Adv in Health Sci Educ 24, 141–150 (2019)
Research suggests that the three-option format is optimal for multiple choice questions (MCQs). This conclusion is supported by numerous studies showing that most distractors (i.e., incorrect answers) are selected by so few examinees that they are essentially nonfunctional. However, nearly all studies have defined a distractor as nonfunctional if it is selected by fewer than 5% of examinees.
Medical Teacher: Volume 40 - Issue 11 - p 1143-1150
This study explores a novel milestone-based workplace assessment system that was implemented in 15 pediatrics residency programs. The system provided: web-based multisource feedback and structured clinical observation instruments that could be completed on any computer or mobile device; and monthly feedback reports that included competency-level scores and recommendations for improvement.