Complex subjects such as physiology can be challenging for students to learn. These challenges are not uncommon in implementing the learning process in physiology and affect learning outcomes. Dramatization is an interactive and effective method to improve learning outcomes. In a project designed by senior medical students, junior medical students…

Background: Multiple-choice item (MCI) assessments are burdensome for instructors to develop. Artificial intelligence (AI, e.g., ChatGPT) can streamline the process without sacrificing quality. The quality of AI-generated MCIs and human experts is comparable. However, whether the quality of AI-generated MCIs is equally good across various domain-…

This qualitative study looks at multiple-choice questions (MCQs) in examinations and their effectiveness in testing higher-order cognition. While there are claims that MCQs can do this, we consider many assertions problematic because of the difficulty in interpreting what higher-order cognition consists of and whether or not assessment tasks…

This study presents the development and validation of a novel multiple-choice test designed to assess university students' conceptual understanding of electric field, force, and flux. The test of understanding of electric field, force, and flux was constructed based on the results of previous studies using a phenomenographic approach to classify…

Organic chemistry is a class well known to be difficult and necessary for many careers in the sciences, and as a result, has garnered interest in researching ways to improve student learning and comprehension. One potential way involves using eye tracking techniques to understand how students visually examine questions. Organic chemistry involves…

Trigonometry is an important part of secondary school mathematics, but it is usually challenging for students to understand and learn. Since trigonometry is learned and used at a university level in many fields, like physics or geodesy, it is important to have an insight into students' trigonometry knowledge before the beginning of the university…

Methods of assessment in anatomy vary across medical schools in the United Kingdom (UK) and beyond; common methods include written, spotter, and oral assessment. However, there is limited research evaluating these methods in regards to student performance and perception. The National Undergraduate Neuroanatomy Competition (NUNC) is held annually…

Purpose: Researchers discovered that when students were given the opportunity to change their answers, a majority changed their responses from incorrect to correct, and this change often increased the overall test results. What prompts students to modify their answers? This study aims to examine the modification of scientific reasoning test, with…

There is a broad literature in multiple-choice test development, both in terms of item-writing guidelines, and psychometric functionality as a measurement tool. However, most of the published literature concerns multiple-choice testing in the context of expert-designed high-stakes standardized assessments, with little attention being paid to the…

Research-based multiple-choice questions implemented in class with peer instruction have been shown to be an effective tool for improving students' engagement and learning outcomes. Moreover, multiple-choice questions that are carefully sequenced to build on each other can be particularly helpful for students to develop a systematic understanding…

The increasing popularity of the Common European Framework of Reference (CEFR) in non-native English-speaking countries has generated a demand for concrete examples in the creation of CEFR-based tests that assess the four main English skills. In response, this research endeavors to provide insight into the development and validation of a…

The arrangement of response options in multiple-choice (MC) items, especially the location of the most attractive distractor, is considered critical in constructing high-quality MC items. In the current study, a sample of 496 undergraduate students taking an educational assessment course was given three test forms consisting of the same items but…

Distractors might display discriminatory power with respect to the construct of interest (e.g., intelligence), which was shown in recent applications of nested logit models to the short-form of Raven's progressive matrices and other reasoning tests. In this vein, a simulation study was carried out to examine two effect size measures (i.e., a…

We developed a Quantum Mechanics Conceptual Understanding Survey (QMCUS) in this study. The survey was conducted using a quantitative methodology. A multiple-choice survey of 35 questions was administered to 338 undergraduate students. Three experienced quantum mechanics instructors examined the validity of the survey. The reliability of our…

Different versions of multiple-choice exams were administered to an undergraduate class in human physiology as part of normal testing in the classroom. The goal was to evaluate whether the number of options (possible answers) per question influenced the effectiveness of this assessment. Three exams (each with three versions) were given to each of…