Ethics remediation assessments play a critical role in determining professional readiness to return to safe practice following disciplinary violations. This study offers a comprehensive psychometric evaluation of the Ethics and Boundaries Assessment Services (EBAS) instrumental, a structured ethics assessment widely used by licensing boards across healthcare. A sample of 562 completed constructed-response items across five core domains: Boundaries, Fraud, Professional Standards, Substance Abuse,…
Read moreEthics remediation assessments play a critical role in determining professional readiness to return to safe practice following disciplinary violations. This study offers a comprehensive psychometric evaluation of the Ethics and Boundaries Assessment Services (EBAS) instrumental, a structured ethics assessment widely used by licensing boards across healthcare. A sample of 562 completed constructed-response items across five core domains: Boundaries, Fraud, Professional Standards, Substance Abuse, and Unprofessional Conduct. Responses were scored using a four-point rubric by trained raters. Reliability, validity, and fairness were examined using multiple approaches, including interrater reliability via intraclass correlation coefficients (ICCs), construct validity through multitrait – multimethod (MTMM) analysis, confirmatory factor analysis (CFA), and item-level functioning through Graded Response IRT modeling. Results supported strong internal consistency, acceptable interrater reliability, and a theoretically coherent factor structure. These findings provide initial empirical support for the EBAS instrument as a defensible and psychometrically sound tool in high-stakes regulatory settings.