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[Educational assessment of the first computerized national ranking exam in France in 2016: Opportunities for
E Rivière1, A Quinton2, D Neau3
1Service de médecine interne et maladies infectieuses, hôpital Haut-Léveque, CHU de Bordeaux, 33604 Bordeaux, France; CRAME, centre de recherche appliquée aux méthodes éducatives, collège santé université de Bordeaux, 33000 Bordeaux, France; Conférences de préparation aux ECN, université de Bordeaux, 33000 Bordeaux, France; UFR des sciences médicales, université de Bordeaux, 33000 Bordeaux, France.
Abstract:
In June 2016, 8124 medical students in their sixth year of graduation passed the first computerized national ranking exam (CNRE) in France after which they will have to choose what medical specialty they will be practicing all their life. We conducted the first educational assessment of this CNRE according to two criteria: the relevance of the questions and the cognitive domain mainly required to answer these questions. We propose two improvements for the future CNRE: promote student reasoning in the multiple choices questions, reduce to 10 the number of multiple choice questions in the progressive clinical cases and increase by 9 their total number (from 18 to 27), and use a majority of mini-clinical cases for isolated multiple choice questions in order to focus students on reasoning instead of simple knowledge restitution.
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