Open-ended textual exercises facilitate the comprehension of problem-solving skills. Students can learn from their mistakes when teachers provide individual feedback. However, courses with hundreds of students cause a heavy workload for teachers: providing individual feedback is mostly a manual, repetitive, and time-consuming activity.
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Bernius et al. (2021) studied this question.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: