Is a cut score of 61 on the HOBET still cutting the mustard [abstract]? Abstract uri icon
  • Introduction: A preadmission tool that could predict an applicant’s success in a paramedic education program would be of great use to candidates, employers, and program directors in allocating resources, including time, money, and limited seats in courses. The Health Occupations Basic Entrance Test (HOBET) is a prescreening tool that measures essential skills in reading, math, and basic science for allied health education programs. A composite percentage cut score of 61 was identified by Davis in 1997, but that study has never been replicated. Hypothesis: A cut score on the HOBET of 61 or greater will predict success in paramedic education programs. Methods: Data from 220 students who passed the HOBET at the current cut score of 61 or higher were retrospectively analyzed to determine performance on the FISDAP comprehensive paramedic exam (CPE). FISDAP is a national database of prospectively reported internship experiences. Exemption was received from the lead investigator’s institutional review board. Only de-identified data from students who signed informed consent forms was included. The cut point on the HOBET was adjusted through a range of scores from 61 to 79 to determine what proportion of people would pass the CPE on the first attempt at increasingly higher HOBET cut scores (positive predictive value [PPV]). Results. At a HOBET cut score of .61, 50% of students passed the CPE on the first attempt. For each one-point increase in the HOBET cut score from 61 to 79, the proportion of individuals passing the CPE increases by 0.65% to a maximum PPV of 62% at a score of 79. Conclusion: The current HOBET cut score of .61 has a PPV sensitive enough to exclude students who are not likely to succeed in paramedic education programs. While it is possible to increase the sensitivity by 12% of the HOBET to be a predictor of success, doing so would have eliminated 102 students who ultimately did pass the CPE and the National Registry of Emergency Medical Technicians written examination but would never have been admitted to a program using the most sensitive HOBET cut score of 79.

  • publication date
  • 2011
  • published in
  • Education, Medical
  • Emergency Medicine
  • Students
  • Additional Document Info
  • 15
  • issue
  • 4