title: Patients don't present with five choices: an alternative to multiple-choice tests in assessing physicians' competence.
abstract: OBJECTIVE
  To evaluate an open-ended, computer-scored testing format designed to overcome certain limitations of multiple-choice questions.
  
  
  METHODS
  Test items covering content in family medicine were administered in two different formats to 7,036 resident physicians in 380 training programs, and to 35 experienced, board-certified physicians in conjunction with the In-training Examination of the American Board of Family Practice. Examinees completed a booklet of 40 open-ended, uncued (UnQ) test items by selecting the answer to each item from a list of over 500 responses. Similar items were administered using the standard multiple-choice question (MCQ) format. One year later, another test of 40 UnQ test items dealing with core content in family medicine was administered to 7,138 residents.
  
  
  RESULTS
  Examinees completed over 560,000 UnQ responses with high compliance and few errors. Both reliability and validity for the UnQ format were higher than for the MCQ format, and the UnQ items discriminated more accurately among levels of physicians' experience. The UnQ format almost eliminated the possibility that the physicians could answer questions by sight recognition or random guessing, and it was particularly effective in measuring knowledge of core content.
  
  
  CONCLUSIONS
  This study supports the feasibility of administering open-ended test items to enhance tests of physicians' competence.
authors.affiliation: Center for Research in Medical Education and Health Care, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. jon.vloski@mail.tju.edu
authors.forename: J J
authors.initials: JJ
authors.lastname: Veloski
authors.forename: H K
authors.initials: HK
authors.lastname: Rabinowitz
authors.forename: M R
authors.initials: MR
authors.lastname: Robeson
authors.forename: P R
authors.initials: PR
authors.lastname: Young
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004521:Educational Measurement; D005194:Family Practice / Q000193:education*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D012189:Retrospective Studies