RT Journal Article SR Electronic T1 Content validity of a clinical problem solving test for use in recruitment to the acute specialties JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 22 OP 25 DO 10.7861/clinmedicine.11-1-23 VO 11 IS 1 A1 Gemma Crossingham A1 Thomas Gale A1 Martin Roberts A1 Alison Carr A1 Jeremy Langton A1 Ian Anderson YR 2011 UL http://www.rcpjournals.org/content/11/1/22.abstract AB Clinical problem solving tests (CPSTs) have been shown to be reliable and valid for recruitment to general practice (GP) training programmes. This article presents the results from a Department of Health-funded pilot into the use of a CPST designed for recruitment to the acute specialties (AS). The pilot paper consisted of 99 items from the validated GP question bank and 40 new items aimed specifically at topics of relevance to AS training. The CPST successfully differentiated between applicants. The overall test and the GP section showed high internal reliability, whereas the AS pilot section performed less well. A detailed item analysis revealed that the AS pilot items were, on average, more difficult and of poorer quality than the GP items. Important issues that need to be addressed in the early development phase of a test used for high stakes selection to specialty training programmes are discussed.