Assessments represent an important component of undergraduate courses because they affect how students interact with course content and gauge student achievement of course objectives. To make decisions on assessment design, instructors must understand the affordances and limitations of available question formats. Here, we use a crossover…

Complex multiple choice (CMC) items are frequently used to test knowledge about repetitive information. In two independent comparisons, performance on the CMC items surpassed that of the multiple true-false clusters. Data indicate that performance on CMC items is inflated, and distractors on CMC items fail to prevent guessing. (Author/PN)

Research and practice in detecting and controlling for cheating on objective tests are reviewed and a small survey of attitudes and practices is reported. Potential of two computer programs to detect error similarities and use of multiple answer-sheet forms to control cheating are discussed. Teacher cheating is also addressed. (Author/MSE)

Extended matching, a test item format used currently in medical licensing examinations, is described. Procedures for writing and reviewing such test items are outlined, test development and psychometric advantages are discussed, and issues in test administration and scoring are examined. The extended matching form is also seen as having uses for…

A comparison of the actual final grade distribution with what the grade distributions would have been had only the true/false components or the short-answer components been used is presented. The responses to a course evaluation survey that asked students to compare the two types of questions are summarized. (MLW)

A study investigated performance of 51 second-year internal medicine residents on an objective structured clinical examination and analyzed the test's role in evaluating clinical competence. The examination included nine physical diagnoses and several test-interpretation stations. Performance was analyzed statistically and correlated with…

A sample of l34 adults enrolled in adult education programs for credit ranked types of test items. From most to least preferred, the five types of test item were multiple choice, true/false, matching, fill-in-the-blank, and essay. Respondents also explained which type of test item contributed to anxiety for them. Vaguely written essay questions…

This article proposes that to assess students' preparedness to deliver pharmaceutical care, pharmacy schools have experiential evaluation systems consisting of multiple assessment methods, guidelines for optimal use, and procedures to promote faculty-student communication about performance. Objective structured clinical examinations,…