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Updated: Jun 27, 2025

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Nurturing Untapped Integration Expertise of MS4 Assessment Writers
Esther Dale1, Bethany Schowengerdt2, Claudio Violato1
1University of Minnesota Medical School, Minneapolis, MN USA.
Abstract:
Creating original, integrated multiple-choice questions (MCQs) is time-consuming and onerous for basic science and clinical faculty. We demonstrate that medical students are co-experts to overcome assessment challenges of the faculty. We recruited, trained, and motivated medical students to write 10,000 high-quality MCQs for use in the foundational courses of medical education. These students were ideal because they possessed integrated knowledge (basic sciences and clinical experience). We taught them how to write high-quality MCQs using a writing template and continuous monitoring and support by an item bank curator. The students themselves also benefitted personally and pedagogically from the experience.
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