Educator's blueprint: A how-to guide for developing high-quality multiple-choice questions
- PMID: 36711253
- PMCID: PMC9873868
- DOI: 10.1002/aet2.10836
Educator's blueprint: A how-to guide for developing high-quality multiple-choice questions
Abstract
Multiple-choice questions are commonly used for assessing learners' knowledge, as part of educational programs and scholarly endeavors. To ensure that questions accurately assess the learners and provide meaningful data, it is important to understand best practices in multiple-choice question design. This Educator's Blueprint paper provides 10 strategies for developing high-quality multiple-choice questions. These strategies include determining the purpose, objectives, and scope of the question; assembling a writing team; writing succinctly; asking questions that assess knowledge and comprehension rather than test-taking ability; ensuring consistent and independent answer choices; using plausible foils; avoiding grouped options; selecting the ideal response number and order; writing high-quality explanations; and gathering validity evidence before and evaluating the questions after use.
© 2023 Society for Academic Emergency Medicine.
Conflict of interest statement
The authors declare no potential conflict of interest.
Figures
References
-
- Pham H, Trigg M, Wu S, et al. Choosing medical assessments: does the multiple‐choice question make the grade? Educ Health (Abingdon). 2018;31(2):65‐71. - PubMed
-
- Downing SM. Construct‐irrelevant variance and flawed test questions: do multiple‐choice item‐writing principles make any difference? Acad Med. 2002;77(10 Suppl):S103‐S104. - PubMed
-
- Downing SM. The effects of violating standard item writing principles on tests and students: the consequences of using flawed test items on achievement examinations in medical education. Adv Health Sci Educ Theory Pract. 2005;10(2):133‐143. - PubMed
-
- Kern D, Thomas PA, Hughes MT. Curriculum Development for Medical Education: A Six‐Step Approach. Johns Hopkins University Press; 2009.
LinkOut - more resources
Full Text Sources
