What question did this study set out to answer?

To evaluate and compare the quality of preclinical and clinical multiple-choice questions in an undergraduate medical program across two consecutive years using standard item analysis metrics.

July 7, 2020Open Access

Multiple-Choice Questions in Preclinical and Clinical Phase Examination for Undergraduate Medical Program in a Malaysian Medical School: A 2-Year Analysis

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Authors

SASiti Khadijah AdamUniversiti Putra Malaysia FIFaridah IdrisUniversiti Putra Malaysia PKPuteri Shanaz Jahn KassimUniversiti Putra Malaysia

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Implication

Comparative evaluation demonstrates improved question quality in preclinical tests but declining discrimination in clinical exams, suggesting targeted training is needed for clinical item writers.

Key Points

To evaluate and compare the quality of preclinical and clinical multiple-choice questions in an undergraduate medical program across two consecutive years using standard item analysis metrics.
Conducted post-examination item analysis evaluating difficulty (passing index), discrimination index, and distractor efficiency.
Assessed 40 four-option multiple-choice questions from preclinical examinations and 80 five-option multiple-choice questions from clinical examinations administered in 2017 and 2018.
Preclinical questions showed a positive trend from 2017 to 2018 with an increase in good and excellent items, whereas clinical questions in 2018 demonstrated a significant reduction in mean discrimination index due to a high proportion of poor items.
Both preclinical and clinical exams showed an increase in questions with zero non-functioning distractors from 2017 to 2018, with the 2018 preclinical exam achieving the highest mean distractor efficiency.

Cite This Study

Adam et al. (2020) studied this question.

synapsesocial.com/papers/6a7141ec5d37378ac1de6989 https://doi.org/10.21203/rs.3.rs-38264/v1

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Implication

Comparative evaluation demonstrates improved question quality in preclinical tests but declining discrimination in clinical exams, suggesting targeted training is needed for clinical item writers.

Multiple-Choice Questions in Preclinical and Clinical Phase Examination for Undergraduate Medical Program in a Malaysian Medical School: A 2-Year Analysis

Discussion

Member takes

Implication

Key Points

Cite This Study

Multiple-Choice Questions in Preclinical and Clinical Phase Examination for Undergraduate Medical Program in a Malaysian Medical School: A 2-Year Analysis

Discussion

Member takes

Implication

Key Points

Cite This Study

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