Assessing the reliability of the borderline regression method as a standard setting procedure for objective structured clinical examination

Sara Mortaz Hejri, Mohammad Jalili*, Arno M. M. Muijtjens, Cees P. M. Van Der Vleuten

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

22 Citations (Web of Science)


Background: One of the methods used for standard setting is the borderline regression method (BRM). This study aims to assess the reliability of BRM when the pass-fail standard in an objective structured clinical examination (OSCE) was calculated by averaging the BRM standards obtained for each station separately. Materials and Methods: In nine stations of the OSCE with direct observation the examiners gave each student a checklist score and a global score. Using a linear regression model for each station, we calculated the checklist score cut-off on the regression equation for the global scale cut-off set at 2. The OSCE pass-fail standard was defined as the average of all station's standard. To determine the reliability, the root mean square error (RMSE) was calculated. The R-2 coefficient and the inter-grade discrimination were calculated to assess the quality of OSCE. Results: The mean total test score was 60.78. The OSCE pass-fail standard and its RMSE were 47.37 and 0.55, respectively. The R-2 coefficients ranged from 0.44 to 0.79. The inter-grade discrimination score varied greatly among stations. Conclusion: The RMSE of the standard was very small indicating that BRM is a reliable method of setting standard for OSCE, which has the advantage of providing data for quality assurance.
Original languageEnglish
Pages (from-to)887-891
JournalJournal of Research in Medical Sciences
Issue number10
Publication statusPublished - Oct 2013


  • Borderline regression method
  • objective structured clinical examination
  • reliability
  • standard setting

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