Key Words: Educational Literature, AbstractedVeloski JJ, Rabinowitz HK, Robeson MR, et al: Patients don't present with five choices: an alternative to multiple-choice tests in assessing physicians' competence. Academic Medicine 1999; 74:539546 Veloski and his colleagues argue that standard multiple-choice questions (MCQs) have two significant limitations in the context of medical testing. First, examinees can arrive at the correct answer by recognition or guessing because it is presented along with several incorrect or less correct choices. In real life, the answer to a patient's problem must be generated by the physician. Second, MCQs are not generally used to test core knowledge because such items are too easy, and relatively trivial or esoteric topics are covered instead because they tend to lead to more discriminating items. As an alternative, the authors propose the uncued (UnQ) format in which examinees are presented with a test question and then select the correct answer from a long list (500+) of options. This format preserves the advantage of computerized scoring but minimizes arriving at the correct answer by recognition or random guessing. As a trial, items in the UnQ format were included in the 1990 and 1991 in-training examinations in family practice. In 1990,
Educational Abstracts
Abstract
Key Words: Educational Literature, AbstractedVeloski JJ, Rabinowitz HK, Robeson MR, et al: Patients don't present with five choices: an alternative to multiple-choice tests in assessing physicians' competence. Academic Medicine 1999; 74:539546 Veloski and his colleagues argue that standard multiple-choice questions (MCQs) have two significant limitations in the context of medical testing. First, examinees can arrive at the correct answer by recognition or guessing because it is presented along with several incorrect or less correct choices. In real life, the answer to a patient's problem must be generated by the physician. Second, MCQs are not generally used to test core knowledge because such items are too easy, and relatively trivial or esoteric topics are covered instead because they tend to lead to more discriminating items. As an alternative, the authors propose the uncued (UnQ) format in which examinees are presented with a test question and then select the correct answer from a long list (500+) of options. This format preserves the advantage of computerized scoring but minimizes arriving at the correct answer by recognition or random guessing. As a trial, items in the UnQ format were included in the 1990 and 1991 in-training examinations in family practice. In 1990,
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Educational Abstracts
Juul, Dorthea
Follow Academic Psychiatry
, Volume 23 (3): 168
American Psychiatric Publishing, Inc (Journal) – Sep 1, 1999
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