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Introduction Redaction Scoring Conclusion Exam with multiple choice questions November 10, 2011 Erik A. Sauleau Department of Biostatistics - Faculty of Medicine University of Strasbourg [email protected]

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Page 1: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Exam with multiple choice questionsNovember 10, 2011

Erik A. Sauleau

Department of Biostatistics - Faculty of MedicineUniversity of Strasbourg

[email protected]

Page 2: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Outline

1 Introduction

2 How to write a multiple choice question?

3 Scoring

4 Conclusion

Page 3: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Outline

1 Introduction

2 How to write a multiple choice question?

3 Scoring

4 Conclusion

Page 4: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Formal definition

Multiple choice question: MCQ

Educational evaluation tool

Def: Student answers to the question by selecting one or moreitems among several

In general among 5 items

Each item is classified in ”correct” or ”not correct”

For what kind of evaluation?

KnowledgeComprehension, application and analysis

Not for what?

Synthesis, evaluation, reasoningCreativityWriting capacities, speaking capacities

Page 5: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Constitution

Here is the question

A A correct answer

B Another correct answer

C Oh, this is a diversion item

D Here another one bait

E A possibility for ”another answer”

Warn students whether they can choose several items or not

Page 6: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Two main types

1 Simple MCQ ⇒ one correct answer

What is my first name?

A Boris

B Erik-Andre

C Sauleau

D Olga

E Other answer

1 Simple MCQ ⇒ one correct answer2 Multiple MCQ ⇒ several correct answers

What are my main skills?

1 Biostatistics

2 Cooking

3 Education

4 Stealing

5 Flying

Pattern for answer: A: 1+3, B: 1+4+5, C: 2 (definitively not), D:3+5, E: Other answer

3 Several other

Page 7: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Two main types

1 Simple MCQ ⇒ one correct answer

2 Multiple MCQ ⇒ several correct answers

What are my main skills?

1 Biostatistics

2 Cooking

3 Education

4 Stealing

5 Flying

Pattern for answer: A: 1+3, B: 1+4+5, C: 2 (definitively not), D:3+5, E: Other answer

3 Several other

Page 8: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Example of answer grid (with repentance)

Page 9: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Pros and cons

Pros

Automatic correction by scanning or data processing ⇒objectivity

Quick, simple and accurate knowledge evaluation

Cover a wide range of a given field

Pros

Cons

Danger: get into corners

Test for memorisation and not understanding

Long preparation time ⇒ lecturer database

Student database ⇒ need for quick renewal

Correct answer by random

Increase the number of diversion itemsDecrease the mark in case of incorrect answerAsk to the student to add his own uncertainty assessment andchange the mark

Page 10: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Pros and cons

Pros

Cons

Danger: get into corners

Test for memorisation and not understanding

Long preparation time ⇒ lecturer database

Student database ⇒ need for quick renewal

Correct answer by random

Increase the number of diversion itemsDecrease the mark in case of incorrect answerAsk to the student to add his own uncertainty assessment andchange the mark

Page 11: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Outline

1 Introduction

2 How to write a multiple choice question?

3 Scoring

4 Conclusion

Page 12: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

General issues

Meet educational aimsSyntax

Syntactically correct sentencesAvoid vague terms and ambiguitiesPositive and interrogative forms: avoid negatives and especiallydouble negativesNo value judgments

Independent questions (no cumulative time in prison)Time for students to answer

Simple question → 1 minuteMore complex question → up to 3 minutes

Expert able to answer to the exam (with a good mark)Detail general and specific instructions

Among these propositions which belong to clinical signs of flu?

A Stuffy nose

B Cough

C Fever

D Edema

E Other answer

Page 13: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

General issues

Among these propositions which one are not a clinical sign of flu?

A Stuffy nose

B No cough

C Fever less than about 39◦C

D Contact with person with flu

E Other answer

Among these propositions which belong to clinical signs of flu?

A Stuffy nose

B Cough

C Fever

D Edema

E Other answer

Page 14: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

General issues

Among these propositions which belong to clinical signs of flu?

A Stuffy nose

B Cough

C Fever

D Edema

E Other answer

Page 15: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

The question

Just one question on a given part and not just the question”What is the correct answer?”Use in the question all common words of the answersExpert could be able to answer to the question without thesolutionsAnchoring

Several (10% to 30%) well-known questions (by the lecturer)for calibrating the examPoor global results but correct results to these questions →exam too difficultPoor global results with poor results to these questions →worse students cohort

What is the correct second age milk dose for a one month oldbaby?

A 60g

B 120g

C 180g

D 240g

E Other answer

Page 16: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

The question

What is the correct dose for a one month old baby?

A Six baby bottles with 120g of second age milk

B Four baby bottles with 120g of second age milk

C Six baby bottles with 60g of second age milk

D Six baby bottles with 120g of first age milk

E Other answer

What is the correct second age milk dose for a one month oldbaby?

A 60g

B 120g

C 180g

D 240g

E Other answer

Page 17: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

The question

What is the correct second age milk dose for a one month oldbaby?

A 60g

B 120g

C 180g

D 240g

E Other answer

Page 18: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

The answers

Same syntactic construction and same length for all itemsSame likelihood and same technical complexityDiversion items

Not synonymes, no overlappingRealisticSame field than correct answer (paraclinical exam, treatment,. . . )They are undoubtedly diversion items

The answer ”other answer” for lecturer protection

What is the correct diet in each of the six daily baby bottles for aone month old baby?

A 60g of second age milk

B 120g of second age milk

C 120g of first age milk

D Hamburger

E Other answer

Page 19: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

The answers

What is the correct diet in each of the six daily baby bottles for aone month old baby?

A 60g of second age milk

B 120g of second age milk

C 120g of first age milk

D Hamburger

E Other answer

Page 20: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

The correct answer(s)

They are undoubtedly correct answers

Random place among diversion items

Follow same syntactic rules than diversion items

Page 21: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Using adverbs

Never say never (or always)

In several adverbs implicit frequency: usually > sometimes >seldom

⇒ Add a warning: ”In this exam ”seldom” means ”less than 10%”or Avoid adverbs and use more neutral terms: ”is associated

with”, ”can be explained by”, . . .

Page 22: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Outline

1 Introduction

2 How to write a multiple choice question?

3 Scoring

4 Conclusion

Page 23: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Simple MCQ

Correct No answer Incorrect

Binary +1 0 0

Penalisation for incorrectness +1 0 − 1P

Valorisation for omission +1 + 1P 0

Both +1 + 1P − 1

P ′

Choice of P and P ′: 1 for strong effect but also 2,3 . . .

Page 24: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Multiple MCQ: c correct among k items

More complex

Two questions1 Penalisation for incorrectness and weight2 Valorisation for omission and weight

Page 25: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

Outline

1 Introduction

2 How to write a multiple choice question?

3 Scoring

4 Conclusion

Page 26: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

For a good MCQ exam

Be rigourous

Be robust

Be helped

. . . but stay cool and gentle

Page 27: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

For a good MCQ exam

Be rigourous

Be robust

Be helped

. . . but stay cool and gentle

Page 28: University of Strasbourg ea.sauleau@unistra - ОмГМУtempus4.omsk-osma.ru/upload/docs/Working_visit_November_2011/en/... · Department of Biostatistics - Faculty of Medicine University

Introduction Redaction Scoring Conclusion

”Oui” et ”non” sont les mots les plus courts et les plus faciles aprononcer, et ceux qui demandent le plus d’examen.Charles-Maurice de Talleyrand (1754-1838)

Thank you for your attention