title: Can paediatric medical students devise a satisfactory standard of examination for their colleagues?
abstract: OBJECTIVE
  To determine what standard paediatric medical students would set for examining their peers and how that would compare with the university standard.
  
  
  METHODS
  Single blinded computer marked examination with questionnaire.
  
  
  METHODS
  University medical school.
  
  
  METHODS
  Medical students during their final paediatric attachment.
  
  
  METHODS
  Medical students asked to derive 10, five branch negatively marked multiple choice questions (MCQs) to a standard that would fail those without sufficient knowledge. Each 10 were then assessed by another student as to the degree of difficulty and the relevance to paediatrics. One year later student peers sat a mock MCQ examination derived from a random 40 questions (unaware that the mock MCQs had been derived by peers).
  
  
  METHODS
  Comparison of marks obtained in mock and final MCQ examinations; student perception of the standard in the two examinations assessed by questionnaire.
  
  
  RESULTS
  44 students derived 439 questions, of which 83% were considered an appropriate standard by a classmate. One year later 62 students sat the mock examination. Distribution of marks was better in the mock MCQ examination than the final MCQ examination. Students considered the mock questions to be a more appropriate standard (72% v 31%) and the topics more relevant (88% v 64%) to paediatric medical students. Questions were of a similar clarity in both examinations (73% v 78%).
  
  
  CONCLUSIONS
  Students in this study were able to derive an examination of a satisfactory standard for their peers. Involvement of students in deriving examination standards may give them a better appreciation of how standards should be set and maintained.
authors.affiliation: Department of Child Life and Health, University of Edinburgh, 20 Sylvan Place, Edinburgh, EH9 1UW, UK. steve.cunningham@talk21.com
authors.forename: S
authors.initials: S
authors.lastname: Cunningham
mesh_terms: D002648:Child; D004503:Education, Medical, Graduate / Q000592:standards*; D004521:Educational Measurement / Q000379:methods / Q000592:standards*; D006801:Humans; D010372:Pediatrics / Q000193:education*; D012606:Scotland; D016037:Single-Blind Method; D013337:Students, Medical