Implementing a CAT: The AMC experience

This paper gives an overview of an assessment program with overseas trained medical graduates who wish to practice medicine in Australia. A non-technical discussion of how the program was migrated from a paper-and-pencil format through online administration to computerized adaptive testing (CAT) over approximately 15 years includes various practical aspects encountered and how they were dealt with. Although theoretical CAT aspects are briefly mentioned throughout, the focus is on some guidelines and experiences that might be useful to practitioners.