Peer Review Report For: A Decade of the Turkish Pediatric Endocrinology Subspecialty Board Examination: Structure, Outcomes, and Candidate Perspectives [version 1; peer review: 1 approved with reservations]

Background To present a decade-long evaluation of the Turkish Pediatric Endocrinology Subspecialty Board Examination (TPEBE), focusing on its structural evolution, psychometric performance, and candidates’ perceptions. Methods This cross-sectional study analyzed examination data from 2015–2025, encompassing 263 sittings (261 eligible candidates) and post-exam survey responses from 217 participants. Examination metrics included mean scores, pass rates, and reliability coefficients (Cronbach’s α) for multiple-choice question (MCQ) and key feature problem (KFP) components. Survey items assessed perceptions of exam difficulty, fairness, relevance, and organization using a 9-point Likert scale. Quantitative data were analyzed using descriptive and inferential statistics. Results Mean total scores declined following the 2019 inclusion of KFPs (x̄=52.9±9.05 in 2025), while reliability improved progressively (MCQ α=0.53–0.90; KFP α=0.31–0.85). Pass rates varied from 22.6% to 85.0%. Male candidates scored higher on MCQs and total scores (p