Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

A contemporary approach to validity arguments

A practical guide to K ane's framework

Bibliographic Data

ID23327651
AuthorsDonald A Cook (0000-0003-2383-4633, Mayo Clinic Online Learning Mayo Clinic College of Medicine Rochester Minnesota USA, corresponding author), David A Cook (Mayo Clinic Online Learning Mayo Clinic College of Medicine Rochester Minnesota USA), Ryan Brydges (0000-0001-5203-7049, Department of Medicine University of Toronto Toronto Ontario Canada), Shiphra Ginsburg (0000-0002-4595-6650, Department of Medicine University of Toronto Toronto Ontario Canada), Rose Hatala (0000-0003-0521-2590, Department of Medicine University of British Columbia Vancouver British Columbia Canada)
Year2015
Volume49
Issue6
Pages560-575
Publication date2015-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Education (JOURNAL)
Journal identifiersISSN: 0308-0110 • E-ISSN: 1365-2923
PublisherWiley (PUBLISHER • GB)
DOI10.1111/medu.12678
PMID25989405
OpenAlexW2171032518
LanguageEN
Citations received74
References cited76

CONTEXT: Assessment is central to medical education and the validation of assessments is vital to their use. Earlier validity frameworks suffer from a multiplicity of types of validity or failure to prioritise among sources of validity evidence. Kane's framework addresses both concerns by emphasising key inferences as the assessment progresses from a single observation to a final decision. Evidence evaluating these inferences is planned and presented as a validity argument. OBJECTIVES: We aim to offer a practical introduction to the key concepts of Kane's framework that educators will find accessible and applicable to a wide range of assessment tools and activities. RESULTS: All assessments are ultimately intended to facilitate a defensible decision about the person being assessed. Validation is the process of collecting and interpreting evidence to support that decision. Rigorous validation involves articulating the claims and assumptions associated with the proposed decision (the interpretation/use argument), empirically testing these assumptions, and organising evidence into a coherent validity argument. Kane identifies four inferences in the validity argument: Scoring (translating an observation into one or more scores); Generalisation (using the score[s] as a reflection of performance in a test setting); Extrapolation (using the score[s] as a reflection of real-world performance), and Implications (applying the score[s] to inform a decision or action). Evidence should be collected to support each of these inferences and should focus on the most questionable assumptions in the chain of inference. Key assumptions (and needed evidence) vary depending on the assessment's intended use or associated decision. Kane's framework applies to quantitative and qualitative assessments, and to individual tests and programmes of assessment. CONCLUSIONS: Validation focuses on evaluating the key claims, assumptions and inferences that link assessment scores with their intended interpretations and uses. The Implications and associated decisions are the most important inferences in the validity argument.

Argument (complex analysis) · External validity · Inference · Management science · Artificial Intelligence · Clinical Reasoning and Diagnostic Skills · Computer Science · Innovations in Medical Education · Medicine · Psychology · Psychometric Methodologies and Testing · Social Psychology

  • Can semiotics be used to drive paradigm changes in medical education

    Open Access•John Tredinnick‐rowe•Sign Systems Studies•2018

  • Constructing arguments for the interpretation and use of patient-reported outcome measures in research

    Open Access•Kevin P Weinfurt•Quality of Life Research•2021

  • Les enjeux en évaluation des compétences langagières

    Open Access•Michel Laurier•Mesure et évaluation en éducation•2021

  • Motivation to learn

    Open Access•Donald A Cook, David A Cook et al.•Medical Education•2016

  • Application of validity theory and methodology to patient-reported outcome measures (PROMs)

    Open Access•Mélanie Hawkins, Gerald R Elsworth et al.•Quality of Life Research•2018

  • Design and psychometric evaluation of RES-PRIM

    Open Access•Raquel Flores Buils, Clara Andrés‐roqueta et al.•Frontiers in Psychiatry•2025

  • Adapting the Motivated Strategies for Learning Questionnaire to the Japanese Problem-Based Learning Context

    Open Access•Osamu Nomura, Yuki Soma et al.•Children•2023

  • Validity evidence for the use of the Pediatric Quality of Life Inventory, the Revised Children’s Anxiety and Depression Scale-25, and the Columbia-Suicide Severity Rating Scale in measurement-based care in intensive outpatient child and adolescent mental health care

    Open Access•Erin McCabe, Whitney Hindmarch et al.•Quality of Life Research•2025

  • Educational assessments in entry-level physical therapy education

    Open Access•Rachel S Tappan, Elizabeth E Holland et al.•BMC Medical Education•2026

  • At the precipice of assessing adaptive expertise?

    Open Access•Maria Louise Gamborg•Advances in Health Sciences…•2026

  • El concepto de validez y el enfoque basado en argumentos para un examen de ingreso a la universidad

    Open Access•Karla Karina Ruiz Mendoza, Luis Horacio Pedroza Zúñiga•LATAM Revista Latinoamericana de…•2023

  • Evaluation of the validity of the physical exercise peer support questionnaire for college students

    Open Access•Lin Luo, Xiuxiong Yang et al.•Frontiers in Public Health•2022

  • Emc-Pk2

    Open Access•Luke Rainey, Dale C Farran et al.•Education Sciences•2024

  • Using Technology-Supported Approaches for the Development of Technical Skills Outside of the Classroom

    Open Access•Sarah L McKernon, Elliot A Adderton et al.•Education Sciences•2024

  • Fidelity to Best Practices in EPA Implementation

    Open Access•Meg Keeley, Megan J Bray et al.•Academic Medicine•2022

  • Numbers Encapsulate, Words Elaborate

    Shiphra Ginsburg, Christopher J Watling et al.•Academic Medicine•2021

  • A Pilot Study of the Generalizability of Preclinical Entrustment Assessments in Undergraduate Medical Education

    Open Access•Eric G Meyer, John R Boulet et al.•Academic Medicine•2022

  • Using Theory-Informed Group Processes to Make Timeless Promotion Decisions

    Open Access•Benjamin Kinnear, Sally A Santen et al.•Academic Medicine•2024

  • Perspectivism and Health Professions Assessment

    Open Access•Jacob Pearce, Walter TAVARES•Academic Medicine•2024

  • Summative Assessment of Interprofessional “Collaborative Practice” Skills in Graduating Medical Students

    Kristin Fraser, Kristin L Fraser et al.•Academic Medicine•2020

  • Measuring Personalization, Embodiment, and Congruence in Online Learning

    Open Access•Donald A Cook, Lee P Skrupky•Academic Medicine•2023

  • Development and Validation of a Machine Learning-Based Decision Support Tool for Residency Applicant Screening and Review

    Jesse Burk-Rafel, Ilan Reinstein et al.•Academic Medicine•2021

  • Assessment of Clinical Reasoning in Undergraduate Medical Education

    Open Access•Todd A Guth, Rachel M Wolfe et al.•Academic Medicine•2024

  • Assessing Medical Student Competency in Community-Engaged Service Learning

    Lauren T Roth, Ariel Y Fishman et al.•Academic Medicine•2025

  • Constructing a Validity Map for a Workplace-Based Assessment System

    Benjamin Kinnear, Matthew Kelleher et al.•Academic Medicine•2021

  • Exploring the Association Between USMLE Scores and ACGME Milestone Ratings

    Open Access•Stanley J Hamstra, Monica M Cuddy et al.•Academic Medicine•2021

  • Demystifying AI

    Open Access•Laurah Turner, Daniel A Hashimoto et al.•Academic Medicine•2024

  • Curriculum Research Solutions

    Donald A Cook, Karen E Hauer et al.•Academic Medicine•2025

  • Validity Evidence for Using Virtual, Interactive Patient Encounters to Teach and Assess Clinical Reasoning for First-Year Medical Students

    Open Access•John K Roberts, Nancy Weigle et al.•Academic Medicine•2025

  • The DoCTRINE Guidelines

    Maria Blanco, Jacob Prunuske et al.•Academic Medicine•2022

  • Numbers Ain’t Neutral

    Justin L Bullock, Ann M O’Hare et al.•Academic Medicine•2025

  • Perceptions and emotions about learning and assessment

    Open Access•Seetha U Monrad•Medical Education•2022

  • From psychometrics to partnerships

    Open Access•Anna Ryan, Meredith Young•Medical Education•2026

  • How do validity experts conceptualise argumentation? It's a rhetorical question

    Open Access•Benjamin Kinnear, Abigail Martini et al.•Medical Education•2024

  • Expanding Kane's argument‐based validity framework

    Open Access•David Wei Dai, Thao Vu et al.•Medical Education•2024

  • With great power comes great responsibility

    Open Access•Kevin W Eva, Beth‐Ann Cummings•Medical Education•2026

  • A validity evaluation of lexicon‐based sentiment analysis of medical students' clinical performance from in‐training evaluation reports

    Open Access•Irene Ma, Mike Paget et al.•Medical Education•2026

  • How argumentation theory can inform assessment validity

    Open Access•Benjamin Kinnear, Daniel J Schumacher et al.•Medical Education•2022

  • It is still about validity

    Open Access•Katharine Reid, Katharine J Reid et al.•Medical Education•2025

  • Weighting admission scores to balance predictiveness‐diversity

    Open Access•Filip Lievens, Paul R Sackett et al.•Medical Education•2022

  • Whose voices are heard in health professions education validity arguments

    Open Access•Georgina C Stephens, Gabrielle Brand et al.•Medical Education•2024

  • Assessing the utility of a novel entrustment‐supervision assessment tool

    Open Access•Sebastian Dewhirst, Timothy J Wood et al.•Medical Education•2023

  • Validity evidence supporting clinical skills assessment by artificial intelligence compared with trained clinician raters

    Open Access•Vilma Johnsson, Morten Bo Søndergaard et al.•Medical Education•2024

  • What does it mean for an evaluation to be ‘valid’? A critical synthesis of evaluation literature

    Open Access•Jennifer Macklin, Amy Gullickson et al.•Evaluation and Program Planning•2022

  • Determining the influence of video-based benchmarking (VBB) on examiner variability in objective structured clinical exams (OSCE)

    Open Access•Peter Yeates, Rebecca Jane Edwards et al.•Medical Teacher•2026

  • Simulated patient judgements of medical student performance in OSCEs

    Open Access•Ansaam El-Sherif, Jun Jie Lim et al.•Medical Teacher•2026

  • The validity argument

    Francisco Sosa Wagner, Hosam Eldeen Elsadig Gasmalla et al.•Medical Teacher•2021

  • A realist evaluation of how, why and when objective structured clinical exams (OSCEs) are experienced as an authentic assessment of clinical preparedness

    Open Access•Peter Yeates, Adriano Maluf et al.•Medical Teacher•2025

  • Assessment of management reasoning

    Donald A Cook, Steven J Durning et al.•Medical Teacher•2025

  • Using Kane’s framework to build a validity argument supporting (or not) virtual OSCEs

    Brian J Hess, Brent Kvern•Medical Teacher•2021

  • Learning needs assessments in continuing professional development

    Open Access•Muna Said Al-Ismail, Lina Mohammad Naseralallah et al.•Medical Teacher•2023

  • Validity evidence for the measurement of metamotivational strategies using the Educators’ Metamotivational Strategies (EMS) scale

    Maryam Alizadeh, Mahboubeh Asadi et al.•Medical Teacher•2025

  • Validation of the motivated strategies for learning questionnaire and instructional materials motivation survey

    Donald A Cook, Lee P Skrupky•Medical Teacher•2025

  • Twelve tips for developing effective marking schemes for constructed-response examination questions

    Neville Chiavaroli, Jacob Pearce•Medical Teacher•2024

  • On the validity of summative entrustment decisions

    Claire Touchie, Benjamin Kinnear et al.•Medical Teacher•2021

  • Performance assessment

    Katharine Boursicot, KK Brahma et al.•Medical Teacher•2021

  • Ottawa 2020 consensus statements for programmatic assessment – 2. Implementation and practice

    Dario Torre, Neil E Rice et al.•Medical Teacher•2021

  • The use of EPA assessments in decision-making

    Victor Soukoulis, James R Martindale et al.•Medical Teacher•2021

  • Shining a spotlight on scoring in the OSCE

    Matt Homer, Richard Fuller et al.•Medical Teacher•2020

  • How can we reduce the cost of OSCEs? A cost-minimization and test accuracy study

    Open Access•Angelina Lim, Daniel Thomas Malone et al.•Medical Teacher•2026

  • The utility and limitations of the New Ecological Paradigm scale for children

    Claudio D Rosa, Silvia Collado et al.•The Journal of Environmental…•2022

  • Studying the Effectiveness of Team Teaching

    Open Access•Dries De Weerdt, Mathea Simons et al.•Review of Educational Research•2025

  • Latent profile similarity of middle and high school youth risk and needs

    Open Access•Thao T Vo, Cihan Demir et al.•Journal of School Psychology•2023

  • Development and Validation of a Scale to Measure Student Dispositions Toward Scientific Uncertainty Navigation

    Open Access•Jongchan Park, Ying-Chih Chen et al.•Journal of Research in Science…•2026

  • Influence of self‐assessment and conditional metaconceptual knowledge on students' self‐regulation of intuitive and scientific conceptions of evolution

    Open Access•Tim Hartelt, Helge Martens•Journal of Research in Science…•2024

  • Gender Differences in Personality Traits and Average Personality States

    Open Access•Lilly Buck, Larissa Doran et al.•Social Psychological and…•2026

  • Developmental Relationships

    Open Access•Amy K Syvertsen, Peter C Scales et al.•Child Indicators Research•2025

  • Moving from guideline to measure to findings

    Open Access•Amy Gullickson, Taimur Siddiqi et al.•Evaluation Journal of Australasia•2024

  • Validity inquiry process

    Open Access•Cynthia A Conn, Kathy J Bohan et al.•Studies In Educational Evaluation•2020

  • Prioritizing threats to rare and endemic species

    Open Access•Ammad Waheed Qazi, Muhammad Zaman-Ul-Haq et al.•Sustainable Futures•2025

  • Cost-Effectiveness Analysis in Performance Assessments

    Open Access•Zhehan Jiang, Jinying Ouyang et al.•Medical Education Online•2022

  • Challenges to assessing professional identity in medical students

    Open Access•Era Buck, Courtney West et al.•Medical Education Online•2019

  • Evaluating the domains of generalism and equity, diversity and inclusion in preclinical simulated cases for targeted curricular improvements

    Open Access•Thomas Soroski, Kuda Hove et al.•Medical Education Online•2024

  • On the Selection of Item Scores or Composite Scores for Clinical Prediction

    Kenneth E McClure, Brooke A Ammerman et al.•Multivariate Behavioral Research•2024

  • Current Concepts in Validity and Reliability for Psychometric Instruments

    Open Access•Donald A Cook, David A Cook et al.•The American Journal of Medicine•2006

  • Validity

    Open Access•Steven M Downing•Medical Education•2003

  • The role of assessment in competency-based medical education

    Eric S Holmboe, Jonathan Sherbino et al.•Medical Teacher•2010

  • Validating the Interpretations and Uses of Test Scores

    Open Access•Michael T Kane•Journal of Educational Measurement•2013

  • The Power of Testing Memory

    Open Access•Henry L Roediger, Jeffrey D Karpicke•Perspectives on Psychological…•2006

  • Cultures de production, de distribution et de consommation en milieu urbain en Angleterre, 1100-1350

    Open Access•Derek Keene•Histoire urbaine•2006

  • Convergent and discriminant validation by the multitrait-multimethod matrix

    Donald T Campbell, Donald W Fiske•Psychological Bulletin•1959

  • Construct validity in psychological tests

    Lee J Cronbach, Paul E Meehl•Psychological Bulletin•1955

Unique citing works74
Citations per year7,4
Citation span2016 - 2026 (11)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 73

Tools

Open DOISci-Hub
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae