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mcq internal medicine

Pochamana Phisalprapa, Wayuda Muangkaew, Jintana Assanasen, Tada Kunavisarut, Torpong Thongngarm, Theera Ruchutrakool, Surapon Kobwanthanakun, Wanchai Dejsomritrutai
BACKGROUND: Universities in Thailand are preparing for Thailand's integration into the ASEAN Economic Community (AEC) by increasing the number of tests in English language. English language is not the native language of Thailand Differences in English language proficiency may affect scores among test-takers, even when subject knowledge among test-takers is comparable and may falsely represent the knowledge level of the test-taker. OBJECTIVE: To study the impact of English language multiple choice test questions on test scores of medical students...
April 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Carla Aeberhard, Tanja Birrenbach, Maya Joray, Stefan Mühlebach, Martin Perrig, Zeno Stanga
OBJECTIVES: To improve malnutrition awareness and management in our department of general internal medicine; to assess patients' nutritional risk; and to evaluate whether an online educational program leads to an increase in basic knowledge and more frequent nutritional therapies. METHODS: A prospective pre-post intervention study at a university department of general internal medicine was conducted. Nutritional screening using Nutritional Risk Score 2002 (NRS 2002) was performed, and prescriptions of nutritional therapies were assessed...
March 2016: Nutrition
Hind I Fallatah, Ara Tekian, Yoon Soo Park, Lana Al Shawa
BACKGROUND: Exams are essential components of medical students' knowledge and skill assessment during their clinical years of study. The paper provides a retrospective analysis of validity evidence for the internal medicine component of the written and clinical exams administered in 2012 and 2013 at King Abdulaziz University's Faculty of Medicine. METHODS: Students' scores for the clinical and written exams were obtained. Four faculty members (two senior members and two junior members) were asked to rate the exam questions, including MCQs and OSCEs, for evidence of content validity using a rating scale of 1-5 for each item...
2015: BMC Medical Education
Tilo Freiwald, Madjid Salimi, Ehsan Khaljani, Sigrid Harendza
BACKGROUND: Multiple-choice questions (MCQ) are still widely used in high stakes medical exams. We wanted to examine whether and to what extent a national licensing exam uses the concept of pattern recognition to test applied clinical knowledge. METHODS: We categorized all 4,134 German National medical licensing exam questions between October 2006 and October 2012 by discipline, year, and type. We analyzed questions from the four largest disciplines: internal medicine (n = 931), neurology (n = 305), pediatrics (n = 281), and surgery (n = 233), with respect to the following question types: knowledge questions (KQ), pattern recognition questions (PRQ), inverse PRQ (IPRQ), and pseudo PRQ (PPRQ)...
2014: BMC Medical Education
Jathurong Kittrakulrat, Witthawin Jongjatuporn, Ravipol Jurjai, Nicha Jarupanich, Krit Pongpirul
BACKGROUND: In the regional movement toward ASEAN Economic Community (AEC), medical professions including physicians can be qualified to practice medicine in another country. Ensuring comparable, excellent medical qualification systems is crucial but the availability and analysis of relevant information has been lacking. OBJECTIVE: This study had the following aims: 1) to comparatively analyze information on Medical Licensing Examinations (MLE) across ASEAN countries and 2) to assess stakeholders' view on potential consequences of AEC on the medical profession from a Thai perspective...
2014: Global Health Action
Steven J Durning, Vincent F Capaldi, Anthony R Artino, John Graner, Cees van der Vleuten, Thomas J Beckman, Michelle Costanzo, Eric Holmboe, Lambert Schuwirth
BACKGROUND: Studies of resident fatigue and performance have shown mixed results. However, research has not examined daytime sleepiness and performance among attending physicians. The purpose of this study was to explore the relationship between sleep, performance and prefrontal cortex (PFC) activity. We hypothesized that sleepiness scores would negatively correlate with multiple-choice question (MCQ) performance and would also correlate with PFC activity. METHODS: Board-certified physicians completed an Epworth Sleepiness Scale (ESS) and then answered MCQs from licensing examinations while in a functional Magnetic Resonance Imaging (fMRI) scanner...
May 2014: Medical Teacher
Nora McCarthy, Siun O'Flynn, John Murphy, David Barry, Maria Luisa Canals
BACKGROUND: The hazardous occupation of seafaring brings many unique medical challenges. Despite its international nature, maritime medicine does not typically form a part of undergraduate medical studies. A unique and innovative, optional student-selected module (SSM) 'maritime medicine' was offered to medical students. A key objective was to develop students' attitudes to maritime medicine and increase their awareness of the discipline and its specialised nature. AIM: The aim of this study was to assess qualitatively and quantitatively the educational impact of the maritime medicine SSM and to improve the module content and design for future academic years...
2013: International Maritime Health
Maureen E Kelly, Daniel Regan, Fidelma Dunne, Patrick Henn, John Newell, Siun O'Flynn
BACKGROUND: Internationally, tests of general mental ability are used in the selection of medical students. Examples include the Medical College Admission Test, Undergraduate Medicine and Health Sciences Admission Test and the UK Clinical Aptitude Test. The most widely used measure of their efficacy is predictive validity.A new tool, the Health Professions Admission Test- Ireland (HPAT-Ireland), was introduced in 2009. Traditionally, selection to Irish undergraduate medical schools relied on academic achievement...
2013: BMC Medical Education
Gerald E Crites, Ronald J Markert, D Stephen Goggans, W Scott Richardson
BACKGROUND: Guidelines for the design of multiple-choice item (MCQ) tests of evidence-based medicine (EBM) and clinical decision making (CDM) have not been published. PURPOSE AND METHODS: We describe a strategy to develop an EBM/CDM MCQ test database guided by educational theory and used psychometric analyses, including reliability, validity, and item analyses, to judge the strategy's success. RESULTS: The internal consistency reliability of tests derived from the database was in the good-to-excellent range (0...
2012: Teaching and Learning in Medicine
William Kelly, Steven Durning, Gerald Denton
BACKGROUND: Script concordance (SC) questions, in which a learner is given a brief clinical scenario then asked if additional information makes one hypothesis more or less likely, with answers compared to a panel of experts, are designed to reflect a learner's clinical reasoning. PURPOSE: The purpose is to compare reliability, validity, and learner satisfaction between a three-option modified SC examination to a multiple-choice question (MCQ) examination among medical students during a 3rd-year internal medicine clerkship, to compare reliability and learner satisfaction of SC between medical students and a convenience sample of house staff, and to compare learner satisfaction with SC between 1st- and 4th-quarter medical students...
2012: Teaching and Learning in Medicine
Sara Kim, Douglas M Brock, Brian J Hess, Eric S Holmboe, Thomas H Gallagher, Rebecca S Lipner, Kathleen M Mazor
OBJECTIVE: Little is known about the best approaches and format for measuring physicians' communication skills in an online environment. This study examines the reliability and validity of scores from two Web-based communication skill assessment formats. METHODS: We created two online communication skill assessment formats: (a) MCQ (multiple-choice questions) consisting of video-based multiple-choice questions; (b) multi-format including video-based multiple-choice questions with rationales, Likert-type scales, and free text responses of what physicians would say to a patient...
September 2011: Patient Education and Counseling
Vincenzo Carnevale, Luca Pastore, Marcello Camaioni, Monica Mellozzi, Massimo Sabatini, Elisabetta Arietti, Saverio Fusilli, Alfredo Scillitani, Mario Pontecorvi
BACKGROUND: Patients older than 85 years are increasingly admitted to hospital care settings. Despite this, the clinical employment of equations for estimating glomerular filtration rate (GFR) has been scarcely investigated so far in this age group. Our study compared 2 commonly employed equations to estimate GFR, as well as measured 24-hour creatinine clearance (CrCl), in patients aged >or=85 years. METHODS: Seventy-three patients consecutively admitted over 4 months to our Internal Medicine Department had an accurate 24-hour urinary collection, as well as serum and urinary creatinine determinations...
May 2010: Journal of Nephrology
T Saxer, O Duperrex, B Vermeulen, V Vu Nu
OBJECTIVES: To evaluate and compare the educational impact of the University of Geneva Faculty of Medicine (UGFM) emergency medicine clerkship training with that provided by the Swiss Army medical officer cadets school (ARMY). The assessment was designed to assess students' clinical knowledge and competency in major emergency situations, ACLS (Advanced Cardiac Life Support) and ATLS (Advanced Traumatic Life Support). METHODS: Prospectively, 56 UGFM students were compared with 52 ARMY officer cadets by a multiformat pre- and post-training examination...
July 25, 2009: Swiss Medical Weekly
Kevin McLaughlin, George Vitale, Sylvain Coderre, Claudio Violato, Bruce Wright
BACKGROUND: As society's expectations of physicians change, so must the objectives of training. Professional organizations involved in training now emphasize multiplicity of roles. But how well do we evaluate these multiple roles? AIMS: To investigate the principal components of evaluation in the Internal Medicine clerkship rotation at the University of Calgary. METHODS: We performed factor analysis on all evaluation components in the Internal Medicine clerkship rotation, including the in-training evaluation report (ITER), objective structured clinical examination (OSCE), and multiple choice questions (MCQ) examination...
February 2009: Medical Teacher
Jo-Ann Reteguiz
PURPOSE: Anxiety is thought to affect test performance. Studies have shown that students with low levels of test anxiety achieve higher scores on multiple choice question (MCQ) examinations than those with high anxiety levels. Female students have been shown to have higher test anxiety levels than male students. Standardized patient (SP) examinations are being used in medical schools and for licensing purposes. As SP exams are relatively new, there are few studies measuring anxiety levels for the SP test...
May 2006: Journal of General Internal Medicine
Jana Jünger, Sybille Schäfer, Christiane Roth, Dieter Schellberg, Miriam Friedman Ben-David, Christoph Nikendei
OBJECTIVES: The aim of curriculum reform in medical education is to improve students' clinical and communication skills. However, there are contradicting results regarding the effectiveness of such reforms. METHODS: A study of internal medicine students was carried out using a static group design. The experimental group consisted of 77 students participating in 7 sessions of communication training, 7 sessions of skills-laboratory training and 7 sessions of bedside-teaching, each lasting 1...
October 2005: Medical Education
Chirayu Auewarakul, Steven M Downing, Uapong Jaturatamrong, Rungnirand Praditsuwan
BACKGROUND: Medical students' final clinical grades in internal medicine are based on the results of multiple assessments that reflect not only the students' knowledge, but also their skills and attitudes. OBJECTIVE: To examine the sources of validity evidence for internal medicine final assessment results comprising scores from 3 evaluations and 2 examinations. METHODS: The final assessment scores of 8 cohorts of Year 4 medical students in a 6-year undergraduate programme were analysed...
March 2005: Medical Education
O O Omigbodun, A O Omigbodun
OBJECTIVE: This study examined the influence of gender on undergraduate performance in psychiatry among final year medical students at the University College Hospital, Ibadan, Nigeria. METHODS: Results in all parts of the examination in psychiatry for the 2001 graduating class were obtained. In addition, performance scores were obtained for entrance examinations to medical school, preclinical subjects (anatomy, physiology and biochemistry) and clinical subjects (paediatrics, obstetrics and gynaecology, internal medicine and surgery)...
December 2003: Medical Education
P J McLeod, T Meagher, Y Steinert, L Schuwirth, A H McLeod
Academic faculty members in medical schools rarely receive formal instruction in basic pedagogic principles; nevertheless many develop into competent teachers. Perhaps they acquire tacit knowledge of these principles with teaching experience. This study was designed to assess clinical teachers' tacit knowledge of basic pedagogic principles and concepts. The authors developed a multiple-choice question (MCQ) exam based on 20 pedagogic principles judged by a panel of education experts to be important for clinical teaching...
February 2004: Medical Teacher
J J Norcini, D B Swanson, L J Grosso, J A Shea, G D Webster
This study compares the reliability, validity, and efficiency of three multiple-choice question (MCQs) ability scales with patient management problems (PMPs). Data are from the 1980, 1981, and 1982 American Board of Internal Medicine Certifying Examinations. The MCQ ability scales were constructed by classifying the one best answer and multiple-true/false questions in each examination as measuring predominantly clinical judgment, synthesis, or knowledge. Clinical judgment items require prioritizing or weighing management decisions; synthesis items require the integration of findings into a diagnostic decision; and knowledge items stress recall of factual information...
December 1984: Evaluation & the Health Professions
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