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Related Experiment Videos

Criterion-based open book examinations in physiology

N Naeraa, G Huxham

    Medical Education
    |March 1, 1980
    PubMed
    Summary
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    Medical student physiology exams show similar pass rate fluctuations between multiple-choice (MCQ) and short-answer tests. The MCQ pass level, using the Nedelsky principle, proved more stable than essay pass levels.

    Area of Science:

    • Medical Education
    • Physiology Assessment

    Background:

    • Physiology examinations for medical students commonly utilize both multiple-choice (MCQ) and short-answer question formats.
    • Written aids are permitted in these assessments, with a focus on higher-order cognitive skills beyond simple recall.

    Purpose of the Study:

    • To analyze pass rate stability and student performance in consecutive physiology examinations.
    • To compare the stability of pass levels between MCQ and short-answer tests.

    Main Methods:

    • Analysis of data from ten consecutive physiology examinations for medical students.
    • Inclusion of both MCQ and short-answer tests in each examination.
    • Application of the Nedelsky principle for setting MCQ minimum pass levels.

    Main Results:

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    • Mean test scores for both MCQ and short-answer tests were slightly above their respective pass levels.
    • Significant and comparable fluctuations in pass rates were observed for both test types.
    • Approximately half of students failing one test also failed the other.
    • The Nedelsky-based MCQ pass level demonstrated greater stability compared to the essay pass level.

    Conclusions:

    • MCQ and short-answer physiology tests exhibit similar pass rate variability.
    • The Nedelsky principle aids in stabilizing MCQ pass levels against item difficulty variations.
    • Further data is needed to determine if observed pass rate fluctuations are excessive or exceed standards at other institutions.