Research situations occur in which data are obtained from a small group of
rare experimental participants. An alternative strategy to comparing the ex
perimental group with a control group of comparable sample size is to use a
large control group for statistical comparison. That strategy increases th
e probability that the control group will provide an accurate benchmark for
statistical comparison and is recommended as a method to increase statisti
cal precision, However, traditional statistical procedures cannot ensure ac
curate error rates when data with highly unequal cell frequencies are being
analyzed. The author presents an alternative statistical test (BOOTmed) fo
r the 2-group situation when a small experimental group is compared with a
large control group. BOOTmed is a between-groups median test derived via bo
otstrapping techniques, Empirical evaluation indicated that BOOTmed maintai
ns relatively robust error rates during a variety of test conditions.