期刊
MEDICAL SCIENCE EDUCATOR
卷 31, 期 4, 页码 1311-1317出版社
SPRINGERNATURE
DOI: 10.1007/s40670-021-01305-y
关键词
Medical students; Multiple choice questions; Clinical reasoning; Assessment; Bloom' s taxonomy
资金
- International Association of Medical Science Education (IAMSE)
- American Medical Association
The study found that while there was no clear correlation between students' average performance and question classification, students with lower confidence were more likely to perceive questions as higher order. Additionally, students who answered questions incorrectly were also more likely to identify questions as higher order.
Background Analytic thinking skills are important to the development of physicians. Therefore, educators and licensing boards utilize multiple-choice questions (MCQs) to assess these knowledge and skills. MCQs are written under two assumptions: that they can be written as higher or lower order according to Bloom's taxonomy, and students will perceive questions to be the same taxonomical level as intended. This study seeks to understand the students' approach to questions by analyzing differences in students' perception of the Bloom's level of MCQs in relation to their knowledge and confidence. Methods A total of 137 students responded to practice endocrine MCQs. Participants indicated the answer to the question, their interpretation of it as higher or lower order, and the degree of confidence in their response to the question. Results Although there was no significant association between students' average performance on the content and their question classification (higher or lower), individual students who were less confident in their answer were more than five times as likely (OR = 5.49) to identify a question as higher order than their more confident peers. Students who responded incorrectly to the MCQ were 4 times as likely to identify a question as higher order than their peers who responded correctly. Conclusions The results suggest that higher performing, more confident students rely on identifying patterns (even if the question was intended to be higher order). In contrast, less confident students engage in higher-order, analytic thinking even if the question is intended to be lower order. Better understanding of the processes through which students interpret MCQs will help us to better understand the development of clinical reasoning skills.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据