Multiple-choice question scores may not fully represent medical students' overall performance¶
Claim · All claims
Evidence · 1 study · quant-synthesisr3·q2
Currency · newest study 2024 · not yet checked against its sources · not reviewed by a person · recheck by 2027: tool and model accuracy changes quickly
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.
q2 i? Multiple-choice question scores are not well-suited to measuring clinical decision-making abilities, practical skills, and problem-solving abilities. → Zhang Z 2024
Evidence¶
Zhang Z 2024¶
Zhang Z, Zhang Z, Yu Y, Jiang M, Deng L, Guo L. (2024). Impact of different teaching modes on medical students' performance under the scoring criteria for multiple-choice questions: A meta-analysis. Medicine. https://doi.org/10.1097/MD.0000000000041008
q2 · i? · quant-synthesis · r3
The authors' stated limitation that using multiple-choice question scores as the sole assessment criterion "may overlook other important forms of assessment" and "may not fully represent the students' overall performance."
"While multiple-choice questions have certain advantages in assessing knowledge mastery, they are not well-suited to measuring students' clinical decision-making abilities, practical skills, and problem-solving abilities"
Discussion¶
Related Claims¶
- State tests under NCLB measured little higher-order thinking, with only 2 percent of math items qualifying — a broader claim this one bears on
- Multiple-choice state tests are prone to ceiling and floor effects and do not measure higher-order skills well — a broader claim this one bears on
- Individual readiness assurance tests (i-RATs) in pre-clinical TBL are almost universally MCQ-based, mostly closed-book, typically 5 to 30 items lasting 10 to 30 minutes — related
- Controlled GenAI virtual-patient and communication studies reported short-term skill gains, but positive findings were not universal — related
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