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Related Experiment Video

Updated: Jun 10, 2026

A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences

A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences

Published on: September 4, 2019

The modified essay question: its exit from the exit examination?

Edward J Palmer¹, Paul Duggan, Peter G Devitt

¹Department of Surgery, University of Adelaide, and Royal Adelaide Hospital, Adelaide, Australia.

Medical Teacher

|July 27, 2010

Summary

The University of Adelaide

Area of Science:

Medical Education
Assessment in Medicine
Psychometric Evaluation

Background:

High-stakes medical exit examinations require psychometric robustness, fairness, and reliability.
The University of Adelaide's exit examination included an Objective Structured Clinical Examination (OSCE), Multiple Choice Question (MCQ) paper, and Modified Essay Question (MEQ) paper.

Purpose of the Study:

To critically review the written components of the University of Adelaide's medical exit examination.
To assess the psychometric properties, validity, and fidelity of the OSCE, MCQ, and MEQ papers.

Main Methods:

Item writing flaws and taxonomic levels of written papers were assessed using modified Bloom's criteria.
Curriculum experts evaluated examination validity and fidelity.

Related Experiment Videos

Last Updated: Jun 10, 2026

A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences

A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences

Published on: September 4, 2019

Statistical correlations between OSCE, MCQ, and MEQ results were analyzed.

Main Results:

The overall examination demonstrated good fidelity and validity.
The MEQ paper exhibited more structural flaws and a higher proportion of knowledge recall questions compared to MCQs.
The MEQ failed to assess higher cognitive skills effectively, with re-marking leading to lower scores.

Conclusions:

The Modified Essay Question (MEQ) paper was removed from the University of Adelaide's medical exit examination due to its shortcomings.
The university is now evaluating the Script Concordance test as a replacement for the MEQ.