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Learning Outcomes From Health Professions Students Who Generate Multiple-Choice Questions: A Scoping Review
Patricia B Griffith1, Patricia Pawlow
1Author Affiliation: School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Background:
Multiple-choice questions (MCQs) are the foundation for certification exams and remain relevant despite the competency-based education shift. MCQ writing by students is an evidence-based learning modality; however, studies on graduate nursing education use are limited. Writing an MCQ may develop and assess a higher competence level than answering an MCQ.
Purpose:
Identify and synthesize the evidence on learning outcomes of health professions students who construct MCQs as a learning modality.
Methods:
Two reviewers queried 4 databases and independently assessed all studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Arsksey and O'Malley's scoping review framework guided charting and theme generation.
Results:
MCQ quality improved with faculty involvement. Working in small groups increased knowledge and positive perception, as did exam inclusion of student-generated MCQs.
Conclusions:
Writing MCQs may be a valuable active learning strategy for graduate health students who take high-stakes MCQ examinations.
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