help educators make immediate improvements to the psychometric quality and functioning of their examinations.}, number={2}, journal={Journal of Contemporary Medical Education}, publisher={ScopeMed International Medical Journal Management and Indexing System}, author={Royal, Kenneth}, year={2017}, pages={1} } @article{royal_2017, title={Why Veterinary Medical Educators Should Embrace Cumulative Final Exams}, volume={1}, DOI={10.3138/jvme.0216-035r}, abstractNote={ The topic of cumulative final examinations often elicits polarizing opinions from veterinary medical educators. While some faculty prefer cumulative finals, there are many who perceive these types of examinations as problematic. Specifically, faculty often cite cumulative examinations are more likely to cause students' greater stress, which may in turn result in negative student evaluations of teaching. Cumulative finals also restrict the number of items one may present to students on most recent material. While these cited disadvantages may have some merit, the advantages of cumulative examinations far exceed the disadvantages. The purpose of this article is to discuss the advantages of cumulative examinations with respect to learning evidence, grade/score validity, fairness issues, and implications for academic policy. }, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D.}, year={2017}, month={Jan}, pages={1–5} } @article{royal_2016, title={"Face validity'' is not a legitimate type of validity evidence}, volume={212}, ISSN={["1879-1883"]}, DOI={10.1016/j.amjsurg.2016.02.018}, abstractNote={The American Journal of Surgery (AJS) is a long-standing leader among surgery publications and has published high-quality research dating back to 1926. To preserve AJS's reputation, it is necessary to identify issues that may affect the journal, and subsequently the broader field of surgery, in a negative way, and attempt to resolve those issues. To that end, I would like to address the issue of citing "face validity" as a type of validity evidence. In a review of AJS articles since 2006, 30 articles have consisted of researchers citing face validity as part of their validity evidence. This is problematic because validity theorists (scholars who dedicate their careers to studying validity and what constitutes acceptable types of validity evidence) have universally agreed there is no such thing as "face validity". Thus, the purpose of this article is to encourage surgeons to study recent, and authoritative, works on validity theory, so they can better articulate the trustworthiness of their research findings and be more informed consumers of research.}, number={5}, journal={AMERICAN JOURNAL OF SURGERY}, publisher={Elsevier BV}, author={Royal, Kenneth}, year={2016}, month={Nov}, pages={1026–1027} } @article{royal_flammer_borst_huckle_barter_neel_2016, title={A Comprehensive Wellness Program for Veterinary Medical Education: Design and Implementation at North Carolina State University}, volume={6}, ISSN={1927-6052 1927-6044}, url={http://dx.doi.org/10.5430/ijhe.v6n1p74}, DOI={10.5430/ijhe.v6n1p74}, abstractNote={Research in veterinary medical education has illustrated the challenges students face with respect to mental and emotional wellness, lack of attention to physical health, and limited opportunities to meaningfully engage with persons from different backgrounds. In response, the North Carolina State University College of Veterinary Medicine has adopted a comprehensive wellness program available to all members of the college community. The wellness program is based on a ‘house system’ learning community model and focuses on five broad outcome categories: intellectual growth; mental and emotional health; social distance reduction; cultural competence; and physical health. This case study paper describes the development and implementation of the model at this institution.}, number={1}, journal={International Journal of Higher Education}, publisher={Sciedu Press}, author={Royal, Kenneth D. and Flammer, Keven and Borst, Luke and Huckle, Jeffrey and Barter, Hillary and Neel, Jennifer}, year={2016}, month={Nov}, pages={74} } @article{royal_2016, title={A Guide for Assessing the Interpretive Validity of Student Evaluations of Teaching in Medical Schools}, volume={26}, DOI={10.1007/s40670-016-0325-9}, number={4}, journal={Medical Science Educator}, publisher={Springer Nature}, author={Royal, Kenneth D.}, year={2016}, month={Oct}, pages={711–717} } @article{royal_gonzalez_2016, title={An Evaluation of the Psychometric Properties of an Advising Survey for Medical and Professional Program Students}, volume={6}, ISSN={1927-0534 1927-0526}, url={http://dx.doi.org/10.5539/jedp.v6n1p195}, DOI={10.5539/jedp.v6n1p195}, abstractNote={

The purpose of this study was to evaluate the psychometric properties of a newly developed instrument intended to measure faculty competence as it pertains to their role as advisors, particularly in medical and professional programs. A total of 166 students completed the Faculty Advisor’s Skills and Behaviors Inventory (FASBI). The psychometric properties of the FASBI were evaluated using the Rasch Rating Scale Model. Results indicate the FASBI is a psychometrically-sound instrument capable of producing valid and reproducible measures.

}, number={1}, journal={Journal of Educational and Developmental Psychology}, publisher={Canadian Center of Science and Education}, author={Royal, Kenneth D. and Gonzalez, Liara M.}, year={2016}, month={Apr}, pages={195} } @article{royal_kedrowicz_snyder_2016, title={Do All Dogs Go to Heaven? Investigating the Association between Demographic Characteristics and Beliefs about Animal Afterlife}, volume={29}, ISSN={["1753-0377"]}, DOI={10.1080/08927936.2016.1189748}, abstractNote={ABSTRACT The purpose of this research was to explore American’s beliefs about animal afterlife based on key demographic factors such as sex, race/ethnicity, age, geographic region, religion/faith, and pet ownership. We attained a large and diverse sample of respondents (n = 800) using Amazon’s Mechanical Turk, and attempted to make the data fairly representative of the United States population by applying post-stratification weights based on auxiliary statistics obtained from US Census data. Results of the study suggest that many people perceive animal lives as similarly sacred as human lives. Evidence also suggests that one’s membership in a particular demographic category may have considerable bearing on views about animal afterlife. The authors recommend veterinarians remain cognizant that some people extend their own views on issues such as spirituality to their pets and those beliefs and values can impact veterinary care and decision-making.}, number={3}, journal={ANTHROZOOS}, publisher={Informa UK Limited}, author={Royal, Kenneth D. and Kedrowicz, April A. and Snyder, Amy M.}, year={2016}, pages={409–420} } @article{walker_engelhard_hedgpeth_royal_2016, title={Exploring Aberrant Responses Using Person Fit and Person Response Functions}, journal={Journal of Applied Measurement}, author={Walker, A.A. and Engelhard, G. and Hedgpeth, M.W. and Royal, K.D.}, year={2016}, month={Jan} } @article{snyder_royal_2016, title={Investigating the Financial Awareness and Behaviors of Veterinary Medical Students}, DOI={10.5539/ijef.v8n7p201}, abstractNote={

A sample of veterinary medical students were administered a modified version of the Financial Fitness Quiz (FFQ) to gain insights about current veterinary students money management behaviors (e.g., developing financial goals, having a spending plan, accumulating savings, etc.). Results demonstrate students possess a general awareness and conscientiousness toward personal finance. In some cases, veterinary students engaged in positive financial behaviors at a higher rate than average consumers in the United States, and most reported having more cash on hand to cover an emergency than average consumers in the United States. While students generally appear to understand the negative impact of debt, results indicate most students do not fully appreciate the value of personal budgeting or annual calculations of net worth.

}, journal={International Journal of Economics and Finance}, author={Snyder, Amy M. and Royal, Kenneth D.}, year={2016}, month={Jun} } @article{stockdale_royal_2016, title={Missing data as a validity threat for medical and healthcare education research: problems and solutions}, volume={2}, DOI={10.5430/ijh.v2n2p67}, abstractNote={At present, the problem of missing data has received virtually no attention by medical and healthcare education researchers. This is a significant problem for the education research community because when missing data are disregarded or handled inappropriately it can result in serious validity threats. This article discusses the problem of missing data in the context of medical and healthcare education research and recommends appropriate methods for handling missing data.}, number={2}, journal={International Journal of Healthcare}, publisher={Sciedu Press}, author={Stockdale, Myrah and Royal, Kenneth}, year={2016}, month={Jun} } @misc{royal_cannedy_dent_2016, title={More on Diversity and Inclusion in Academic Medicine: The Isolation of Black Females}, volume={91}, ISSN={["1938-808X"]}, DOI={10.1097/acm.0000000000001215}, abstractNote={To the Editor: We recently read the research report by Person and colleagues1 on the topic of measuring diversity and inclusion in academic medicine. The topic of diversity and inclusivity is an important one for all the health professions, and other scholars will no doubt benefit from the useful tool (the Diversity Engagement Survey) the authors have generously shared with us. The authors found “black, Hispanic/Latino, female, and LGBTQ (lesbian, gay, bisexual, transgender, queer) respondents reported lower degrees of engagement than their counterparts,” and noted these findings are consistent with extant literature on these topics. We would like to briefly call attention to one key finding of this study that we have evidenced at both a medical school and a veterinary medical school in the United States as we believe it is a particularly important topic that deserves additional research. At the University of North Carolina School of Medicine we conducted a study involving social networks among medical students. Whereas most studies rely on the use of self-reported measures in which students provide ratings of their “sociability,” we utilized a study design in which students were presented a survey and the items consisted of a series of photo vignettes of other students in the same cohort. Students were asked to rate the strength of their social relationships with each of the other students. The most striking finding was that students reported significantly weaker social ties with black female students. It is important to note that all other demographic groups, including black males, reported similar levels of social ties with all other subpopulations. Relatedly, at North Carolina State University’s College of Veterinary Medicine we have observed a similar finding. Qualitative data have indicated that black females tend to be perceived as somewhat isolated from their peers, and black females also report feeling isolated. Again, this finding is not necessarily true for other demographic populations, including black males. Unquestionably, more research is needed in the area of diversity and inclusivity in medical education. However, we challenge researchers to devote particular attention to investigating black female subpopulations as this group of students appears to be particularly vulnerable and there is virtually a complete absence of literature on this subpopulation of medical students. Kenneth D. Royal, PhD, MSEdAssistant professor of educational assessment and outcomes, Department of Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina, and adjunct associate professor, Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina; [email protected] Allan L. Cannedy, DVMDirector for diversity and multicultural affairs, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina. Georgette A. Dent, MDAssociate dean for student affairs, University of North Carolina School of Medicine, Chapel Hill, North Carolina.}, number={7}, journal={ACADEMIC MEDICINE}, publisher={Ovid Technologies (Wolters Kluwer Health)}, author={Royal, Kenneth D. and Cannedy, Allan L. and Dent, Georgette A.}, year={2016}, month={Jul}, pages={896–896} } @misc{royal_2016, title={More on standard setting}, volume={13}, ISSN={["1743-498X"]}, DOI={10.1111/tct.12482}, abstractNote={As a professional psychometrician I read Richard Hays’ paper on standard setting with great interest. 1 I appreciated how Hays discussed the three broad categories of standardsetting methods and urged caution for the use of normreferenced methods, as basing performance measures on students’ relative standing compared with their peers is rarely appropriate in medical education. 2 I also appreciated Hays’ efforts to convey the message that standard setting is becoming increasingly popular in medical education, but that actually conducting these exercises properly can be a very challenging task.}, number={1}, journal={CLINICAL TEACHER}, publisher={Wiley-Blackwell}, author={Royal, Kenneth}, year={2016}, month={Feb}, pages={82–82} } @article{royal_munana_neel_2016, title={Prohibiting Students from Asking Questions during Exams: A Guideline for Promoting Fairness and Preserving Score Validity}, volume={8}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-85024494960&partnerID=MN8TOARS}, DOI={10.3138/jvme.0316-054r}, abstractNote={ Many medical and professional programs implement policies that prohibit students from asking questions during examinations. The reasoning behind these policies remains unclear to some, as there is a lack of literature addressing this topic. The purpose of this article is to present the rationale behind such policies and to discuss why these policies may help promote fairness and preserve score validity. }, number={2}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Munana, Karen R. and Neel, Jennifer A.}, year={2016}, month={Aug}, pages={1–3} } @article{royal_hecker_2016, title={Rater Errors in Clinical Performance Assessments}, volume={43}, ISSN={["1943-7218"]}, DOI={10.3138/jvme.0715-112r}, abstractNote={ Rater errors are some of the most significant validity threats to any performance assessment. Veterinary medical education routinely uses raters to assess student performance in a variety of scenarios (e.g., clinical assessments, OSCEs, etc.). The purpose of this “teaching tip” is to introduce veterinary medical educators to the notion of rater error, identify a list of common rater errors, and discuss how these errors can be addressed and minimized so as to produce accurate and defensible measures of student performance. }, number={1}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Hecker, Kent G.}, year={2016}, pages={5–8} } @article{kedrowicz_royal_flammer_2016, title={Social Media and Impression Management: Veterinary Medicine Students' and Faculty Members' Attitudes toward the Acceptability of Social Media Posts}, volume={4}, url={http://jamp.sums.ac.ir/index.php/JAMP/article/view/605}, number={4}, journal={Journal of Advances in Medical Education and Professionalism}, author={Kedrowicz, A.A. and Royal, K.D. and Flammer, K.}, year={2016}, pages={155–162} } @article{royal_hedgpeth_mcwhorter_2016, title={Students' Perceptions of and Experiences With Educational Technology: A Survey}, DOI={10.2196/mededu.5135}, abstractNote={Background It is generally assumed that incoming students in medical education programs will be better equipped for the “digital age” given their younger age and an educational upbringing in which technology was seemingly omnipresent. In particular, many assume that today's medical students are more likely to hold positive attitudes and increased comfortability with technology and possess greater information technology (IT) skills. Objective The purpose of this study was to compare responses of incoming veterinary medical students to a series of IT-related questions contained in a common questionnaire over the course of a 10-year period (2005-2015) to discern whether students’ attitudes have improved and uses and comfortability with technology have increased as anticipated. Methods A survey measuring attitudes and preferences, computing experience, and technology ownership was administered each year for the past 10 years to incoming veterinary medical students at a large veterinary school in the United States. Students' responses to survey items were compared at 3 data points (2005, 2010, and 2015). Results Today's incoming veterinary medical students tend to indicate the same desire to improve skills using spreadsheets and web page design as incoming students from 10 years ago. It seems that despite technological advances and increased exposure to such applications and skills, there remains a challenge for students to “keep up” with the ever evolving technology. Moreover, although students continue to report they are very comfortable with using a computer (and related devices), many use their computers as typewriters or word processors, as opposed to a means for performing more advanced computing functions. Conclusions In general, today's medical students are not expert computer users as many assume. Despite an upbringing in a digitized world, many students still lack many basic computing skills.}, journal={JMIR Medical Education}, author={Royal, Kenneth and Hedgpeth, Mari-Wells and McWhorter, Dan}, year={2016}, month={May} } @article{royal_hedgpeth_mulkey_fremer_2016, title={The 10 most wanted test cheaters in medical education}, volume={50}, ISSN={["1365-2923"]}, DOI={10.1111/medu.13096}, abstractNote={Abstract}, number={12}, journal={MEDICAL EDUCATION}, publisher={Wiley-Blackwell}, author={Royal, Kenneth and Hedgpeth, Marian-Wells and Mulkey, Jamie and Fremer, John}, year={2016}, month={Dec}, pages={1241–1244} } @article{royal_2016, title={The Impact of Item Sequence Order on Local Item Dependence: An Item Response Theory Perspective}, volume={9}, url={http://surveypractice.org/index.php/SurveyPractice/article/view/344/html_78}, note={Retrieved from}, number={5}, journal={Survey Practice}, author={Royal, K.}, year={2016} } @article{royal_rinaldo_2016, title={There's Education, and Then There's Education in Medicine}, volume={4}, number={3}, journal={Journal of Advances in Medical Education and Professionalism}, author={Royal, K.D. and Rinaldo, J.C.B.}, year={2016}, pages={150–154} } @misc{royal_hecker_2016, title={Understanding Reliability: A Review for Veterinary Educators}, volume={43}, ISSN={["1943-7218"]}, DOI={10.3138/jvme.0315-030r}, abstractNote={ Veterinary medical faculty and administrators routinely administer student assessments and conduct surveys to make decisions regarding student performance and to assess their courses/curricula. The decisions that are made are a result of the scores generated. However, how reliable are the scores and how confident can we be about these decisions? Reliability is one of the hallmarks of validity evidence, but what does this mean and what affects the reliability of scores? The purpose of this article is to provide veterinary medical educators and administrators with fundamental information regarding the concept of reliability. Specifically, we review what sources of error reduce the reliability of scores and we describe the different types of reliability coefficients that are reported. }, number={1}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Hecker, Kent G.}, year={2016}, pages={1–4} } @article{royal_guskey_2015, title={A Case for Differentiated Grades}, volume={25}, DOI={10.1007/s40670-015-0127-5}, abstractNote={The recent court ruling in favor of Case Western Reserve University that denied a medical degree to a student based on a lack of professionalism shows the clear need for differentiated grading in medical education. In the Ohio case [1], a threejudge panel concluded that evaluations regarding professionalism are academic judgments that fall within the purview of the degree-granting institution. Thus, medical students with strong academic records based on assessments of their medical knowledge and skills may legally fail a course, fail a program, or otherwise be denied a degree based on unprofessional conduct. Although this case attracted great attention, the situation is not unusual. Stories abound of students who make outstanding grades and put forth maximum effort, but are lacking in the area of professional behavior. As Chen [2] points out, many medical school faculty members would like to fail students who exhibit extremely unprofessional behavior, but often believe such a decision would be indefensible given the student’s adequate performance on examinations of medical knowledge and skills. Other faculty members attempt to address this issue by allocating sufficient weight to professionalism indictors in the grade so that students with high assessment scores, but poor professionalism, could not receive a passing course grade. In this article, we discuss an alternative solution through differentiated grading that is designed to make grades more meaningful, accurate, and educationally sound. Amalgamated Versus Differentiated Grades}, number={3}, journal={Med.Sci.Educ.}, publisher={Springer Science \mathplus Business Media}, author={Royal, Kenneth D. and Guskey, Thomas R.}, year={2015}, month={Apr}, pages={323–325} } @article{royal_hedgpeth_smith_kirk_2015, title={A Method for Investigating "Instructional Familiarity" and Discerning Authentic Learning}, volume={5}, ISSN={["2277-9205"]}, DOI={10.4103/2141-9248.177990}, abstractNote={Background: Presently, most medical educators rely exclusively on item difficulty and discrimination indices to investigate an item's psychometric quality and functioning. We argue “instructional familiarity” effects should also be of primary concern for persons attempting to discern the quality and meaning of a set of test scores. Aim: There were four primary objectives of this study: (1) Revisit Haladyna and Roid's conceptualization of “instructional sensitivity” within the context of criterion-referenced assessments, (2) provide an overview of “instructional familiarity” and its importance, (3) reframe the concept for a modern audience concerned with medical school assessments, and (4) conduct an empirical evaluation of a medical school examination in which we attempt to investigate the instructional effects on person and item measures. Subjects and Methods: This study involved a medical school course instructor providing ratings of instructional familiarity (IF) for each mid-term examination item, and a series of psychometric analyses to investigate the effects of IF on students' scores and item statistics. The methodology used in this study is based primarily on a mixed-method, “action research” design for a medical school course focusing on endocrinology. Rasch measurement model; correlation analysis. Results: The methodology presented in this article was evidenced to better discern authentic learning than traditional approaches that ignore valuable contextual information about students' familiarity with exam items. Conclusions: The authors encourage other medical educators to adopt this straightforward methodology so as to increase the likelihood of making valid inferences about learning.}, number={6}, journal={ANNALS OF MEDICAL AND HEALTH SCIENCES RESEARCH}, publisher={Medknow}, author={Royal, K. D. and Hedgpeth, M. W. and Smith, K. W. and Kirk, D.}, year={2015}, pages={428–434} } @article{royal_hedgpeth_2015, title={A Novel Method for Evaluating Examination Item Quality}, volume={7}, DOI={10.5539/ijps.v7n1p17}, abstractNote={Background and aims: Poor quality examination items may result in invalid test scores that potentially misrepresent what a student actually knows about a given content area. Thus, if an examination consists largely of poor quality items it is plausible that an individual with minimal content knowledge could perform reasonably well and receive a score that erroneously inflates his or her measure of ability. This study builds on this premise by introducing a novel method for evaluating item quality and demonstrating its utility. Method: We sought to understand the extent to which medical school examination items were vulnerable to good test-taking skills and guessing strategies by administering an examination to a group of medical education professional staff. The extent to which persons with no formal medical training could perform above the odds of random guessing were used to identify zones in which items may be vulnerable to guessing strategies. Results: The performance of professional staff was able to provide excellent diagnostic information regarding which items may be particularly vulnerable to guessing strategies. Conclusions: The proposed methodology was demonstrated to be successful, thus we encourage other medical educators to adopt this model for evaluating item and examination quality in a variety of contexts.}, number={1}, journal={IJPS}, publisher={Canadian Center of Science and Education}, author={Royal, Kenneth D. and Hedgpeth, Mari-Wells}, year={2015}, month={Feb} } @article{royal_2015, title={A cautionary note about focus groups in medical education}, volume={26}, DOI={10.1080/14739879.2015.1101862}, abstractNote={ISSN: 1473-9879 (Print) 1475-990X (Online) Journal homepage: http://www.tandfonline.com/loi/tepc20 A cautionary note about focus groups in medical education Kenneth Royal To cite this article: Kenneth Royal (2015) A cautionary note about focus groups in medical education, Education for Primary Care, 26:6, 449-449, DOI: 10.1080/14739879.2015.1101862 To link to this article: http://dx.doi.org/10.1080/14739879.2015.1101862}, number={6}, journal={Education for Primary Care}, publisher={Informa UK Limited}, author={Royal, Kenneth}, year={2015}, month={Nov}, pages={449–449} } @article{latessa_beaty_royal_colvin_pathman_heck_2015, title={Academic outcomes of a community-based longitudinal integrated clerkships program.}, volume={37}, url={http://europepmc.org/abstract/med/25693796}, DOI={10.3109/0142159X.2015.1009020}, abstractNote={Abstract Background: Longitudinal integrated clerkships (LICs) receive recognition internationally as effective, innovative alternatives to traditional block rotations (TBRs) in undergraduate medical education. No studies of LICs in the USA have assessed how students perform on all the standardized exams. Aim: To compare performance on standardized tests of students in the first four years of LICs at the University of North Carolina School of Medicine–Asheville (UNC SOM–Asheville) with students from UNC SOM’s Chapel Hill main campus in TBRs. Methods: LIC and TBR students’ previous academic performance was considered using Medical College Admissions Test (MCAT) and United States Medical Licensing Examination (USMLE) Step 1 scores. Step 1 exam tests students’ pre-clinical, basic science knowledge. Outcome measures included all eight standardized National Board of Medical Examiners (NBME) Subject Shelf Examinations and USMLE Step 2 Clinical Knowledge (CK) examinations, which are used widely in the US to assess students’ progress and as prerequisites to eventual licensure. TBR students were selected using propensity scores to match LIC students. Groups were also compared on the required core clinical conditions documented, and on residency specialty choice. Results: Asheville LIC students earned higher scores on the Step 2 CK examination and the six shelf examinations linked to longitudinal clerkships than the matched TBR students (Step 2 CK exam, Family Medicine and Ambulatory Medicine shelf exams reached statistical significance). LIC students logged greater percentages of core conditions than TBR students and more often chose primary care residencies. Conclusions: UNC School of Medicine medical students participating in a longitudinal integrated curriculum in a community setting outperformed fellow students who completed a more TBR curriculum within the school’s academic medical center. Differences were found in performance on standard tests of clinical knowledge (six NBME exams and Step 2 CK exam), documented breadth of clinical experiences, and likelihood of choosing primary care residency programs.}, number={9}, journal={Medical Teacher}, publisher={Informa UK Limited}, author={Latessa, R and Beaty, N and Royal, K and Colvin, G and Pathman, DE and Heck, J}, year={2015}, month={Sep}, pages={862–867} } @article{royal_hedgpeth_2015, title={Balancing Test Length with Sufficiently Reliable Scores}, volume={7}, DOI={10.5959/eimj.v7i1.321}, abstractNote={One of the most important indicators of a quality examination is the reliability of the scores. In low to moderate stakes scenarios it is desirable for scores to achieve a minimum estimate of .70. Unfortunately, for many medical educators it is difficult to attain this minimum threshold for “acceptable” statistical reproducibility. A common approach is to include additional items to an exam, but this process can become cumbersome and misguided without clear direction. Fortunately, the Spearman-Brown Prophecy formula can help medical educators identify approximately how many additional items will be necessary to achieve a minimum reliability estimate of .70. This article describes a case in which we were presented with a less than desirable reliability estimate from a previous medical school examination, utilized the Spearman-Brown Prophecy formula, and was able to achieve the minimum estimate of .70 on the next iteration of the examination. We encourage others to make use of this technique rarely utilized outside of the psychometric arena as well.}, number={1}, journal={EIMJ}, publisher={KKMed Publications}, author={Royal, Kenneth D and Hedgpeth, Mari-Wells}, year={2015}, month={Mar} } @article{magallanes_stoskopf_royal_2015, title={Building Collaborative Learning Opportunities between Future Veterinary and Design Professionals}, volume={3}, DOI={10.11114/jets.v3i5.852}, abstractNote={Positive inter-professional collaborations and interactions facilitate the effectiveness of veterinarians working on professional teams addressing a wide range of societal challenges. The need for these interactions extend far beyond the different medical professions, which is the limit of many discussions of inter-professional relations for veterinary medicine. Methods of problem solving differ across professions, and clinical veterinary problem solving is quite distinct from the approaches of non-medical professions. These distinctions are particularly obvious when looking at the approaches of design professionals. Yet, most veterinarians work in collaboration with architects and landscape architects at some time in their careers, with varying degrees of success. This case study describes a collaboration between a College of Veterinary Medicine and a College of Design in which a course was offered across both colleges that allowed students to build a real life design to suit the needs of a veterinary medical college considering how to best utilize space for animals, animal and human interaction and the holistic development of healthy spaces for humans. Results of the collaboration indicated that despite initial struggles, students from very different disciplinary backgrounds were able to effectively work in teams, problem solve, communicate and exchange ideas, learn to appreciate their peer counterparts, and produce a high-quality design that may ultimately be adopted by the university.}, number={5}, journal={Journal of Education and Training Studies}, publisher={Redfame Publishing}, author={Magallanes, Fernando and Stoskopf, Michael K. and Royal, Kenneth D.}, year={2015}, month={Jun}, pages={43–51} } @article{royal_schoenfeld-tacher_flammer_2015, title={Comparing Veterinary Student and Faculty Perceptions of Academic Misconduct}, volume={1}, ISSN={2380-9205 2380-9183}, url={http://dx.doi.org/10.5430/irhe.v1n1p81}, DOI={10.5430/irhe.v1n1p81}, abstractNote={A study was conducted to assess veterinary students’ and faculty perceptions of a variety of academic and classroom behaviors, and the degree to which these are acceptable or not. Two instruments were developed for this purpose: 1) The Exams and Assignments Scale (EAS), consisted of 23 items measuring the extent to which a variety of examination and assignment-related actions and behaviors constituted misconduct, and 2) The Classroom Behavior Scale (CBS), consisted of 8 items and measured the extent to which a variety of classroom behaviors were acceptable professional behaviors. Student responses were pooled for analysis and compared to faculty perceptions. This comparison resulted in statistically significant differences on 11 of the 23 EAS indicators. In all cases, faculty felt the described actions were more severe offenses than students with most of these discrepancies centering on situations regarding examinations and clinical skills. Both groups felt that offenses pertaining to cheating in exam settings were the most severe infractions, and the least severe issues pertained to laboratories/assignments and other out of class behaviors. On the CBS scale, there were statistically significant differences on 3 of the 8 measures, with faculty reporting the behaviors as less acceptable. The most concerning behaviors involved actions that could potentially impact people other than the offender, while the most acceptable behaviors seemed to only impact the person committing them.}, number={1}, journal={International Research in Higher Education}, publisher={Sciedu Press}, author={Royal, Kenneth D. and Schoenfeld-Tacher, Regina M. and Flammer, Keven}, year={2015}, month={Nov} } @article{schoenfeld-tacher_royal_flammer_2015, title={Differences Among Veterinary Students’ and Faculty Members’ Perceptions of Appropriate Interactions with Corporate Entities at One US College of Veterinary Medicine}, volume={26}, ISSN={2156-8650}, url={http://dx.doi.org/10.1007/s40670-015-0213-8}, DOI={10.1007/s40670-015-0213-8}, number={1}, journal={Medical Science Educator}, publisher={Springer Science and Business Media LLC}, author={Schoenfeld-Tacher, Regina M. and Royal, Kenneth D. and Flammer, Keven}, year={2015}, month={Nov}, pages={35–38} } @article{royal_guskey_2015, title={Does Mathematical Precision Ensure Valid Grades? What Every Veterinary Medical Educator Should Know}, volume={42}, ISSN={["1943-7218"]}, url={http://europepmc.org/abstract/med/26075627}, DOI={10.3138/jvme.0115-005r1}, abstractNote={ Veterinary medical educators use a variety of methods for calculating student grades. Most educators assume grades will be valid as long as the mathematical calculations underpinning each grading method are correct. The purpose of this “teaching tip” is to demonstrate and discuss how mathematical precision does not necessarily equate to truthful scores that accurately reflect what students know or can do. We contend that this topic is of considerable importance to all veterinary educators who assign grades, and to academic deans who make decisions about grading policies. }, number={3}, journal={JOURNAL OF VETERINARY MEDICAL EDUCATION}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D. and Guskey, Thomas R.}, year={2015}, pages={242–244} } @article{schoenfeld-tacher_kogan_meyer-parsons_royal_shaw_2015, title={Educational Research Report: Changes in Students' Levels of Empathy during the Didactic Portion of a Veterinary Program}, volume={42}, ISSN={0748-321X 1943-7218}, url={http://dx.doi.org/10.3138/jvme.0115-007R}, DOI={10.3138/jvme.0115-007r}, abstractNote={ Empathy can be defined as the ability to understand and connect with the emotional state and frame of mind of another. Establishing connections with others is a crucial skill for veterinarians who must earn the trust and compliance of their clients to provide quality care for their patients. This is a longitudinal study using the Davis Interpersonal Reactivity Index (IRI) to assess changes in veterinary students' self-reported empathy as they progressed through the didactic portion of the DVM program at Colorado State University. The IRI consists of four subscales that measure cognitive and affective components of empathy: Perspective Taking, Fantasy, Emphatic Concern, and Personal Distress. Data were collected at three time points, corresponding to the start of the first year, the fourth semester (second year), and the fifth semester (third year). Results showed an overall decline in Perspective Taking scores, with a significant decrease between first and second year. There was an overall increase in students' levels of Personal Distress as they progressed through the program. The significant difference was found between years 1 and 3. This is especially concerning because the enhanced unease in interpersonal interactions coincides with students entering clinical rotations in the third year—the very time when these traits are necessary for quality client and patient care. Veterinary educators are urged to use this information as a basis for investigating novel curricular and programmatic interventions to counteract these changes in student empathy. }, number={3}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Schoenfeld-Tacher, Regina M. and Kogan, Lori R. and Meyer-Parsons, Beatrice and Royal, Kenneth D. and Shaw, Jane R.}, year={2015}, month={Sep}, pages={194–205} } @article{webb_royal_nash_2015, title={Examining Job Satisfaction among Kentucky Head Principals Using the Rasch Rating Scale Model}, volume={5}, DOI={10.5296/jse.v5i3.8152}, abstractNote={

Effective principals can impact student learning and other vital outcomes; thus, it is important to retain effective school leaders. This article examines the perceived sources of Kentucky principals’ satisfaction and dissatisfaction with their work and implications for policies and practices to increase principal retention. Survey research methods were used and Kentucky principals’ satisfaction with specified job facets was measured using the Rasch Rating Scale Model (RRSM). Data indicated that head principals sampled in Kentucky were generally dissatisfied with the amount of time spent on tasks that have nothing to do with their primary responsibility of improving student outcomes. 

}, number={3}, journal={JSE}, publisher={Macrothink Institute, Inc.}, author={Webb, Xavier J. and Royal, Kenneth D. and Nash, John B.}, year={2015}, month={Jun}, pages={135} } @article{stonkus_royal_2015, title={Further Validation of the Inventory of Mental Toughness Factors in Sport (IMTF-S)}, volume={7}, DOI={10.5539/ijps.v7n3p35}, abstractNote={The purpose of this study was to provide further validation a new measure of mental toughness in sport. The Inventory of Mental Toughness Factors in Sport (IMTF-S) was originally developed and validated using principal component analysis. For the present study, the psychometric properties of the IMTF-S were again evaluated, but by way of the Rasch Rating Scale Model using the same sample (n=329) of athletes, and the same 42-item instrument measuring mental toughness on a 5-point Likert-type scale (always-never). Results indicate the IMTF-S is a psychometrically-sound instrument capable of producing valid and reproducible measures of mental toughness in sports.}, number={3}, journal={IJPS}, publisher={Canadian Center of Science and Education}, author={Stonkus, Mark A. and Royal, Kenneth D.}, year={2015}, month={Aug} } @article{royal_hedgpeth_bynum_colford_2015, title={How Much Content Knowledge Do Graduating Medical Students Retain from Their Pre-Clinical and Clinical Courses?}, volume={26}, DOI={10.1007/s40670-015-0218-3}, number={1}, journal={Medical Science Educator}, publisher={Springer Nature}, author={Royal, Kenneth D. and Hedgpeth, Mari-Wells and Bynum, Debra and Colford, Cristin}, year={2015}, pages={117–122} } @article{royal_schoenfeld-tacher_kedrowicz_hardie_flammer_2015, title={Measuring Factors that Influence Decisions to Become a Veterinarian}, volume={4}, ISSN={2322-2719}, url={http://dx.doi.org/10.15171/rdme.2015.004}, DOI={10.15171/rdme.2015.004}, abstractNote={Introduction: Veterinary medical education; Psychometrics; Career influence; The purpose of the present study was twofold. First, we sought to evaluate the psychometric properties of a newly developed instrument designed to measure factors incoming veterinary medical students indicated were important (or not) in their decision to become a veterinarian. Second, we sought to produce a measure of these factors by utilizing a state-of-the-art psychometric modeling technique to produce an empirical hierarchy that illustrates the construct of interest and make appropriate inferences about the findings. Methods: The Career Influence Factors Survey (CIFS) was administered to an incoming class of veterinary medical students. Data were analyzed via the Rasch Rating Scale Model. The psychometric properties of the instrument were evaluated according to Messick’s framework of construct validity. Results: Results indicate the Career Influence Factors Survey is a psychometrically-sound instrument capable of accurately and reliably measuring veterinary medical students’ motivations for becoming a veterinarian. Substantive results indicated issues pertaining to animal welfare were the most important in making the decision to become a veterinarian. Previous exposure to a particular animal or family pet was only moderately influential in students’ decision to pursue a career in veterinary medicine. Factors such as a desire to work on food production issues and anticipated earning potential tend to be of lesser importance to incoming students. Conclusion: We encourage others to utilize the instrument and/or adopt the methodology to evaluate the psychometric properties of other instruments. Substantive findings generally corroborated findings from previous studies, but may identify new insights for improving the recruitment of veterinary medical students.}, number={1}, journal={Research and Development in Medical Education}, publisher={International Society for Phytocosmetic Sciences}, author={Royal, Kenneth D. and Schoenfeld-Tacher, Regina and Kedrowicz, April A. and Hardie, Elizabeth M. and Flammer, Keven}, year={2015}, month={Jul}, pages={23–29} } @article{royal_walter_2015, title={On Requiring Medical Student Participation on Course and Faculty Evaluations: Ethical and Methodological Implications}, volume={5}, DOI={10.5958/2231-6728.2015.00040.2}, abstractNote={Many medical schools have policies that require student participation on various course and faculty evaluations. Consequences for non-participation often include threats to withhold grades and prohibiting students from further advancing with their studies. The rationale behind these policies is that mandatory participation is the only way to ensure a high response rate, which many faculty and administrators erroneously perceive as the primary requirement for valid feedback. Unfortunately, there are a number of ethical problems and methodological concerns underscoring these practices. The purpose of this opinion article is to briefly discuss some of the problems associated with this evaluation practice and encourage medical educators to conduct evaluations in more ethically responsible and methodologically appropriate ways.}, number={3}, journal={Journal of Research in Medical Education & Ethics}, publisher={Diva Enterprises Private Limited}, author={Royal, Kenneth D. and Walter, Rachael A.}, year={2015}, pages={195} } @article{royal_guskey_2015, title={On the appropriateness of norm- and criterion-referenced assessments in medical education}, volume={94}, number={7}, journal={Ear, Nose, & Throat Journal}, author={Royal, K. D. and Guskey, T. R.}, year={2015}, month={Jul}, pages={252-} } @article{royal_guskey_ear_2015, title={On the appropriateness of norm- and criterion-referenced assessments in medical education.}, volume={94}, url={http://europepmc.org/abstract/med/26214661}, number={7}, journal={& throat journal}, author={Royal, K.D. and Guskey, T.R. and Ear, nose}, year={2015}, month={Jul}, pages={252–254} } @article{royal_henderson_hedgpeth_2015, title={Post-Exam Reviews: A Consideration of Costs and Unintended Consequences}, volume={25}, DOI={10.1007/s40670-015-0140-8}, number={3}, journal={Med.Sci.Educ.}, publisher={Springer Science \mathplus Business Media}, author={Royal, Kenneth D. and Henderson, Ashley G. and Hedgpeth, Mari-Wells}, year={2015}, month={Jun}, pages={327–329} } @article{bynum_colford_royal_2015, title={Teaching medical students the art of the 'write-up'.}, volume={12}, url={http://europepmc.org/abstract/med/26036763}, DOI={10.1111/tct.12304}, abstractNote={The creation of a complete ‘write–up’ continues to be essential to the clinical learning experience for medical students. The ability to document a clinical encounter is a key communication skill and Core Entrustable Professional Activity for entering residency.}, number={4}, journal={Clinical Teacher}, author={Bynum, D and Colford, C and Royal, K}, year={2015}, month={Aug}, pages={246–249} } @article{thomas r. o'neill_sun_peabody_royal_2015, title={The Impact of Repeated Exposure to Items}, volume={27}, ISSN={["1532-8015"]}, url={http://europepmc.org/abstract/med/26507998}, DOI={10.1080/10401334.2015.1077131}, abstractNote={Theory: When test developers have a limited number of test questions available or when the equating design requires some item overlap across forms, psychometricians worry that examinees who encounter previously seen questions on subsequent test forms may be able to inflate their test score due to their familiarity with the repeated test questions. Hypotheses: Prior exposure to test questions may lead to contamination and inflated scores. This research seeks to detect if examinees' scores were inflated due to prior exposure to test questions and, if so, whether those increases were significant. Method: The sample for this study consisted of candidates who took the American Board of Family Medicine's certification examination twice in a single year (n = 988). Examinees were randomly assigned one of two forms for their first attempt and received the other form for their repeat test. There were 99 questions in common across both forms. The Rasch model was used to estimate examinee ability. Performance changes on the common questions and unique questions were compared and repeated measures t tests were performed to establish whether score changes were likely to have occurred by chance. Results: On average, the examinees increased their overall ability estimate by .187 logits on the repeat attempt. The repeated measures t tests indicate this difference was statistically significant, t(987) = −25.298, p < .001, α = .05. The mean difference between the examinees' ability estimate on common and unique items for their first attempt was not statistically significant, t(987) = .264, p = .792, α = .05; however, the mean difference between common and unique items on the second attempt (0.029 logits) was statistically significant, t(987) = 3.28, p = .001, α = .05. Conclusions: Some of the increase in the examinees' overall ability estimate may attributed to a general increase in the latent trait; however, there was a small but detectable increase that could be attributed to prior exposure to the questions. On average, about 15% of the repeated questions were changed from wrong to right, but about 11% of questions were changed from right to wrong, suggesting that examinees may occasionally be using prior exposure to their benefit but general guessing accounts for more of the changes. The impact of the mean difference between the common and unique item scores (0.029 logits) is trivial at the individual level; however, such a bias among the population of repeat testers could be problematic if a small subset of examinees were using a “remember–research–retest” strategy to obtain nontrivial score increases.}, number={4}, journal={TEACHING AND LEARNING IN MEDICINE}, author={Thomas R. O'Neill and Sun, Letao and Peabody, Michael R. and Royal, Kenneth D.}, year={2015}, month={Oct}, pages={404–409} } @article{o'neill_li_peabody_lybarger_royal_puffer_2015, title={The Predictive Validity of the ABFM's In-Training Examination.}, volume={47}, url={http://europepmc.org/abstract/med/25905876}, number={5}, journal={Family medicine}, author={O'Neill, TR and Li, Z and Peabody and Lybarger, M and Royal, K and Puffer, JC}, year={2015}, month={May}, pages={349–356} } @article{royal_stockdale_2015, title={The myth of learning styles: What medical educators need to know}, volume={94}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84949487901&partnerID=MN8TOARS}, number={4-5}, journal={Ear, Nose and Throat Journal}, author={Royal, K.D. and Stockdale, M.R.}, year={2015}, pages={132–134} } @article{royal_stockdale_ear_2015, title={The myth of teaching styles: What medical educators need to know [Editorial].}, volume={94}, url={http://europepmc.org/abstract/med/25923265}, number={4-5}, journal={& throat journal}, author={Royal, K.D. and Stockdale, M.R. and Ear, nose}, year={2015}, pages={132–134} } @article{o’neill_li_peabody_lybarger_royal_puffer_2015, title={The predictive validity of the ABFM’s in-training examination}, volume={47}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84929091868&partnerID=MN8TOARS}, number={5}, journal={Family Medicine}, author={O’Neill, T.R. and Li, Z. and Peabody, M.R. and Lybarger, M. and Royal, K. and Puffer, J.C.}, year={2015}, pages={349–356} } @article{royal_2015, title={Using the Nudge and Shove Methods to Adjust Item Difficulty Values}, volume={42}, url={http://europepmc.org/abstract/med/26200700}, DOI={10.3138/jvme.0115-008r}, abstractNote={ In any examination, it is important that a sufficient mix of items with varying degrees of difficulty be present to produce desirable psychometric properties and increase instructors' ability to make appropriate and accurate inferences about what a student knows and/or can do. The purpose of this “teaching tip” is to demonstrate how examination items can be affected by the quality of distractors, and to present a simple method for adjusting items to meet difficulty specifications. }, number={3}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Royal, Kenneth D.}, year={2015}, month={Sep}, pages={239–241} } @article{madanick_brown_royal_palmer_isaacs_2014, title={436 Feasibility and Acceptability of a Mobile Application for Point-of-Care Data Collection in Assessing Trainee Skills During Colonoscopy Training: a Pilot Study}, volume={79}, DOI={10.1016/j.gie.2014.02.097}, abstractNote={Background & Aims: The Mayo Colonoscopy Skills Assessment Tool (MCSAT) is an instrument designed to improve competency assessment during colonoscopy training by defining a trainee's learning curve. Because the MCSAT was integrated into a single institution's endoscopy database, dissemination for routine use by other GI training programs has been limited. As mobile computers (tablets, smartphones) become more widely used in medical settings, a mobile application (APP) could allow dissemination of the MCSAT or other evaluation instruments to other GI training programs for point-of-care (POC) data collection. The aim of this study is to assess the feasibility and acceptability of an APP for POC data collection by GI faculty for assessment of trainees' colonoscopy skills.}, number={5}, journal={Gastrointestinal Endoscopy}, publisher={Elsevier BV}, author={Madanick, Ryan D. and Brown, Daniel L. and Royal, Kenneth and Palmer, Jeff and Isaacs, Kim L.}, year={2014}, month={May}, pages={AB139–AB140} } @article{royal_dent_2014, title={A Novel Approach for Investigating Curricular Redundancy}, volume={6}, DOI={10.5959/eimj.v6i4.285}, abstractNote={Curricular redundancy can be a major problem for medical schools, especially those with a highly integrated curriculum. Although some redundancy is desirable, many forms of redundancy are not. Unfortunately, evaluating curricular redundancy and discerning desirable redundancy from undesirable redundancy can be quite challenging. Further, pinpointing undesirable redundancy and quantifying it so as to produce an estimate of inefficiency is even more difficult. This brief article describes a novel , and promising, student-led strategy for evaluating redundancy in a highly integrated medical school curriculum.}, number={4}, journal={EIMJ}, publisher={KKMed Publications}, author={Royal, Kenneth D and Dent, Georgette A}, year={2014} } @article{royal_gilliland_dent_2014, title={A student-led methodology for evaluating curricular redundancy}, volume={10}, number={23}, journal={Journal of MultiDisciplinary Evaluation}, author={Royal, K.D. and Gilliland, K.O. and Dent, G.A.}, year={2014}, month={Mar}, pages={1–8} } @article{royal_kernick_gilliland_2014, title={Are Repeat Exam Scores Trustworthy? A Note about Measurement Error and the Need for Genuine Instructional Remediation}, volume={24}, DOI={10.1007/s40670-014-0011-8}, number={1}, journal={Med.Sci.Educ.}, publisher={Springer Science \mathplus Business Media}, author={Royal, Kenneth D. and Kernick, Edward T. and Gilliland, Kurt O.}, year={2014}, month={Feb}, pages={39–41} } @article{royal_stockdale_2014, title={Are Teacher Course Evaluations Biased Against Faculty That Teach Quantitative Methods Courses?}, volume={4}, DOI={10.5430/ijhe.v4n1p217}, abstractNote={The present study investigated graduate students’ responses to teacher/course evaluations (TCE) to determine if students’ responses were inherently biased against faculty who teach quantitative methods courses. Item response theory (IRT) and Differential Item Functioning (DIF) techniques were utilized for data analysis. Results indicate students in non-methods courses preferred the structure of quantitative courses, but tend to be more critical of quantitative instructors. Authors encourage consumers of TCE results to investigate item-level results, as opposed to summative results, when making inferences about course and instructor quality.}, number={1}, journal={IJHE}, publisher={Sciedu Press}, author={Royal, Kenneth D. and Stockdale, Myrah R}, year={2014}, month={Oct} } @article{schulte_mannino_royal_brown_peterson_puffer_2014, title={Community size and organization of practice predict family physician recertification success.}, volume={27}, url={http://europepmc.org/abstract/med/24808117}, DOI={10.3122/jabfm.2014.03.130016}, abstractNote={Objective: Health disparities exist between rural and urban areas. Rural physicians may lack sufficient medical knowledge, which may lead to poor quality of care. Therefore, we sought to determine whether medical knowledge differed between family physicians (FPs) practicing in rural areas compared with those practicing in metropolitan areas. Methods: We studied 8361 FPs who took the American Board of Family Medicine maintenance of certification (MOC) examination in 2009. Data sources were examination results and data from a demographic survey of practice structure and activities, completed as part of the examination application process. FPs' location of practice was categorized as either rural or metropolitan using a moderate and conservative definition based on reported community size. Univariate statistics assessed differences in FP characteristics between rural and metropolitan areas. Logistic regression analyses determined the adjusted relationship between rural status and the odds of passing the MOC examination. Results: Metropolitan FPs were less likely than their rural counterparts to pass the MOC examination using both the moderate (odds ratio, 0.67; 95% confidence interval, 0.54–0.83) and conservative (odds ratio, 0.56; 95% confidence interval, 0.42–0.74) definitions. Physicians in solo practice were less likely to pass the examination than physicians in group practice. Conclusion: Rural physicians were more likely to pass the MOC examination, suggesting that rural health disparities do not result from a lack of provider knowledge.}, number={3}, journal={Journal of the American Board of Family Medicine}, author={Schulte, BM and Mannino, DM and Royal, KD and Brown, SL and Peterson, LE and Puffer, JC}, year={2014}, pages={383–390} } @article{royal_akers_2014, title={Social Network Analysis and Rasch Measurement as Complementary Methods}, volume={28}, number={2}, journal={Rasch Measurement Transactions}, author={Royal, K.D. and Akers, L.}, year={2014}, pages={1466–1467} } @article{street_gilliland_mcneil_royal_2014, title={The Flipped Classroom Improved Medical Student Performance and Satisfaction in a Pre-clinical Physiology Course}, volume={25}, DOI={10.1007/s40670-014-0092-4}, number={1}, journal={Med.Sci.Educ.}, publisher={Springer Science \mathplus Business Media}, author={Street, Sarah E. and Gilliland, Kurt O. and McNeil, Cheryl and Royal, Kenneth}, year={2014}, month={Nov}, pages={35–43} } @article{royal_puffer_2014, title={The consequential validity of ABFM examinations}, volume={27}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84900529537&partnerID=MN8TOARS}, DOI={10.3122/jabfm.2014.03.140089}, abstractNote={Measurement scholar Samuel Messick,[1][1] defines validity as “an integrated evaluative judgment of the degree to which empirical evidence and theoretical rationales support the adequacy and appropriateness of inferences and actions based on test scores… ” (p. 13). Messick's definition of}, number={3}, journal={Journal of the American Board of Family Medicine}, author={Royal, K.D. and Puffer, J.C.}, year={2014}, pages={430–431} } @article{royal_puffer_2014, title={The consequential validity of ABFM examinations.}, volume={12}, url={http://europepmc.org/abstract/med/24821902}, DOI={10.1370/afm.1647}, abstractNote={Measurement scholar, Samuel Messick, defines validity as “an integrated evaluative judgment of the degree to which empirical evidence and theoretical rationales support the adequacy and appropriateness of inferences and actions based on test scores….”[1][1] (p13) Messick’s definition of}, number={3}, journal={Annals of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2014}, pages={280–282} } @article{royal_gilliland_kernick_2014, title={Using Rasch measurement to score, evaluate, and improve examinations in an anatomy course.}, volume={7}, url={http://europepmc.org/abstract/med/24431324}, DOI={10.1002/ase.1436}, abstractNote={Any examination that involves moderate to high stakes implications for examinees should be psychometrically sound and legally defensible. Currently, there are two broad and competing families of test theories that are used to score examination data. The majority of instructors outside the high‐stakes testing arena rely on classical test theory (CTT) methods. However, advances in item response theory software have made the application of these techniques much more accessible to classroom instructors. The purpose of this research is to analyze a common medical school anatomy examination using both the traditional CTT scoring method and a Rasch measurement scoring method to determine which technique provides more robust findings, and which set of psychometric indicators will be more meaningful and useful for anatomists looking to improve the psychometric quality and functioning of their examinations. Results produced by the more robust and meaningful methodology will undergo a rigorous psychometric validation process to evaluate construct validity. Implications of these techniques and additional possibilities for advanced applications are also discussed. Anat Sci Educ 7: 450–460. © 2014 American Association of Anatomists.}, number={6}, journal={Anatomical Sciences Education}, author={Royal, KD and Gilliland, KO and Kernick, ET}, year={2014}, pages={450–460} } @article{royal_smith_foster_hedgpeth_2014, title={You Say Tomato, I Say “Tomahto”: the Semantics of Blended Learning}, volume={25}, DOI={10.1007/s40670-014-0093-3}, abstractNote={The notion of a “flipped classroom” has garnered considerable attention in medical education in recent years. Unfortunately, many medical educators find the term confusing. Multiple definitions exist, and instructors across multiple disciplines and education levels (e.g., K-12 to higher education) use the term inconsistently. Further, there is no single authoritative definition of a flipped classroom. Many educators use something similar to the following as their working definition: School work is done at home and home work is done at school. In actuality, the flipped classroom is very similar to other education models including reverse instruction, inverted classroom, hybrid learning, and blended learning; however, the flipped classroom has become the most recognized term. All of these education models are closely related because they share a common feature: students are required to prepare for class through the use of text, videos, or other educational materials. Ambiguous terminology presents three major problems for medical educators. First, it imposes unnecessary and undesirable constraints on an instructor. Adhering to a single pedagogical approach limits an instructor’s ability to adapt content delivery to the learner’s needs and nature of the content. Specialized terms often compel faculty to think of instructional approaches as a strict dichotomy, as opposed to a continuum that offers maximum flexibility to meet learners in a variety of ways. Second, many medical educators find terms such as reverse instruction, inverted classroom, hybrid learning and flipped classroom to be vague. This results in many medical educators erroneously assuming that these techniques ask students to acquire and understand large volumes of information independently and/or asynchronously and without any oversight. Third, ambiguous terminology makes the implementation and study of these concepts difficult. Specifically, educators will find it difficult to aptly characterize their instructional approaches when discussing with others, and researchers will find it difficult to conduct comparative and replication studies given the ambiguity. These issues could potentially impede our understanding of these concepts, result in confusion among colleagues, and waste researchers’ time. Margulieux and colleagues [1] have recognized similar problems with ambiguous terminology and produced a twodimensional taxonomy that attempts to clarify the distinctions between the terms hybrid, blended, flipped, and inverted learning.While the taxonomy appears promising, it is unlikely that the typical medical educator with minimal formal educational training will use such a taxonomy without considerable faculty development. Thus, even potentially promising solutions for understanding these issues as they are currently framed have substantial limitations in the context of medical education in which most medical educators are medical content experts and practitioners first and educators second. We believe making a semantic distinction is critical for purposes of objectivity. Given that medical schools have historically relied primarily on lectures to convey instruction, many medical educators have deeply rooted opinions that lectures are the “right” or preferred method of instruction. Terms such as flipped, reverse, and inverted imply a significant deviation from the norm, which could potentially invoke negative emotions among skeptical faculty. Given the complex and ambiguous terminology, associated instructional constraints, and potential for adverse emotional responses, we believe the term “blended learning” is more appropriate. Graham [2] and Osguthore and Graham [3] precisely define blended learning as “combining online and faceto-face instruction.” Because combining instructional methodologies is not new, this definition acknowledges the K. D. Royal (*) North Carolina State University, Raleigh, NC, USA e-mail: kdroyal2@ncsu.edu}, number={1}, journal={Med.Sci.Educ.}, publisher={Springer Science \mathplus Business Media}, author={Royal, Kenneth D. and Smith, Kathryn W. and Foster, Johanna H. and Hedgpeth, Mari-Wells}, year={2014}, month={Nov}, pages={81–82} } @article{royal_raddatz_2013, title={A cautionary tale about item equating with fluctuating samples}, volume={27}, number={2}, journal={Rasch Measurement Transactions}, author={Royal, K.D. and Raddatz, M.M.}, year={2013}, pages={1417} } @article{royal_puffer_2013, title={A closer look at recertification candidate pass rates.}, volume={26}, url={http://europepmc.org/abstract/med/23986926}, DOI={10.3122/jabfm.2013.04.130134}, abstractNote={We continue to receive a number of inquiries from physicians regarding the low pass rate statistics for recertification candidates for the reporting periods from 2010 to 2012. Many physicians fear the examination has changed in some way, putting those attempting to maintain their certification at a}, number={4}, journal={Journal of the American Board of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2013}, pages={478–489} } @article{royal_puffer_2013, title={A closer look at recertification candidate pass rates.}, volume={11}, url={http://europepmc.org/abstract/med/23991467}, DOI={10.1370/afm.1556}, abstractNote={We continue to receive a number of inquiries from physicians regarding the low pass rate statistics for recertification candidates for the reporting periods from 2010 to 2012. Many physicians fear the examination has changed in some way, putting those attempting to maintain their certification at a}, number={4}, journal={Annals of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2013}, pages={389–390} } @article{royal_brosh_2013, title={A more accurate pain scale?}, volume={26}, number={4}, journal={Rasch Measurement Transactions}, author={Royal, K. and Brosh, A.}, year={2013}, pages={1398} } @article{royal_thompson_2013, title={A psychometric validation of the beliefs toward mental illness scale.}, volume={21}, url={http://europepmc.org/abstract/med/24620521}, DOI={10.1891/1061-3749.21.3.516}, abstractNote={Background and Purpose: This study measured Protestant Christians’ beliefs about mental illness using the Beliefs Toward Mental Illness Scale (BMI). Methods: This study used a state-of-the-art item response theory technique, namely the Rasch rating scale model (RRSM), to evaluate the psychometric properties of the BMI and to produce a ruler of the construct hierarchy. Results: Using Messick’s framework for evaluating construct validity, sufficient evidence was obtained that suggests the BMI is psychometrically sound regarding substantive, content, structural, and generalizable aspects of validity. Conclusions: The BMI is a psychometrically sound instrument that is appropriate for measuring beliefs toward mental illness.}, number={3}, journal={Journal of Nursing Measurement}, author={Royal, KD and Thompson, JM}, year={2013}, pages={516–524} } @article{hart_mueller_royal_jones_2013, title={Achievement Goal Validation Among African American High School Students: CFA and Rasch Results}, volume={31}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84878162205&partnerID=MN8TOARS}, DOI={10.1177/0734282912466726}, abstractNote={ Achievement goal theory helps describe how and why students engage in various academic behaviors. Historically, achievement goals have been examined almost exclusively with undergraduate, nonminority samples, and predominately with factor analytic techniques. The present study adds to a growing literature by providing initial validation of a leading achievement goal measure, the Achievement Goal Questionnaire-Revised (AGQ-R; Elliot & Murayama, 2008), among rural ( N = 186) and urban ( N = 197) African American high school students. Collectively, results from both confirmatory factor and Rasch analyses highlight issues that should be considered when using the AGQ-R among African American high school students. }, number={3}, journal={Journal of Psychoeducational Assessment}, author={Hart, C.O. and Mueller, C.E. and Royal, K.D. and Jones, M.H.}, year={2013}, pages={284–299} } @article{royal_puffer_2013, title={Criterion-referenced examinations: implications for the reporting and interpretation of examination results.}, volume={11}, url={http://europepmc.org/abstract/med/23508610}, DOI={10.1370/afm.1524}, abstractNote={The purpose of the American Board of Family Medicine (ABFM) certification/maintenance of certification examination is to measure the basic knowledge necessary to deliver high quality care to patients and their families. More than 25 years ago, the ABFM became the first American Board of Medical}, number={2}, journal={Annals of family medicine}, author={Royal, KD and Puffer, JC}, year={2013}, pages={185–187} } @article{royal_eli_2013, title={Developing a psychometric ruler: An alternative presentation of Rasch Measurement output}, volume={8}, number={3}, journal={Journal of Applied Quantitative Methods}, author={Royal, K.D. and Eli, J.A.}, year={2013}, pages={1–10} } @article{royal_puffer_2013, title={Dimensionality of the maintenance of certification for family physicians examination: Evidence of construct validity}, volume={26}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84877751509&partnerID=MN8TOARS}, DOI={10.3122/jabfm.2013.03.130079}, abstractNote={The American Board of Family Medicine (ABFM) Maintenance of Certification for Family Physicians (MC-FP) examination is designed to measure a single construct: clinical decision-making abilities within the scope of practice of family medicine. Implied in the construct of clinical decision-making}, number={3}, journal={Journal of the American Board of Family Medicine}, author={Royal, K.D. and Puffer, J.C.}, year={2013}, pages={342–344} } @article{royal_puffer_2013, title={Dimensionality of the maintenance of certification for family physicians examination: evidence of construct validity.}, volume={11}, url={http://europepmc.org/abstract/med/23829001}, DOI={10.1370/afm.1536}, abstractNote={The American Board of Family Medicine (ABFM) Maintenance of Certification for Family Physicians (MC-FP) examination is designed to measure a single construct: clinical decision-making abilities within the scope of practice of family medicine. Implied in the construct of clinical decision-making abilities is the ability to recall relevant elements from a large fund of pertinent medical knowledge. While clinical decision-making abilities could be perceived as comprising several separate constructs (eg, based upon clinical categories, organ systems, etc), that approach would require the development of multiple assessment scales with a passing criteria specific to each. Instead, the overarching construct of clinical decision-making ability, which encompasses those more specific areas, has been selected by the ABFM because it more closely mirrors the pass-fail decision process used to discern which candidates receive certification. In any instance, the construct that the ABFM attempts to measure needs to be sufficiently unidimensional in order to produce precise, error-free estimates of a candidate’s performance. This brief article will discuss the dimensionality of the MC-FP examination and its implications for construct validity, namely the validation that the examination accurately measures the ability of family physicians to make appropriate clinical decisions.}, number={3}, journal={Annals of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2013}, pages={286–288} } @article{royal_2013, title={G. ENGELHARD, JR. (2013) Invariant Measurement: Using Rasch Models in the Social, Behavioral, and Health Sciences.: New York: Routledge. 312 pages. US$44.95. ISBN: 978-0-415-87125-9}, volume={79}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84919932654&partnerID=MN8TOARS}, DOI={10.1007/s11336-013-9398-1}, number={4}, journal={Psychometrika}, author={Royal, K.D.}, year={2013}, pages={733–735} } @article{royal_hedgpeth_2013, title={Investigating guessing strategies and their success rates on items of varying difficulty levels}, volume={27}, number={1}, journal={Rasch Measurement Transactions}, author={Royal, K.D. and Hedgpeth, M.W.}, year={2013}, pages={1407–1408} } @article{royal_lybarger_2013, title={Is now the time for a Rasch measurement MOOC?}, volume={27}, number={3}, journal={Rasch Measurement Transactions}, author={Royal, K.D. and Lybarger, M.}, year={2013}, pages={1437–1438} } @article{royal_gregg_2013, title={Objectively Measuring Change across Time in Higher Education Assessment}, volume={3}, ISSN={2160-6765}, url={http://dx.doi.org/10.5325/jasseinsteffe.3.1.0019}, DOI={10.5325/jasseinsteffe.3.1.0019}, abstractNote={Abstract}, number={1}, journal={Journal of Assessment and Institutional Effectiveness}, publisher={The Pennsylvania State University Press}, author={Royal, Kenneth and Gregg, Justin}, year={2013}, pages={19} } @article{jones_mueller_royal_shim_hart_2013, title={Social Achievement Goals: Validation Among Rural African American Adolescents}, volume={31}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84887536026&partnerID=MN8TOARS}, DOI={10.1177/0734282913483982}, abstractNote={ Little extant research attempts to understand why rural African Americans engage in social relationships with peers in school. This is somewhat surprising as rural students’ peer interactions often affect their scholastic desires, and peers can alter African Americans’ academic performance. Hence, the current study examined both the presence and psychometric validity of social achievement goals among rural African American high school students. Results suggest the presence of three reasons for engaging in social relationships in school: social development (desire to increase friendship quality), social demonstration-approach (wanting to appear “cool” among friends), and social demonstration-avoid (fear of appearing socially inferior). Confirmatory factor analysis and Rasch analysis provide support for both the presence and valid measurement of social achievement goals among rural African American adolescents. }, number={6}, journal={Journal of Psychoeducational Assessment}, author={Jones, M.H. and Mueller, C.E. and Royal, K.D. and Shim, S.S. and Hart, C.O.}, year={2013}, pages={566–577} } @article{royal_2012, title={A suggestion for taking Rasch-based survey results even further}, volume={25}, number={4}, journal={Rasch Measurement Transactions}, author={Royal, K.D.}, year={2012}, pages={1341} } @article{royal_puffer_2012, title={Cheating: Its implications for American Board of Family Medicine examinees}, volume={25}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84861849913&partnerID=MN8TOARS}, DOI={10.3122/jabfm.2012.03.120049}, abstractNote={Cheating is undesirable and unethical, but, unfortunately, sometimes it does occur. Recent events at 3 American Board of Medical Specialties specialty boards[1][1],[2][2] have illustrated that the medical certification industry is not immune from this phenomenon. Although there are numerous moral}, number={3}, journal={Journal of the American Board of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2012}, pages={400–401} } @article{royal_puffer_2012, title={Cheating: its implications for ABFM examinees.}, volume={10}, url={http://europepmc.org/abstract/med/22585897}, DOI={10.1370/afm.1408}, abstractNote={Cheating is undesirable and unethical, but unfortunately, sometimes it does occur. Recent events at 2 ABMS specialty boards1,2 have illustrated the fact that the medical certification industry is not immune from this phenomenon either. Although there are numerous moral and professional implications involved with cheating, we wish to address the implications of cheating from a psychometric perspective. Our intent is to highlight some of the less obvious ways in which all ABFM diplomates could possibly be impacted should its diplomates and candidates resort to cheating on our examinations. So, what is cheating? Cizek3 defines it as “any action that violates the rules for administering a test, any behavior that gives an examinee an unfair advantage over other examinees, or any action on the part of an examinee or test administrator that decreases the accuracy of the intended inferences arising from the examinee’s test score or performance.” The ABFM goes to great length to ensure a fair test for all examinees. When examinees register for ABFM exams, they make a promise to adhere to both the ethical and legal standards associated with the administration of the examination. This compact between the ABFM and the candidates minimizes the risk of a compromised examination score(s). Unfortunately, however, when members of either party fail to adhere to the agreed upon standards problems can arise.}, number={3}, journal={Annals of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2012}, pages={274–275} } @misc{mueller_hart_royal_jones_2012, title={Examining Achievement Goal Orientations in Rural African American High School Students: CFA Results}, DOI={10.1037/e641402012-001}, journal={PsycEXTRA Dataset}, publisher={American Psychological Association (APA)}, author={Mueller, Christian E. and Hart, Caroline O. and Royal, Kenneth D. and Jones, Martin H.}, year={2012} } @article{royal_2012, title={Measuring Liberal/Conservative Voting Tendencies among U.S. Senators}, volume={26}, number={2}, journal={Rasch Measurement Transactions}, author={Royal, K.D.}, year={2012}, pages={1366–1367} } @article{royal_thompson_2012, title={Measuring protestant Christians' willingness to seek professional psychological help for mental illness: A Rasch Measurement analysis}, volume={31}, number={3}, journal={Journal of Psychology and Christianity}, author={Royal, K.D. and Thompson, J.M.}, year={2012}, pages={195–204} } @article{royal_puffer_2012, title={The reliability of american board of family medicine examinations: Implications for test takers}, volume={25}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84855643504&partnerID=MN8TOARS}, DOI={10.3122/jabfm.2012.01.110292}, abstractNote={A common theme among family physicians who have performed poorly repeatedly on the American Board of Family Medicine (ABFM) Maintenance of Certification (MC-FP) examination is the complaint that they received a score that was identical, or almost identical, to their score on a previous}, number={1}, journal={Journal of the American Board of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2012}, pages={131–133} } @article{royal_puffer_family medicine_2012, title={Understanding the "sum of subtest to overall score discrepancy" on the MC-FP examination.}, volume={10}, url={http://europepmc.org/abstract/med/22230837}, DOI={10.1370/afm.1358}, abstractNote={When high-stakes examinations, such as the American Board of Family Medicine’s (ABFM) Maintenance of Certification-in Family Practice (MC-FP) examination are administered, candidates and diplomates are keenly interested in the accuracy of their test scores, especially when their scores are close to, but below, the pass/fail cut point. In some instances, candidates will attempt to reverse engineer their scores using the information provided on the score report in an effort to verify the “weighted sum of the subtest scores” is congruent with the overall test score. Any discrepancy might become alarming to the candidate, providing a seemingly legitimate reason to believe the overall score was inaccurate, thus prompting a phone call to the ABFM for further investigation and clarification. Historically, such a mistake in scoring has never been found; however, a statistical phenomenon that we will describe below could make it appear so. We would like to explain this phenomenon so that examinees who attempt to reverse engineer their score reports will better understand the “sum of subtest to overall score discrepancy” phenomenon.}, number={1}, journal={Annals of Family Medicine}, author={Royal, KD and Puffer, JC and Family Medicine, Society}, year={2012}, pages={81–82} } @article{royal_puffer_2012, title={Understanding the "sum of subtest to overall score discrepancy" on the maintenance of certification-family practice examination}, volume={25}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84859318063&partnerID=MN8TOARS}, DOI={10.3122/jabfm.2012.02.120003}, abstractNote={When high-stakes examinations, such as the American Board of Family Medicine’s (ABFM’s) Maintenance of Certification-in Family Practice (MCFP) examination, are administered, candidates and diplomates are keenly interested in the accuracy of their test scores, especially when their scores are close to, but below, the pass/fail cutpoint. In some instances, candidates will attempt to reverse engineer their scores using the information provided on the score report in an effort to verify that the “weighted sum of the subtest scores” is congruent with the overall test score. Any discrepancy might become alarming to the candidate, providing a seemingly legitimate reason to believe the overall score was inaccurate, thus prompting a phone call to the ABFM for further investigation and clarification. Historically, such a mistake in scoring has never been found; however, a statistical phenomenon that we will describe below could make it appear so. We would like to explain this phenomenon so that examinees who attempt to reverse engineer their score reports will better understand the “sum of subtest to overall score discrepancy” phenomenon.}, number={2}, journal={Journal of the American Board of Family Medicine}, author={Royal, K.D. and Puffer, J.C.}, year={2012}, pages={260–261} } @article{royal_2012, title={Using Stylometric Techniques to Evaluate New Testament Authorship}, volume={8}, number={19}, journal={Journal of MultiDisciplinary Evaluation}, author={Royal, K.D.}, year={2012}, pages={1–7} } @article{eubanks_royal_2011, title={A survey of attitudes about methods of assessment}, volume={23}, number={3}, journal={Assessment Update}, author={Eubanks, D.A. and Royal, K.D.}, year={2011}, month={May}, pages={1–15} } @article{o neill_raddatz_royal_2011, title={Demonstrating the Construct Stability of a Translated Exam for Family Medicine Residents}, volume={6}, number={2}, journal={The International Journal of Educational and Psychological Assessment}, author={O Neill, T.R. and Raddatz, M. and Royal, K.D.}, year={2011}, pages={31–41} } @article{edkins_royal_2011, title={Evaluating the due process and crime control perspectives using Rasch measurement analysis}, volume={7}, number={16}, journal={Journal of MultiDisciplinary Evaluation}, author={Edkins, V.A. and Royal, K.D.}, year={2011}, pages={48–65} } @misc{hart_royal_mueller_2011, title={Examination of a Modified Achievement Goal Questionnaire for African American Middle School Students: A Rasch Analysis}, DOI={10.1037/e696352011-001}, journal={PsycEXTRA Dataset}, publisher={American Psychological Association (APA)}, author={Hart, Caroline O. and Royal, Kenneth D. and Mueller, Christian E.}, year={2011} } @article{royal_oneill_2011, title={Explaining discrepancies between the sum of subtest scale-scores to total scale-scores}, volume={25}, number={3}, journal={Rasch Measurement Transactions}, author={Royal, K.D. and ONeill, T.R.}, year={2011}, pages={1338} } @article{royal_parrent_clark_2011, title={Measuring education majors perceptions of academic misconduct: An Item Response Theory perspective}, volume={7}, DOI={10.21913/IJEI.v7i1.741}, abstractNote={The purpose of this study was to construct a psychometric ruler that illustrates university undergraduate education majors' perceptions of academic misconduct. A survey consisting of 38 items that pertain to issues of academic misconduct were administered to an undergraduate sample at a large state university. Utilising Rasch measurement analyses to construct objective measures, students' responses were modeled along a truly linear and equal interval continuum to produce a hierarchy of perceived academic offenses. Results and policy implications are discussed.}, number={1}, journal={International Journal for Education Integrity}, author={Royal, K.D. and Parrent, J. and Clark, R.}, year={2011}, pages={18–29} } @article{royal_2011, title={Media Review: Demonstrating Student Success: A Practical Guide to Outcomes-Based Assessment of Learning and Development in Student Affairs}, volume={48}, ISSN={1949-6591 1949-6605}, url={http://dx.doi.org/10.2202/1949-6605.6314}, DOI={10.2202/1949-6605.6314}, abstractNote={Demonstrating Student Success is intended to be a how-to resource for student affairs professionals conducting outcomes assessment. The authors begin their discussion by providing a well-crafted historical overview of higher education outcomes assessment. The second chapter is particularly important, and controversial, because the authors define outcomes assessment and what they believe it should be. They attempt to distinguish research from assessment and suggest that “assessmentmay rarely followstrict researchmethodology” (Bresciani,Gardner,&Hickmott, 2010, p. 19), which is certainly a contentious assertion, as most assessment professionals consider outcomes assessment a form of research. The remainder of the book is writtenwith the aforementioned theoretical perspective of outcomes assessment in mind, which can be a major strength if}, number={3}, journal={Journal of Student Affairs Research and Practice}, publisher={Informa UK Limited}, author={Royal, Kenneth D.}, year={2011}, month={Jul}, pages={381–383} } @article{o'neill_royal_puffer_2011, title={Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass?}, volume={24}, url={http://europepmc.org/abstract/med/21383217}, DOI={10.3122/jabfm.2011.02.100162}, abstractNote={Introduction: Certification examinations used by American specialty boards have been the sine qua non for demonstrating the knowledge sufficient for attainment of board certification in the United States for more than 75 years. Some people contend that the examination is predominantly a test of superior test-taking skills rather than of family medicine decision-making ability. In an effort to explore the validity of this assertion, we administered the American Board of Family Medicine (ABFM) Certification to examinees who had demonstrated proficiency in taking standardized tests but had limited medical knowledge. Methods: Four nonphysician experts in the field of measurement and testing were administered one version of the 2009 ABFM certification examination. Scaled scores were calculated for each examinee, and psychometric analyses were performed on the examinees responses to examination items and compared with the performance of physicians who took the same examination. Results: The minimum passing threshold for the examination was a scaled score of 390, corresponding to 57.7% to 61.0% of questions answered correctly, depending on the version of the examination. The 4 nonphysician examinees performed poorly, with scaled scores that ranged from 20 to 160 (mean, 87.5; SD, 57.4). The number of questions answered correctly ranged from 24.0% to 35.1% (mean, 29.2%; SD, 0.05%). Rasch analyses of the examination items revealed that the nonphysician examinees were more likely to use guessing strategies in an effort to answer questions correctly. Distracter analysis suggest near-complete randomness in the nonphysician responses. Conclusions: Though all 4 nonphysician examinees performed better than would have been predicted by chance alone, none performed well enough to even fall within 8 SE below the passing thresholds; their performance was far below that of almost all physicians who completed the examination. Given that the nonphysicians relied heavily on the identifying cues in the phrasing of items and the manner in which response options were presented, the results affirm the notion that the ABFM certification examination is not primarily a measure of generic test-taking ability but measures information critical to the estimation of a family physician's knowledge sufficient for certification. Item analysis confirmed that items were well written, provided minimal cueing, and required medical knowledge to answer correctly.}, number={2}, journal={Journal of the American Board of Family Medicine}, author={O'Neill, TR and Royal, KD and Puffer, JC}, year={2011}, pages={175–180} } @article{royal_elahi_2011, title={Psychometric properties of the death anxiety scale (DAS) among terminally ill cancer patients}, volume={29}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-79961139751&partnerID=MN8TOARS}, DOI={10.1080/07347332.2011.582639}, abstractNote={Research conducted with the terminally ill population in relation to death anxiety is rare and mostly outdated. The purpose of this study was to evaluate the psychometric properties of the widely used Death Anxiety Scale (DAS) on a sample of terminal cancer patients. Additionally, validation studies of the DAS have exclusively used traditional statistical methods for analysis. The current study utilized an item response theory technique (IRT), namely the Rasch Rating Scale model for data analysis. The methodology employed may be useful for other researchers conducting validation studies from an IRT perspective.}, number={4}, journal={Journal of Psychosocial Oncology}, author={Royal, KD and Elahi, F}, year={2011}, pages={359–371} } @article{royal_puffer_2011, title={The reliability of ABFM examinations: implications for test-takers.}, volume={9}, url={http://europepmc.org/abstract/med/21911766}, DOI={10.1370/afm.1303}, abstractNote={A common theme among family physicians that have repeatedly performed poorly on the ABFM Maintenance of Certification (MC-FP) Examination is the complaint that they received a score that was identical, or almost identical to their score on a previous administration of the exam. From their perspective, it is a mystery as to why they received the exact same score (or a very similar score), despite additional study time and preparation. Often, physicians assume a mixup has occurred and ask if it is possible that results have erroneously been provided from their previous attempt. After a psychometric review, it is clear that there is no mistake at all. In fact, we anticipate many test-takers will receive a comparable score on future attempts at successfully taking the exam. We base this anticipation on the psychometric concept of reliability.}, number={5}, journal={Annals of Family Medicine}, author={Royal, KD and Puffer, JC}, year={2011}, pages={463–464} } @article{royal_2011, title={Understanding reliability in higher education student learning outcomes assessment}, volume={2}, number={2}, journal={Quality Assurance in Higher Education}, author={Royal, K.D.}, year={2011}, pages={8–15} } @article{royal_o'neill_2011, title={Using the CUTLO procedure to investigate guessing}, volume={25}, number={1}, journal={Rasch Measurement Transactions}, author={Royal, K.D. and O'Neill, T.R.}, year={2011}, pages={1319–1320} } @article{royal_2010, title={Evaluating faculty perceptions of student learning outcomes: A Rasch Measurement Analysis}, volume={6}, number={14}, journal={Journal of MultiDisciplinary Evaluation}, author={Royal, K.D.}, year={2010}, month={Aug}, pages={18–31} } @article{royal_eli_bradley_2010, title={Exploring community college faculty perceptions of student outcomes: Findings of a pilot study}, volume={34}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-79960092696&partnerID=MN8TOARS}, DOI={10.1080/10668920701827025}, abstractNote={This study explored the paradigmatic differences in perceptions of community college faculty employed at select Virginia and West Virginia community colleges collected via a web-based survey. The study is framed within the faculty self-classification along the “hard” and “social/behavior” science paradigm continuum. Given the paradigmatic continuum, faculty perceptions' of student outcomes were examined. Faculty respondents consistently reported the importance of intellectual growth; however, differences in relative importance of outcomes tied to emotional, cultural, and social growth exist. The potential implications of these perceptions on student experiences and outcomes are considered.}, number={7}, journal={Community College Journal of Research and Practice}, author={Royal, K.D. and Eli, J.A. and Bradley, K.D.}, year={2010}, pages={523–540} } @article{royal_2010, title={How skeptical are magicians?}, volume={24}, number={3}, journal={Rasch Measurement Transactions}, author={Royal, K.D.}, year={2010}, pages={1291} } @article{royal_2010, title={Making meaningful measurement in survey research: A demonstration of the utility of the Rasch model}, volume={28}, journal={IR Applications}, author={Royal, K.D.}, year={2010}, pages={1–16} } @article{royal_ensslen_ellis_homan_2010, title={Rating scale optimization in survey research: An application of the Rasch Rating Scale Model}, volume={5}, url={http://www.jaqm.ro/issues/volume-5,issue-4/7_royal_ellis_ensslen_homan.php.}, number={4}, journal={Journal of Applied Quantitative Methods}, author={Royal, K.D. and Ensslen, A. and Ellis, A. and Homan, A.}, year={2010}, pages={607–617} } @article{bradley_royal_bradley_2008, title={An investigation of honesty check items in higher education course evaluations}, volume={5}, DOI={10.19030/tlc.v5i8.1240}, abstractNote={The reliability and validity of course evaluations in higher education is often assumed. The typical Likert-type surveys utilized when students' evaluate the course and instructor often overlook measurement issues, or deal with them in an ineffective manner. Given the importance that is placed on higher education course evaluations, with results impacting such events as merit raises and promotion, the proper construction and use of evaluation tools is a critical issue. In an effort to assure 'honesty' in student responses, many institutions include items written positively and negatively, which are intended to measure the same construct. Using 537 course evaluations for a mathematics faculty member at a Midwest college, an item analysis is conducted with attention given to means and standard deviations, frequency counts, nonparametric correlations and tests of significant differences between questions that should, in theory, produce a similar measure or exactly opposite. A contention is made that the way the item is asked does matter, at least in some instances, and it should not be assumed that an item written in the positive and negative should directly correlate. The survey research community and institutions utilizing similar rating scale instruments will benefit from the results of this study, as well as the education community in general.}, number={8}, journal={Journal of College Teaching and Learning}, author={Bradley, K.D. and Royal, K.D. and Bradley, W.B.}, year={2008}, month={Aug}, pages={39–48} } @article{bradley_royal_cunningham_eli_weber_2008, title={What constitutes good educational research? A consideration of ethics, methods, and theory}, volume={21}, number={1}, journal={Mid-Western Educational Research Journal}, author={Bradley, K.D. and Royal, K.D. and Cunningham, J.C. and Eli, J.A. and Weber, J.}, year={2008}, pages={26–35} } @article{bradley_sampson_royal_2006, title={Applying the Rasch rating scale model to gain insights into students' conceptualisation of quality mathematics instruction}, volume={18}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-69949085145&partnerID=MN8TOARS}, DOI={10.1007/BF03217433}, number={2}, journal={Mathematics Education Research Journal}, author={Bradley, K.D. and Sampson, S.O. and Royal, K.D.}, year={2006}, pages={11–26} } @article{royal_bradley_lineberry_2005, title={Evaluating Interactive Television Courses: An Identification of Factors Associated with Student Satisfaction}, volume={8}, number={2}, journal={Online Journal of Distance Learning Administration}, author={Royal, K.D. and Bradley, K.D. and Lineberry, G.T.}, year={2005} } @article{royal_bradley_2005, title={Interactive television courses and students satisfaction}, volume={8}, number={4}, journal={Journal of Distance Learning Administration}, author={Royal, K.D. and Bradley, K.D.}, year={2005} } @misc{royal, title={On Algorithms, ‘Big Data’ and the Future of Psychometrics}, DOI={10.22541/au.149240152.20345892}, abstractNote={Kenneth D. Royal and Melanie Lybarger The topic of automation replacing human jobs has been receiving a great deal of media attention in recent months. In January, the McKinsey Global Institute (Manyika et al., 2017) published a report stating 51% of job tasks (not jobs) could be automated with current technologies. The topic of ‘big data’ and algorithms was also briefly discussed on the Rasch listserv last year and offered a great deal of food-for-thought regarding the future of psychometrics in particular. Several individuals noted a number of automated scoring procedures are being developed and fine-tuned, and each offer a great deal of promise. Multiple commenters noted the potential benefits of machine scoring using sophisticated algorithms, such as power, precision, and reliability. Some comments even predicted humans will become mostly obsolete in the future of psychometrics. Certainly, there is much to get excited about when thinking about the possibilities. However, there remain some issues that should encourage us to proceed with extreme caution. The Good For many years now algorithms have played a significant role in our everyday lives. For example, if you visit an online retailer’s website and click to view a product, you will likely be presented a number of recommendations for related products based on your presumed interests. In fact, years ago Amazon employed a number of individuals whose job was to critique books and provide recommendations to customers. Upon developing an algorithm that analyzed data about what customers had purchased, sales increased dramatically. Although some humans were (unfortunately) replaced with computers, the ‘good’ was that sales skyrocketed for both the immediate and foreseeable long-term future and the company was able to employ many more people. Similarly, many dating websites now use information about their subscribers to predict matches that are likely to be compatible. In some respects, this alleviates the need for friends and acquaintances to make what are often times awkward introductions between two parties, and feel guilty if the recommendation turns out to be a bad one. The ‘good’, in this case, is the ability to relieve people that have to maintain relationships with each party of the uncomfortable responsibility of playing matchmaker. While the aforementioned algorithms are generally innocuous, there are a number of examples that futurists predict will change most everything about our lives. For example, in recent years Google’s self-driving cars have gained considerable attention. Futurists imagine a world in which computerized cars will completely replace the need for humans to know how to drive. These cars will be better drivers than humans - they will have better reflexes, enjoy greater awareness of other vehicles, and will operate distraction-free (Marcus, 2012). Further, these cars will be able to drive closer together, at faster speeds, and will even be able to drop you off at work while they park themselves. Certainly, there is much to look forward to when things go as planned, but there is much to fear when things do not. The Bad Some examples of algorithmic failures are easy to measure in terms of costs. In 2010, the ‘flash crash’ occurred when an algorithmic failure from a firm in Kansas who ordered a single mass sell and triggered a series of events that led the Dow Jones Industrial Average into a tailspin. Within minutes, nearly $9 trillion in shareholder value was lost (Baumann, 2013). Although the stocks later rebounded that day, it was not without enormous anxiety, fear and confusion. Another example involving economics also incorporates psychosocial elements. Several years ago, individuals (from numerous countries) won lawsuits against Google when the autocomplete feature linked libelous and unflattering information to them when their names were entered into the Google search engine. Lawyers representing Google stated "We believe that Google should not be held liable for terms that appear in autocomplete as these are predicted by computer algorithms based on searches from previous users, not by Google itself." (Solomon, 2011). Courts, however, sided with the plaintiffs and required Google to manually change the search suggestions. Another example involves measures that are more abstract, and often undetectable for long periods of time. Consider ‘aggregator’ websites that collect content from other sources and reproduces it for further proliferation. News media sites are some of the most common examples of aggregators. The problem is media organizations have long been criticized with allegations of bias. Cass Sunstein, Director of the Harvard Law School's program on Behavioral Economics and Public Policy, has long discussed the problems of ‘echo chambers’, a phenomenon that occurs when people consume only the information that reinforces their views (2009). This typically results in extreme views, and when like-minded people get together, they tend to exhibit extreme behaviors. The present political landscapes in the United States (e.g., democrats vs. republicans) and Great Britain (e.g., “Brexit” - Britain leaving the European Union) highlight some of the consequences that result from echo chambers. Although algorithms may not be directly responsible for divisive political views throughout the U.S. (and beyond), their mass proliferation of biased information and perspectives certainly contributes to group polarization that may ultimately leave members of a society at odds with one another. Some might argue these costs are among the most significant of all. The Scary Gary Marcus, a professor of cognitive science at NYU, has published a number of pieces in The New Yorker discussing what the future may potentially hold if (and when) computers and robots reign supreme. In a 2012 article he presents the following scenario: Your car is speeding along a bridge at fifty miles per hour when an errant school bus carrying forty innocent children crosses its path. Should your car swerve, possibly risking the life of its owner (you), in order to save the children, or keep going, putting all forty kids at risk? If the decision must be made in milliseconds, the computer will have to make the call. Marcus’ example underscores a very serious problem regarding algorithms and computer judgments. That is, when we outsource our control we are also outsourcing our moral and ethical judgment. Let us consider another example. The Impermium corporation, which was acquired by Google in 2014, was essentially an anti-spam company whose software purported to automatically “identify not only spam and malicious links, but all kinds of harmful content—such as violence, racism, flagrant profanity, and hate speech—and allows site owners to act on it in real-time, before it reaches readers.” As Marcus (2015) points out, how does one “translate the concept of harm into the language of zeroes and ones?” Even if a technical operation was possible to do this, there remains the problem that morality and ethics is hardly a universally agreed upon set of ideals. Morality and ethics are, at best, a work-in-progress for humans, as cultural differences and a host of contextual circumstances presents an incredibly complex array of confounding variables. These types of programming decisions could have an enormous impact on the world. For example, algorithms that censor free speech in democratic countries could spark civil unrest among people already suspicious of their government; individuals flagged to be in violation of an offense could have his/her reputation irreparably damaged, be terminated by an employer, and/or charged with a crime(s). When we defer to computers and algorithms to make our decisions for us, we are entrusting that they have all the ‘right’ answers. This is a very scary proposition given the answers fed to machines come from data, which are often messy, out-of-date, subjective, and lacking in context. An additional concern involves the potential to program evil into code. While it is certainly possible that someone could program evil as part of an intentional, malicious act (e.g., terrorism), we are referring to evil in the sense of thoughtless actions that affect others. Melissa Orlie (1997), expanding on the idea of “ethical trespassing” as originally introduced by political theorist Hannah Arendt, discusses the notion of ‘ordinary evil’. Orlie argues that despite our best intentions, humans inevitably trespass on others by failing to predict every possible way in which our decisions might impact others. Thoughtless actions and unintended consequences must, therefore, be measured, included, and accounted for in our calculations and predictions. That said, the ability to do this perfectly in most contexts can never be achieved, so it would seem each day would present a new potential to open Pandora’s Box. Extensions to Psychometrics Some believe the ‘big data’ movement and advances in techniques designed to handle big data will, for the most part, make psychometricians obsolete. No one knows for sure what the future holds, but at present that seems to be a somewhat unlikely proposition. First, members of the psychometric community are notorious for being incredibly tedious with respect to not only the accuracy of information, but also the inferences made and the way in which results are used. Further, it is apparent that the greatest lessons learned from previous algorithmic failures pertains to the unintended consequences, albeit economically, socially, culturally, politically, and legally that may result (e.g., glitches that result in stock market plunges, legal liability for mistakes, increased divisions in political attitudes, etc.). Competing validity conceptualizations aside, earnest efforts to minimize unintended consequences is something most psychometricians take very seriously and already do. If anything, it seems a future in which algorithms are used exclusively could only be complemented by psychometricians who perform algorithmic audits (Morozov, 2013) and think meticulously about identifying various ‘ordinary evils’. Perhaps instead of debating whether robots are becoming more human or if humans are becoming more robotic, we would be better off simply appreciating and leveraging the strengths of both? References Baumann, N. (2013). Too fast to fail: How high-speed trading fuels Wall Street disasters. Mother Jones. Available at: http://www.motherjones.com/politics/2013/02/high-frequency-trading-danger-risk-wall-street Manyika, J., Chui, M., Miremadi, M., Bughin, J., George, K., Willmott, P., & Dewhurst, M. (2017). A future that works: Automation, employment, and productivity. The McKinsey Global Institute. Available at: http://www.mckinsey.com/global-themes/digital-disruption/harnessing-automation-for-a-future-that-works Marcus, G. (2012). Moral machines. The New Yorker. Available at: http://www.newyorker.com/news/news-desk/moral-machines Marcus, G. (2015). Teaching robots to be moral. The New Yorker. Available at: http://www.newyorker.com/tech/elements/teaching-robots-to-be-moral Morozov, E. To Save Everything, Click Here: The Folly of Technological Solutionism (2013). PublicAffairs Publishing, New York, NY. Orlie, M. (1997). Living ethically, acting politically. Cornell University Press, Ithaca, NY. Solomon, K. (2011). Google loses autocomplete lawsuit. Techradar. Available at: http://www.techradar.com/news/internet/google-loses-autocomplete-lawsuit-941498 Sunstein, C. R. (2009). Republic.com 2.0. Princeton University Press, Princeton, NJ.}, journal={Authorea}, author={Royal, Kenneth} }