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Plus ?a change, plus c’est pareil: Making a continued case for the use of MCQs in medical education

机译：加上？改变，加上C'est Pareil：在医学教育中使用MCQ的持续案例

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摘要

Despite the increased emphasis on the use of workplace-based assessment in competency-based education models, there is still an important role for the use of multiple choice questions (MCQs) in the assessment of health professionals. The challenge, however, is to ensure that MCQs are developed in a way to allow educators to derive meaningful information about examinees’ abilities. As educators’ needs for high-quality test items have evolved so has our approach to developing MCQs. This evolution has been reflected in a number of ways including: the use of different stimulus formats; the creation of novel response formats; the development of new approaches to problem conceptualization; and the incorporation of technology. The purpose of this narrative review is to provide the reader with an overview of how our understanding of the use of MCQs in the assessment of health professionals has evolved to better measure clinical reasoning and to improve both efficiency and item quality.
机译：尽管有关于在基于能力的教育模式中使用基于工作场所的评估的强调，但在评估卫生专业人员的评估中仍然存在多种选择问题（MCQS）的重要作用。 然而，挑战是确保以允许教育者推导有关考生能力的有意义信息的方式开发MCQ。 随着教育工作者对高质量测试项目的需求已经发展起来，因此我们可以发展MCQ。 这种进化已经以多种方式反映，包括：使用不同的刺激格式; 创造新的响应格式; 开发问题概念化的新方法; 并加入技术。 该叙述审查的目的是为读者提供概述，概述了我们对卫生专业人士评估中使用MCQ的了解如何进化，以便更好地测量临床推理，并提高效率和项目质量。

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