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• W2160968678 abstract "One Norwegian medical school introduced A-type MCQs (best one of five) to replace more traditional assessment formats (e.g. essays) in an undergraduate medical curriculum. Quality assurance criteria were introduced to measure the success of the intervention.Data collection from the first four year-end examinations included item analysis, frequency of item writing flaws (IWF) and proportion of items testing at a higher cognitive level (K2). All examinations were reviewed before after delivery and no items were removed.Overall pass rates were similar to previous cohorts examined with traditional assessment formats. Across 389 items, the proportion of items with >or=5% of candidates marking two or more functioning distracters was >or=47.5%. Removal of items with high p-values (>or=85%), this item distracter proportion became >75%. With each successive year in the curriculum the proportion of K2 items used rose steadily to almost 50%. 31/389 (7%) items had IWFs. 65% items had a discriminatory power, >or=0.15.Five item quality criteria are recommended: (1) adherence to an in-house style, (2) item proportion testing at K2 level, (3) functioning distracter proportion, (4) overall discrimination ratio and (5) IWF frequency." @default.
• W2160968678 created "2016-06-24" @default.
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• W2160968678 date "2009-01-01" @default.
• W2160968678 modified "2023-09-28" @default.
• W2160968678 title "Quality assurance of item writing: During the introduction of multiple choice questions in medicine for high stakes examinations" @default.
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• W2160968678 doi "https://doi.org/10.1080/01421590802155597" @default.
• W2160968678 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/18825568" @default.
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