title: Medical student web-based formative assessment tool for renal pathology.
abstract: BACKGROUND
  Web-based formative assessment tools have become widely recognized in medical education as valuable resources for self-directed learning.
  
  
  OBJECTIVE
  To explore the educational value of formative assessment using online quizzes for kidney pathology learning in our renal pathophysiology course.
  
  
  METHODS
  Students were given unrestricted and optional access to quizzes. Performance on quizzed and non-quizzed materials of those who used ('quizzers') and did not use the tool ('non-quizzers') was compared. Frequency of tool usage was analyzed and satisfaction surveys were utilized at the end of the course.
  
  
  RESULTS
  In total, 82.6% of the students used quizzes. The greatest usage was observed on the day before the final exam. Students repeated interactive and more challenging quizzes more often. Average means between final exam scores for quizzed and unrelated materials were almost equal for 'quizzers' and 'non-quizzers', but 'quizzers' performed statistically better than 'non-quizzers' on both, quizzed (p=0.001) and non-quizzed (p=0.024) topics. In total, 89% of surveyed students thought quizzes improved their learning experience in this course.
  
  
  CONCLUSIONS
  Our new computer-assisted learning tool is popular, and although its use can predict the final exam outcome, it does not provide strong evidence for direct improvement in academic performance. Students who chose to use quizzes did well on all aspects of the final exam and most commonly used quizzes to practice for final exam. Our efforts to revitalize the course material and promote learning by adding interactive online formative assessments improved students' learning experience overall.
authors.affiliation: Harvard Medical School, Boston, MA, USA.|Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA; VBijol@partners.org.
authors.forename: Vanesa
authors.initials: V
authors.lastname: Bijol
authors.affiliation: Harvard Medical School, Boston, MA, USA.|Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: Cathryn J
authors.initials: CJ
authors.lastname: Byrne-Dugan
authors.affiliation: Harvard Medical School, Boston, MA, USA.|Division of Nephrology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
authors.forename: Melanie P
authors.initials: MP
authors.lastname: Hoenig
mesh_terms: D003194:Computer-Assisted Instruction / Q000379:methods*; D004501:Education, Medical / Q000379:methods*; D006801:Humans; D020407:Internet; D007674:Kidney Diseases / Q000503:physiopathology*; D007858:Learning
keywords: curriculum; formative assessment; medical education; pathology; quiz
references.citation: BMC Med Educ. 2008;8:52
references.pmid: 19032738
references.citation: Med Teach. 2008 Jun;30(5):455-73
references.pmid: 18576185
references.citation: Adv Health Sci Educ Theory Pract. 2006 May;11(2):155-71
references.pmid: 16729243
references.citation: Acad Med. 2002 Oct;77(10 Suppl):S86-93
references.pmid: 12377715
references.citation: Med Teach. 2002 Jul;24(4):412-6
references.pmid: 12193326
references.citation: Pathology. 2002 Jun;34(3):282-4
references.pmid: 12109792
references.citation: Teach Learn Med. 2011 Apr;23(2):125-9
references.pmid: 21516598
references.citation: Clin J Am Soc Nephrol. 2011 Jun;6(6):1501-6
references.pmid: 21551020
references.citation: Adv Physiol Educ. 2012 Jun;36(2):108-15
references.pmid: 22665425
references.citation: Am J Pharm Educ. 2012 Dec 12;76(10):196
references.pmid: 23275661
references.citation: Clin J Am Soc Nephrol. 2013 Jun;8(6):1054-60
references.pmid: 23293124
references.citation: Adv Chronic Kidney Dis. 2013 Jul;20(4):326-35
references.pmid: 23809285
references.citation: Acad Med. 2013 Oct;88(10):1407-10
references.pmid: 23969367
references.citation: J Exp Psychol Appl. 2014 Mar;20(1):3-21
references.pmid: 24274234
references.citation: Anat Sci Educ. 2015 Jan-Feb;8(1):37-44
references.pmid: 24596276
references.citation: Med Teach. 2015 Apr;37(4):327-30
references.pmid: 24934251
references.citation: Med Educ Online. 2010;15. doi: 10.3402/meo.v15i0.4856
references.pmid: 20174615
references.citation: Acad Med. 2008 Dec;83(12):1174-8
references.pmid: 19202495