In this episode of Curbside Consults, Dr. Andrew Dwyer, Director of Psychometrics at the American Board of Pediatrics (ABP), joins Mridula Nadamuni, former editorial fellow, to discuss the process of creating and administering pediatric board examinations. Andy Dwyer holds a PhD in educational psychology and an MS in statistics from the University of Nebraska-Lincoln. He is responsible for the planning and oversight of psychometric activities including practice analysis, standard setting, scoring, and score reporting. He is also actively involved in research efforts consistent with the goals of the ABP, focusing largely on exam design and validation, longitudinal assessment, score reporting, test security, and small sample assessment.