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Learn how to write questions that more effectively assess your students' knowledge


Construct quality test questions for your health science students

The NBME Item-Writing Guide incorporates lessons that NBME staff have learned from decades of developing exam items and leading workshops in the field.

Now in its sixth edition, the NBME Item-Writing Guide provides faculty with:

  • A general overview of topics such as item and vignette writing, as well as the basics of psychometrics and measurement
  • Insight into improving the quality of multiple-choice items for the foundational and clinical sciences
  • New content, including guidance on implementing patient characteristics in items and recent innovations in the use of alternate item types

Complete the form below to receive your PDF download today. You will also have the option to download the Spanish or Portuguese version of the guide. 


Download the NBME® Item-Writing Guide

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Tips for the Inclusion of Patient Characteristics

Learn how to better incorporate patient characteristics in your test items.

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Open-Enrollment Workshops

Remote workshops are available for individuals seeking to improve their item-writing skills.