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Multiple choice questions

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https://www.readbyqxmd.com/read/28442942/comparison-in-the-quality-of-distractors-in-three-and-four-options-type-of-multiple-choice-questions
#1
Nourelhouda A A Rahma, Mahdi M A Shamad, Muawia E A Idris, Omer Abdelgadir Elfaki, Walyedldin E M Elfakey, Karimeldin M A Salih
INTRODUCTION: The number of distractors needed for high quality multiple choice questions (MCQs) will be determined by many factors. These include firstly whether English language is their mother tongue or a foreign language; secondly whether the instructors who construct the questions are experts or not; thirdly the time spent on constructing the options is also an important factor. It has been observed by Tarrant et al that more time is often spent on constructing questions than on tailoring sound, reliable, and valid distractors...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28442451/using-mobile-phones-to-collect-patient-data-lessons-learned-from-the-simple-study
#2
Sinead Duane, Meera Tandan, Andrew W Murphy, Akke Vellinga
BACKGROUND: Mobile phones offer new opportunities to efficiently and interactively collect real-time data from patients with acute illnesses, such as urinary tract infections (UTIs). One of the main benefits of using mobile data collection methods is automated data upload, which can reduce the chance of data loss, an issue when using other data collection methods such as paper-based surveys. OBJECTIVE: The aim was to explore differences in collecting data from patients with UTI using text messaging, a mobile phone app (UTI diary), and an online survey...
April 25, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28441950/development-of-a-web-based-patient-decision-aid-for-initiating-disease-modifying-anti-rheumatic-drugs-using-user-centred-design-methods
#3
Ingrid Nota, Constance H C Drossaert, Heleen C Melissant, Erik Taal, Harald E Vonkeman, Cees J Haagsma, Mart A F J van de Laar
BACKGROUND: A main element of patient-centred care, Patient Decision Aids (PtDAs) facilitate shared decision-making (SDM). A recent update of the International Patient Decision Aids Standards (IPDAS) emphasised patient involvement during PtDA development, but omitted a methodology for doing so. This article reports on the value of user-centred design (UCD) methods for the development of a PtDA that aims to support inflammatory arthritis patients in their choice between disease modifying anti-rheumatic drugs (DMARDs)...
April 26, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28441140/teaching-trainees-how-to-critically-evaluate-the-literature-a-crossover-study-at-two-pediatric-residency-programs
#4
Benjamin Nelson, Catherine Ingard, David Nelson
Objectives: The purpose of this study was to assess the efficacy of a concise, evidence based medicine curriculum in improving the knowledge of pediatric residents at two institutions. Methods: Sixty first and second year pediatric residents at MassGeneral Hospital for Children and MedStar Georgetown University Hospital participated in a crossover study. The evidence based medicine curriculum, consisting of 4 ninety minute sessions grounded in adult learning theory principles, was developed using the methodology described in the book 'Studying a Study'...
April 24, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28435506/audience-response-system-facilitates-prediction-of-scores-on-in-training-examination
#5
Kaushal H Shah, Jaime Jordan, Katherine Jahnes, David P Lisbon, Lucienne Lutfy-Clayton, Grant Wei, Gary Winkel, Sally A Santen
INTRODUCTION: Audience response systems (ARS) are increasingly popular; however, their contribution to education is not completely clear. Our study found that scores from review quizzes delivered by an ARS correlate with in-training exam (ITE) scores and are viewed positively by residents. This information may be useful in identifying poor performers early so that targeted educational interventions can be made. The objective was to determine if scores on review quizzes delivered by an ARS correlate with ITE scores and to obtain participant feedback on use of the ARS for ITE preparation...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28430040/foraging-value-risk-avoidance-and-multiple-control-signals-how-the-acc-controls-value-based-decision-making
#6
Joshua W Brown, William H Alexander
Recent work on the role of the ACC in cognition has focused on choice difficulty, action value, risk avoidance, conflict resolution, and the value of exerting control among other factors. A main underlying question is what are the output signals of ACC, and relatedly, what is their effect on downstream cognitive processes? Here we propose a model of how ACC influences cognitive processing in other brain regions that choose actions. The model builds on the earlier Predicted Response Outcome model and suggests that ACC learns to represent specifically the states in which the potential costs or risks of an action are high, on both short and long timescales...
April 21, 2017: Journal of Cognitive Neuroscience
https://www.readbyqxmd.com/read/28427076/application-of-clinical-trial-results-to-clinical-practice
#7
Marco A Zarbin, Neelakshi Bhagat, Lekha K Mukkamala
Two critical questions one must answer as one applies the results of a clinical trial to clinical practice are: (1) Regardless of whether the trial result is likely to be replicated or reproduced in a second large-scale trial, are the results likely to be reproduced in one's practice? (2) Regardless of whether the experimental treatment was better than the alternative on average for a population of patients, are the results clinically important for a given patient in one's practice? To determine if a study result is likely to be reproduced in one's clinical practice, it may be helpful to answer 5 questions: (1) Have steps been taken to minimize bias? (2) Is the result likely due to the treatment? (3) Is the result unlikely due to chance? (4) Is the study population representative of one's patients? (5) Is the totality of evidence consistent? If the answer to all 5 questions is "yes," then we posit that the trial result is likely to be reproduced in one's practice...
2017: Developments in Ophthalmology
https://www.readbyqxmd.com/read/28426689/preference-index-supported-by-motivation-tests-in-nile-tilapia
#8
Caroline Marques Maia, Gilson Luiz Volpato
The identification of animal preferences is assumed to provide better rearing environments for the animals in question. Preference tests focus on the frequency of approaches or the time an animal spends in proximity to each item of the investigated resource during a multiple-choice trial. Recently, a preference index (PI) was proposed to differentiate animal preferences from momentary responses (Sci Rep, 2016, 6:28328, DOI: 10.1038/srep28328). This index also quantifies the degree of preference for each item...
2017: PloS One
https://www.readbyqxmd.com/read/28423232/a-psychometric-evaluation-of-the-anatomy-learning-experiences-questionnaire-and-correlations-with-learning-outcomes
#9
Derek L Choi-Lundberg, Anne-Marie M Williams, Craig Zimitat
The Anatomy Learning Experiences Questionnaire (ALEQ) was designed by Smith and Mathias to explore students' perceptions and experiences of learning anatomy. In this study, the psychometric properties of a slightly altered 34-item ALEQ (ALEQ-34) were evaluated, and correlations with learning outcomes investigated, by surveying first- and second-year undergraduate medical students; 181 usable responses were obtained (75% response rate). Psychometric analysis demonstrated overall good reliability (Cronbach's alpha of 0...
April 17, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28416209/-is-the-formal-quality-of-multiple-choice-questions-used-for-continuing-medical-education-influenced-by-guidelines-for-authors-provided-by-the-publishing-houses
#10
Sabine Drossard, Daniel Bauer, Martin Fischer, Lisa Kühne-Eversmann
INTRODUCTION: The widespread use of flawed multiple choice questions (MCQs) in continuing medical education (CME) has been demonstrated in different studies. In recent years, quality control measures have been established by some German publishing houses to ensure the quality of MCQs. OBJECTIVES: The purpose of the present study is to evaluate whether the quality of author's guidelines and the quality of MCQs correlate and whether the quality of MCQs in CME has improved following the implementation of quality control measures...
April 14, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28406744/comparing-students-with-and-without-reading-difficulties-on-reading-comprehension-assessments-a-meta-analysis
#11
Alyson A Collins, Esther R Lindström, Donald L Compton
Researchers have increasingly investigated sources of variance in reading comprehension test scores, particularly with students with reading difficulties (RD). The purpose of this meta-analysis was to determine if the achievement gap between students with RD and typically developing (TD) students varies as a function of different reading comprehension response formats (e.g., multiple choice, cloze). A systematic literature review identified 82 eligible studies. All studies administered reading comprehension assessments to students with RD and TD students in Grades K-12...
April 1, 2017: Journal of Learning Disabilities
https://www.readbyqxmd.com/read/28405783/how-do-clinical-genetics-consent-forms-address-the-familial-approach-to-confidentiality-and-incidental-findings-a-mixed-methods-study
#12
Sandi Dheensa, Gillian Crawford, Claire Salter, Michael Parker, Angela Fenwick, Anneke Lucassen
Genetic test results can be relevant to patients and their relatives. Questions thus arise around whether clinicians regard genetic information as confidential to individuals or to families, and about how they broach this and other issues, including the potential for incidental findings, in consent (forms) for genetic testing. We conducted a content analysis of UK-wide genetic testing consent forms and interviewed 128 clinicians/laboratory scientists. We found that almost all genetic services offered patients multiple, sometimes unworkable, choices on forms, including an option to veto the use of familial genetic information to benefit relatives...
April 12, 2017: Familial Cancer
https://www.readbyqxmd.com/read/28403859/managing-uncertainty-a-qualitative-study-of-surgeons-decision-making-for-one-stage-and-two-stage-revision-surgery-for-prosthetic-hip-joint-infection
#13
Andrew J Moore, Ashley W Blom, Michael R Whitehouse, Rachael Gooberman-Hill
BACKGROUND: Approximately 88,000 primary hip replacements are performed in England and Wales each year. Around 1% go on to develop deep prosthetic joint infection. Between one-stage and two-stage revision arthroplasty best treatment options remain unclear. Our aims were to characterise consultant orthopaedic surgeons' decisions about performing either one-stage or two-stage revision surgery for patients with deep prosthetic infection (PJI) after hip arthroplasty, and to identify whether a randomised trial comparing one-stage with two-stage revision would be feasible...
April 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28397522/an-evaluation-of-the-emergency-care-training-workshops-in-the-province-of-kwazulu-natal-south-africa
#14
Mergan Naidoo
BACKGROUND: Emergency care in South Africa is both complex and complicated which is further compromised by inadequately trained healthcare workers. Academic disciplines at the University of KwaZulu-Natal have run emergency care workshops for doctors and nurses providing primary emergency care, in the province for the last 14 years. This delivery of such training has evolved over time. OBJECTIVES: The aim of this study was to evaluate the feedback and knowledge of participants attending the last nine workshops...
March 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28392424/vegetarianism-and-meat-consumption-a-comparison-of-attitudes-and-beliefs-between-vegetarian-semi-vegetarian-and-omnivorous-subjects-in-belgium
#15
Amy Mullee, Leen Vermeire, Barbara Vanaelst, Patrick Mullie, Peter Deriemaeker, Tobias Leenaert, Stefaan De Henauw, Aoibheann Dunne, Marc J Gunter, Peter Clarys, Inge Huybrechts
High levels of meat consumption in Belgium may be contributing to increased risk of non-communicable diseases in this population. The objective of this study is to investigate the attitudes and beliefs about vegetarianism and meat consumption among the Belgian population, ultimately to better understand the motivations underlying these dietary behaviours. This cross-sectional study was initiated in March 2011. A total of 2436 individuals from a representative consumer panel from the Flemish and Brussels communities participated...
April 6, 2017: Appetite
https://www.readbyqxmd.com/read/28377944/are-prior-experience-and-subspecialty-training-time-predictive-of-pediatric-anesthesia-exit-exam-scores-for-rotating-ca-2-residents
#16
Jonathon H Nelson, Nina Deutsch, Ira T Cohen, Srijaya K Reddy
BACKGROUND: Anesthesiology residency programs commonly have rotations at free-standing children's hospitals to provide and/or supplement their residents' training in pediatric anesthesia. Length and timing of these rotations differ from program to program as can their residents' existing medical knowledge and clinical skills. We predicted that residents with prior pediatric anesthesia experience, who rotate at our pediatric institution for two consecutive months, will score higher on an exit exam compared to residents without prior pediatric experience or those that only rotate for one month...
January 2017: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/28375770/neuromodulation-and-strategic-action-choice-in-drosophila-aggression
#17
Kenta Asahina
In this review, I discuss current knowledge and outstanding questions on the neuromodulators that influence aggressive behavior of the fruit fly Drosophila melanogaster. I first present evidence that Drosophila exchange information during an agonistic interaction and choose appropriate actions based on this information. I then discuss the influence of several biogenic amines and neuropeptides on aggressive behavior. One striking characteristic of neuromodulation is that it can configure a neural circuit dynamically, enabling one circuit to generate multiple outcomes...
March 24, 2017: Annual Review of Neuroscience
https://www.readbyqxmd.com/read/28374229/the-impact-of-curriculum-design-in-the-acquisition-of-knowledge-of-oncology-comparison-among-four-medical-schools
#18
Dario Cecilio-Fernandes, Wytze S Aalders, André J A Bremers, René A Tio, Jakob de Vries
Over the past 5 years, cancer has replaced coronary heart disease as the leading cause of death in the Netherlands. It is thus paramount that medical doctors acquire a knowledge of cancer, since most of them will face many patients with cancer. Studies, however, have indicated that there is a deficit in knowledge of oncology among medical students, which may be due not only to the content but also to the structure of the curriculum. In this study, we compared students' knowledge acquisition in four different undergraduate medical programs...
April 3, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28373569/parietal-neurons-encode-expected-gains-in-instrumental-information
#19
Nicholas C Foley, Simon P Kelly, Himanshu Mhatre, Manuel Lopes, Jacqueline Gottlieb
In natural behavior, animals have access to multiple sources of information, but only a few of these sources are relevant for learning and actions. Beyond choosing an appropriate action, making good decisions entails the ability to choose the relevant information, but fundamental questions remain about the brain's information sampling policies. Recent studies described the neural correlates of seeking information about a reward, but it remains unknown whether, and how, neurons encode choices of instrumental information, in contexts in which the information guides subsequent actions...
April 3, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28373156/an-analysis-of-2-3-million-participations-in-the-continuing-medical-education-program-of-a-general-medical-journal-suitability-user-characteristics-and-evaluation-by-readers
#20
Hildegard Christ, Jeremy Franklin, Reinhard Griebenow, Christopher Baethge
BACKGROUND: Physicians frequently use continuing medical education (CME) in journals. However, little is known of the evaluation of journal CME by readers and also user and participation characteristics. Deutsches Ärzteblatt, the journal of the German Medical Association, is distributed to every physician in Germany and regularly offers its readers CME articles. Therefore, it provides a unique opportunity to analyze a journal CME program directed at an entire population of physicians...
April 3, 2017: Journal of Medical Internet Research
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