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Are multiple-choice questions a good tool for the assessment of clinical competence in Internal Medicine?

Flavio Tangianu, Antonino Mazzone, Franco Berti, Giuliano Pinna, Irene Bortolotti, Fabrizio Colombo, Carlo Nozzoli, Micaela La Regina, Antonio Greco, Cristina Filannino, Mauro Silingardi, Roberto Nardi
  • Flavio Tangianu
    Internal Medicine, S. Martino Hospital, Oristano, Italy
  • Antonino Mazzone
    Medical Department, Internal Medicine, ASST Ovest-Milanese, Legnano (MI), Italy
  • Franco Berti
    Internal Medicine, S. Camillo Forlanini, Roma, Italy
  • Giuliano Pinna
    Internal Medicine, Asti, Italy
  • Irene Bortolotti
    Managing Director-Planning Congressi, Bologna, Italy
  • Fabrizio Colombo
    Internal Medicine, Niguarda Ca’ Granda Hospital, Milano, Italy
  • Carlo Nozzoli
    Internal Medicine and Emergency, Careggi Hospital, Firenze, Italy
  • Micaela La Regina
    Internal Medicine, S.S. Risk Management, Presidio Ospedaliero Unico del Levante Ligure, La Spezia, Italy
  • Antonio Greco
    Geriatric Department, Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy
  • Cristina Filannino
    Department of Government, Health and not for profit, Luigi Bocconi University, Milano, Italy
  • Mauro Silingardi
    Internal Medicine, Bologna, Italy

Abstract

There are many feasible tools for the assessment of clinical practice, but there is a wide consensus on the fact that the simultaneous use of several different methods could be strategic for a comprehensive overall judgment of clinical competence. Multiple-choice questions (MCQs) are a well-established reliable method of assessing knowledge. Constructing effective MCQ tests and items requires scrupulous care in the design, review and validation stages. Creating high-quality multiple-choice questions requires a very deep experience, knowledge and large amount of time. Hereby, after reviewing their construction, strengths and limitations, we debate their completeness for the assessment of professional competence.

Keywords

Multiple-choice questions; clinical competence; pass mark criteria.

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Submitted: 2018-01-07 17:01:59
Published: 2018-06-20 12:31:18
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Copyright (c) 2018 Flavio Tangianu, Antonino Mazzone, Franco Berti, Giuliano Pinna, Irene Bortolotti, Fabrizio Colombo, Carlo Nozzoli, Micaela La Regina, Antonio Greco, Cristina Filannino, Mauro Silingardi, Roberto Nardi

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