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Date Updated: August 1, 2018


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

Educator Guide

Educator Guide 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, Brazilian Portuguese and Russian.

Instructions for PDF Downloads

Coming in 2019: An Educator’s Guide to Assessment

Previously, NBME offered assistance in this area through NBME U, an online resource for health profession educators. NBME surveyed participants and studied examinee patterns of use of NBME U since its launch. We believe NBME U can best serve the health care education community by making its material available to all interested educators on a non-subscription basis. This aligns with NBME’s mission. In 2019, the lessons will become available for download.

Annual Report  Committee & Volunteer Directory

Annual Report Committee Members

Provides 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

Provides a complete listing of all USMLE and NBME committees and volunteers serving in 2017

Download the Committee & Volunteer Directory PDF

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


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