Do Palmer Essays

Do Palmer Essays-88
This paper describes such a study and is designed to gauge the effectiveness of the MEQ as a summative test tool in a clinical course.We have defined the effectiveness of the questions by their ability to measure higher cognitive skills, as determined by a modification of Bloom's taxonomy, and its quality as determined by the presence of item writing flaws.The test material consisted of 50 MCQs and three MEQs (a total of 8 stages) and the questions were designed so that both types would cover similar test material.

This paper describes such a study and is designed to gauge the effectiveness of the MEQ as a summative test tool in a clinical course.We have defined the effectiveness of the questions by their ability to measure higher cognitive skills, as determined by a modification of Bloom's taxonomy, and its quality as determined by the presence of item writing flaws.The test material consisted of 50 MCQs and three MEQs (a total of 8 stages) and the questions were designed so that both types would cover similar test material.

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The first paper had 15 MEQs with a total of 68 stages, the other had 15 MEQs with a total of. The papers for each examination were assembled by one member of Faculty, who gathered contributions from individual clinicians.

There was no formal instruction for the contributors on how to construct an MEQ, which would assess higher order cognitive skills, and the examination organiser undertook the final review of the submitted material.

The MEQ is designed to sit in between these two test instruments in terms of the ability to test higher cognitive skills and the ease of marking to a consistent standard.

The aim of the modified essay question is to broadly measure both the absolute amount of knowledge retained by the candidate and the ability of the candidate to use that knowledge to reason through and evaluate clinical problems.

It accomplishes this by providing a clinical scenario with a number of steps.

Progression through these stages should test the candidate's ability to understand, reason, evaluate and critique.Problem-solving skills are an essential component of the medical practitioner's clinical ability and as such must be taught, learned and assessed during training.Entire curricula have been re-designed with this concept in mind.The modified essay question (MEQ) is one of several tools developed to try and assess this skill [2].The MEQ is a compromise between the multiple-choice question (MCQ) and the essay.Problem-based learning is used in many teaching institutions and has its supporters and detractors.Despite criticism, it is undeniable that what problem-based learning sets out to achieve in terms of encouraging and developing the skills of synthesis, evaluation and problem-solving are valued components of a good medical education.Fourth Year clinical students at the University of Adelaide underwent a written test as part of their overall assessment of performance for a nine-week surgical attachment.The same test instrument was used at the start of the attachment and on completion.In conjunction with the promotion of these skills, an effective assessment process is required.It has long been recognised that in the assessment of clinical competence problem-solving ability has been one of the most difficult areas to measure and quantify [1].

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