NBME logo
Date Updated: July 28, 2016

NBME Examiner

The official newsletter of the NBME provides information about current activities.


Many NBME Publications are available in PDF format. You need Adobe Reader to view and/or print these documents.

Annual Report

Annual ReportProvides an overview of the NBME organization, including information on its governance, programs and services, publications and presentations, and NBME and USMLE committees.

Download the Annual Report PDF


NBME Examiner

coverThe official newsletter of the National Board provides information about current activities. Its audience includes medical schools, their faculty and students, sister organizations, state medical boards, residency programs, and other health care organizations and professions, such as specialty boards and NBME clients.

Read or Download the Examiner PDF


Item Writing Manual

Item Writing Manual

Constructing Written Test Questions for the Basic and Clinical Sciences

A resource for faculty members and others interested in learning how to write better quality test items. Available in English, Spanish, and Russian.

Instructions for PDF Downloads of English, Spanish and Russian Versions


Online Interactive Item Writing Tutorial

Item Writing Tutorial

NBME's Writing Multiple Choice Questions: An Introductory Tutorial is a self-paced interactive tutorial that provides a foundation for writing quality multiple-choice questions. This tutorial is designed to introduce some of the main principles of item writing to individuals who write questions for examinations in the field of medicine and across the range of health professions.

   Featured topics include:

  • the anatomy of an item
  • basic rules for writing good stems and options
  • characteristics of a quality "best-answer" item
  • writing items to assess clinical reasoning
  • common item flaws
  • strategies for evaluating test items

The tutorial is organized into sections so that you can complete only a portion of it and easily return later; the entire tutorial takes about 45 minutes to complete. You can access the tutorial at: www.nbme.org/IWTutorial


NBME logo