title: Item analysis of examinations in the Faculty of Medicine of Tunis.
abstract: Introduction Item analysis is the process of collecting, summarizing and using information from students' responses to assess test items' quality. This study used this approach to evaluate the quality of items and examinations given in the Faculty of Medicine of Tunis (FMT).    Methods This study concerned the examinations of 2012-2013 (principal session). It analyzed 3138 items from 66 examinations, of which, 46 were multidisciplinary (187 disciplines). A total of 2515 students took the examinations. "AnItem.xls" file was used for the analysis that focused on difficulty, discrimination and internal consistency.  Results Mean difficulty for all examinations was optimum (mean difficulty index: 0.59). Majority of items (89.17%) were either easy or of acceptable difficulty. Mean discrimination for all examinations was moderate (mean item discrimination coefficient: 0.28) with poor discrimination in 23.62% of items. Maximal discrimination occurred with disciplines of difficulty index between 0.4-0.6. « Ideal » items represented 27.02%. Mean internal consistency for all examinations was acceptable (Cronbach's alpha: 0.79). Disciplines with nonacceptable internal consistency (68.45%) contained a maximum of 33 items (each one) and a positive correlation between their alpha and the number of their questions. Distributions were mostly (72.73%) platykurtic and negatively asymmetric (89.39%). First year of studies had the best parameters. Conclusion Our examinations had an acceptable internal consistency, and a good level of difficulty and discrimination. They tended to facility and discriminated basically students of medium level. Item analysis is useful as a guide to item writers to improve the overall quality of questions in the future.
authors.forename: Amene
authors.initials: A
authors.lastname: Hermi
authors.forename: Wafa
authors.initials: W
authors.lastname: Achour
mesh_terms: D004501:Education, Medical / Q000379:methods*; D004521:Educational Measurement / Q000592:standards*; D006801:Humans; D013337:Students, Medical; D014416:Tunisia