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Updated: Jun 17, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Introduction to an open source internet-based testing program for medical student examinations.

Yoon-Hwan Lee¹

¹Department of Information and Statistics, Hallym University, Chuncheon, Korea.

Journal of Educational Evaluation for Health Professions

|January 5, 2010

Summary

This study presents an open-source, internet-based medical examination system. The developed program offers immediate scoring and item analysis, aiding medical education adoption.

Keywords:

Computer-Based Testing Internet-Based Testing Medical Examination Open Source Program

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Interactive and Visualized Online Experimentation System for Engineering Education and Research

Interactive and Visualized Online Experimentation System for Engineering Education and Research

Published on: November 24, 2021

Area of Science:

Medical Education Technology
Computer Science in Medicine
Educational Assessment

Background:

Traditional medical examinations face challenges in efficiency and immediate feedback.
The need for accessible and adaptable testing solutions in medical education is growing.
Open-source platforms offer cost-effective and customizable solutions for educational institutions.

Purpose of the Study:

To develop and describe a freely available, open-source internet-based testing program for medical examinations.
To facilitate the adoption of digital assessment tools in medical education.
To provide a robust system for item input, examinee management, and immediate result generation.

Main Methods:

The system was developed using PHP and JavaScript, with PostgreSQL as the database management system.
It was deployed on an Apache web server running a Linux operating system.
The program architecture involves distinct roles for super users (item input), school administrators (examinee data), and examinees (test access).

Main Results:

The internet-based testing program provides immediate score display for examinees upon completion.
The system includes item analysis capabilities for evaluating test questions.
A detailed description of the system setup and installation process is provided.

Conclusions:

The developed open-source internet-based testing system can be readily adopted by medical educators.
This tool enhances the efficiency and feedback mechanisms in medical examinations.
Freely available digital solutions can significantly support and modernize medical education.