Comparison of Standard Setting Procedures to Establish Defensible Passing Standards for Clinical Skills Assessment: Angoff, Borderline Group, Contrasting Groups and Patient Safety Methods

The Patient Safety method required a higher performance level for items related to safety, aligned with expert judges' conceptualisation of competence. Therefore, the Patient Safety method demonstrated the best match for this assessment's goals. These findings can inform method selection for clinical skills where patient safety is a key consideration. Additional recommendations are to include pass rate feasibility and conceptual alignment with the target construct when selecting standard setting methods.