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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.

Nurse Educator
|July 14, 2025
PubMed
Summary
This summary is machine-generated.

Writing multiple-choice questions (MCQs) enhances learning for health professions students. This active learning strategy improves knowledge and perception, particularly in graduate nursing education.

Keywords:
educational measurementhigh stakes testinglearningnursing educationteaching strategies

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Area of Science:

  • Medical Education
  • Health Professions Education
  • Nursing Education

Background:

  • Multiple-choice questions (MCQs) are crucial for certification exams and remain relevant in competency-based education.
  • Student-generated MCQs offer an evidence-based learning modality, though research in graduate nursing education is limited.
  • Constructing MCQs may foster higher competence than merely answering them.

Purpose of the Study:

  • To identify and synthesize existing evidence on the learning outcomes associated with health professions students creating MCQs.
  • To evaluate the effectiveness of MCQ writing as a pedagogical strategy in health professions education.

Main Methods:

  • A systematic scoping review was conducted by two independent reviewers.
  • Searches were performed across four databases, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines.
  • Arsksey and O'Malley's framework guided data charting and theme development.

Main Results:

  • Faculty involvement was linked to improved MCQ quality.
  • Collaborative learning in small groups enhanced student knowledge and positive perceptions.
  • The inclusion of student-generated MCQs in examinations positively impacted learning outcomes.

Conclusions:

  • MCQ writing emerges as a potentially valuable active learning strategy for graduate health students.
  • This method is particularly relevant for students facing high-stakes MCQ-based examinations.
  • Further exploration of MCQ construction in graduate health education is warranted.