With accommodations such as additional examination time, medical students with SpLDs show no statistically significant difference in MCQ performance (d = 0.045)¶
Claim · All claims
Evidence · 1 study · quant-synthesisr2·q3·i0negligible
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i0 Random-effects meta-analysis of three studies shows no statistically significant difference in MCQ-based assessment performance between students with and without SpLDs when accommodations (typically extra time) were provided (d = 0.045, 95% CI: −0.094 to 0.183). → Pavletič Bernarda 2026
Evidence¶
Pavletič Bernarda 2026¶
Pavletič Bernarda, Babuder Milena Košak, Homar Vesna. (2026). Medical students with specific learning disabilities: mixed-methods systematic review of the prevalence, academic performance, challenges, and perceived impact of support interventions. BMC Medical Education. https://doi.org/10.1186/s12909-026-09574-0
q3 · i0 · quant-synthesis · r2
Meta-analysis of three studies (McKendree, Ricketts, Meeks) of MCQ-type assessments with additional examination time as accommodation; pooled d = 0.045, τ² = 0.022. The review rates certainty low-moderate using GRADE and stresses results "should be interpreted with caution".
"Using a random-effects model, the pooled standardized mean difference was d = 0.045 (95% CI: −0.094 to 0.183), indicating no statistically significant difference in MCQ performance between students with and without SpLDs."
Discussion¶
Related Claims¶
- Parity in MCQ assessments does not extend to other formats: lower performance reported in EMQ, SAQ, OSCE, and delayed progression — related
- Late identification of SpLDs is associated with poorer academic outcomes, increased stress, and higher burnout risk among medical students — related
- Prevalence of SpLDs among medical students averages 5.5%, ranging from 2% to 11.5% across studies — related
- Medical students with SpLDs report persistent academic, emotional, and social challenges including reading and writing difficulties, time pressure, anxiety, and isolation — related
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