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Computer Adaptive vs. Non-adaptive Medical Progress Testing: Feasibility, Test Performance, and Student Experiences.
- Source :
-
Perspectives on medical education [Perspect Med Educ] 2024 Jul 26; Vol. 13 (1), pp. 406-416. Date of Electronic Publication: 2024 Jul 26 (Print Publication: 2024). - Publication Year :
- 2024
-
Abstract
- Background: Computerized adaptive testing tailors test items to students' abilities by adapting difficulty level. This more efficient, and reliable assessment form may provide advantages over a conventional medical progress test (PT). Prior to our study, a direct comparison of students' performance on a computer adaptive progress test (CA-PT) and a conventional PT, which is crucial for nationwide implementation of the CA-PT, was missing. Therefore, we assessed the correlation between CA-PT and conventional PT test performance and explored the feasibility and student experiences of CA-PT in a large medical cohort.<br />Methods: In this cross-over study medical students (n = 1432) of three Dutch medical schools participated in both a conventional PT and CA-PT. They were stratified to start with either a conventional PT or CA-PT to determine test performance. Student motivation, engagement and experiences were assessed by questionnaires in students from seven Dutch medical schools. Parallel-forms reliability was assessed using the Pearson correlation coefficient.<br />Results: A strong correlation was found (0.834) between conventional PT and CA-PT test performance. The CA-PT was administered without system performance issues and was completed in a median time of 83 minutes (67-102 minutes). Questionnaire response rate was 31.7% (526/1658). Despite a higher experienced difficulty, most students reported persistence, adequate task management and good focus during the CA-PT.<br />Conclusions: CA-PT provides a reliable estimation of students' ability level in less time than a conventional non-adaptive PT and is feasible in students throughout the entire medical curriculum. Despite the strong correlation between PT scores, students found the CA-PT more challenging.<br />Competing Interests: The authors have no competing interests to declare.<br /> (Copyright: © 2024 The Author(s).)
- Subjects :
- Humans
Netherlands
Male
Female
Surveys and Questionnaires
Cross-Over Studies
Education, Medical, Undergraduate methods
Reproducibility of Results
Educational Measurement methods
Educational Measurement statistics & numerical data
Students, Medical statistics & numerical data
Students, Medical psychology
Feasibility Studies
Subjects
Details
- Language :
- English
- ISSN :
- 2212-277X
- Volume :
- 13
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Perspectives on medical education
- Publication Type :
- Academic Journal
- Accession number :
- 39071727
- Full Text :
- https://doi.org/10.5334/pme.1345