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Solving Not Answering. Validation of Guidance for Writing Higher-Order Multiple-Choice Questions in Medical Science Education

Maria Xiromeriti Orcid Logo, Phil Newton Orcid Logo

Medical Science Educator, Volume: 34, Issue: 6, Pages: 1469 - 1477

Swansea University Author: Phil Newton Orcid Logo

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Abstract

Problem-solving and higher-order learning are goals of higher education. It has been repeatedly suggested that multiple-choice questions (MCQs) can be used to test higher-order learning, although objective empirical evidence is lacking and MCQs are often criticised for assessing only lower-order, fa...

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Published in: Medical Science Educator
ISSN: 2156-8650
Published: Springer Science and Business Media LLC 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa67367
Abstract: Problem-solving and higher-order learning are goals of higher education. It has been repeatedly suggested that multiple-choice questions (MCQs) can be used to test higher-order learning, although objective empirical evidence is lacking and MCQs are often criticised for assessing only lower-order, factual, or ‘rote’ learning. These challenges are compounded by a lack of agreement on what constitutes higher order learning: it is normally defined subjectively using heavily criticised frameworks such as such as Bloom’s taxonomy. There is also a lack of agreement on how to write MCQs which assess higher order learning. Here we tested guidance for the creation of MCQs to assess higher-order learning, by evaluating the performance of students who were subject matter novices, vs experts. We found that questions written using the guidance were much harder to answer when students had no prior subject knowledge, whereas lower-order questions could be answered by simply searching online. These findings suggest that questions written using the guidance do indeed test higher-order learning, and such MCQs may be a valid alternative to other written assessment formats designed to test higher-order learning, such as essays, where reliability and cheating are a major concern.
Keywords: Digital education; Bloom’s taxonomy; Assessment; Higher-order learning
College: Faculty of Medicine, Health and Life Sciences
Funders: Swansea University
Issue: 6
Start Page: 1469
End Page: 1477