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What is more effective: a daily or a weekly formative test?

Leonieke N Palmen1, Marc A T M Vorstenbosch2, Esther Tanck3

  • 1Department of Anatomy, Radboud University Medical Centre Nijmegen, PO Box 9101, 6500, Nijmegen, the Netherlands. ln.palmen@gmail.com.

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Retrieval practice through formative quizzes in anatomy courses boosts summative exam scores. While daily and weekly quizzes showed similar academic benefits, students preferred and participated more in weekly formative assessments.

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Area of Science:

  • Medical Education
  • Anatomy Learning
  • Educational Psychology

Background:

  • Traditional anatomy exams are summative, offering limited learning feedback.
  • Formative testing, incorporating retrieval practice and feedback, enhances learning outcomes.
  • The study aimed to determine the optimal frequency of retrieval practice in anatomy education.

Purpose of the Study:

  • To investigate the impact of different frequencies of formative quizzes on anatomy course performance.
  • To assess student participation and satisfaction with daily versus weekly online quizzes.
  • To correlate formative quiz participation with final summative exam scores.

Main Methods:

  • First-year anatomy students received daily online quizzes on thoracic anatomy and weekly quizzes on abdominal anatomy.
  • Immediate feedback was provided after each quiz.
  • A survey assessed participation and satisfaction; a one-way ANOVA analyzed the relationship between quiz participation and summative exam results (n=424).

Main Results:

  • Higher participation in formative quizzes correlated with improved summative exam scores, regardless of quiz frequency (daily vs. weekly).
  • This positive correlation extended to both tested material (thorax-abdomen) and control material (trunk wall).
  • Weekly quizzes demonstrated significantly higher student participation (p < 0.001) and preference (p < 0.001) based on survey data.

Conclusions:

  • Formative quiz participation is a significant predictor of success in anatomy summative exams.
  • The observed diligence effect suggests broader benefits of regular retrieval practice beyond specific content.
  • Weekly formative quizzes are preferred by students and yield higher engagement, suggesting a more effective implementation strategy.