ABSTRACT
The research and development team at the American Board of Internal Medicine sought a strategic approach that would help people manage the task of continuous change in their exam programs. The methods presented in this chapter enable their goal for a strategic and sustainable process. The heart of the process is an agile implementation philosophy coupled with a semi structured rollout plan. The rollout plan offers a series of assessment-related steps, each of which is controlled and sensible. Innovative item types offer the potential to improve an exam programs, whether they are custom made for the exam program or off-the-shelf options within computer-based tests (CBT) item banking and test delivery software. Both technology and the field of measurement are continuing to develop and change, and the state of ongoing change is likely to mean that testing organizations will continue to have new assessment options available for their consideration.
