A Decade of the Turkish Pediatric Endocrinology Subspecialty Board Examination: Structure, Outcomes, and Candidate Perspectives

<ns3:p>Background To present a decade-long evaluation of the Turkish Pediatric Endocrinology Subspecialty Board Examination (TPEBE), focusing on its structural evolution, psychometric performance, and candidates’ perceptions. Methods This cross-sectional study analyzed examination data from 2015–2025, encompassing 263 sittings (261 eligible candidates) and post-exam survey responses from 217 participants. Examination metrics included mean scores, pass rates, and reliability coefficients (Cronbach’s α) for multiple-choice question (MCQ) and key feature problem (KFP) components. Survey items assessed perceptions of exam difficulty, fairness, relevance, and organization using a 9-point Likert scale. Quantitative data were analyzed using descriptive and inferential statistics. Results Mean total scores declined following the 2019 inclusion of KFPs (x̄=52.9±9.05 in 2025), while reliability improved progressively (MCQ α=0.53–0.90; KFP α=0.31–0.85). Pass rates varied from 22.6% to 85.0%. Male candidates scored higher on MCQs and total scores (p&lt;0.05), but gender differences in KFP performance and overall pass rates were not statistically significant. Candidates rated the examination highly for organization (x̄=7.75±1.54) and clinical relevance of KFPs (x̄=7.35±1.59), though exam duration received the lowest satisfaction (x̄=5.14±2.97). Qualitative feedback emphasized the educational value of KFPs and recommended extended testing time. Conclusions Over ten years, the TPEBE has evolved into a psychometrically robust and educationally valuable certification process. The balanced integration of MCQs and KFPs has strengthened construct validity and candidate engagement. These examinations are expected to gain broader recognition by institutions and regulators as a benchmark for educational and professional achievement.</ns3:p>