Nurse and woman talking


NBME offers a variety of workshops on assessment-related topics and provides expert consultation for medical schools and health profession organizations.

Item Writing Workshop

NBME Item Writing Workshops

NBME Item Writing Workshops give you the tools to develop exam questions that more effectively test your students’ knowledge.

Workshops are designed and administered by a team of internationally recognized experts in the fields of test development, psychometrics, and medical education research.

NBME Item Writing Guide

NBME Item Writing Guide

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 guide covers the basics of writing exam questions and recent innovations in test development, such as implementing patient characteristics in items. 

Additional Workshop Topics

  • Examination planning and blueprinting
  • Standard-setting, item analysis, and other psychometric activities
  • Item-writing process management

Free Online Item Writing Tutorial

NBME's Online Writing Tutorial is a self-paced interactive tutorial that provides a foundation for writing quality multiple-choice questions. It gives you instant access to a walkthrough on the main principles of exam item writing and strategies for evaluating exam content.


In addition to workshops, NBME provides expert consultation for specialized projects and initiatives related to medical education, testing, and research for medical schools and health profession organizations. This includes making recommendations regarding the optimal mode for test delivery, and assuring high-quality, efficient, and timely scoring and analysis of exams. 

The NBME research team also supports organizations that face unique measurement concerns or issues that require focused investigation or experimentation.