
RESEARCH LIBRARY
RESEARCH LIBRARY
View the latest publications from members of the NBME research team
Advances in Health Sciences Education
Recent advancements enable replacing MCQs with SAQs in high-stakes assessments, but prior research often used small samples under low stakes and lacked time data. This study assesses difficulty, discrimination, and time in a large-scale high-stakes context
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.