Measuring assessment standards in undergraduate medical programs: Development and validation of AIM tool

Madiha Sajjad, Rehan Ahmed Khan, Rahila Yasmeen


Objective: To develop a tool to evaluate faculty perceptions of assessment quality in an undergraduate medical program.

Methods: The Assessment Implementation Measure (AIM) tool was developed by a mixed method approach. A preliminary questionnaire developed through literature review was submitted to a panel of 10 medical education experts for a three-round ‘Modified Delphi technique’. Panel agreement of > 75% was considered the criterion for inclusion of items in the questionnaire. Cognitive pre-testing of five faculty members was conducted. Pilot study was done with 30 randomly selected faculty members. Content validity index (CVI) was calculated for individual items (I-CVI) and composite scale (S-CVI).  Cronbach’s alpha was calculated to determine the internal consistency reliability of the tool.

Results: The final AIM tool had 30 items after the Delphi process. S-CVI was 0.98 with the S-CVI/Avg method and 0.86 by S-CVI/UA method, suggesting good content validity. Cut-off value of < 0.9 I-CVI was taken as criterion for item deletion.  Cognitive pre-testing revealed good item interpretation. Cronbach’s alpha calculated for the AIM was 0.9, whereas Cronbach’s alpha for the four domains ranged from 0.67 to 0.80.

Conclusions: ‘AIM’ is a relevant and useful instrument with good content validity and reliability of results, and may be used to evaluate the teachers´ perceptions about assessment quality.


How to cite this:Sajjad M, Khan RA, Yasmeen R. Measuring assessment standards in undergraduate medical programs: Development and validation of AIM tool. Pak J Med Sci. 2018;34(1):164-169.   doi:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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