Comparison between key feature exam and multiple choice questions in internal medicine department of Shiraz University of medical sciences

AUTHORS

Mitra Amini 1 , Mohsen Moghaddami 2 , * , Farhad Lotfi 3 , Raziyeh Kazempour 4 , Elahe Abdolfathi 5

1 Associate Professor Department of Medical Education, Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Associate Professor Department of Internal Medeicin, Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

3 MSc of Medical Education, Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

4 General Practitioner, Shiraz University of Medical Sciences, Shiraz, Iran.

5 Internal Medicine Specialist, Shiraz University of Medical Sciences, Shiraz, Iran.

How to Cite: Amini M, Moghaddami M, Lotfi F, Kazempour R, Abdolfathi E. Comparison between key feature exam and multiple choice questions in internal medicine department of Shiraz University of medical sciences, Hormozgan Med J. 2013 ; 17(3):e88180.

ARTICLE INFORMATION

Hormozgan Medical Journal: 17 (3); e88180
Published Online: July 07, 2012
Article Type: Research Article
Received: October 31, 2011
Accepted: July 07, 2012

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Abstract

Introduction: Clinical reasoning skills play a major role in the ability of doctors to make
diagnosis and reach treatment decisions. This study is a report of use an innovative
assessment tool: key feature exam, in problem solving domain. The main purpose of this
study was to compare key feature results with routine multiple choice questions in internal
medicine department.
Methods: Final year internal medicine students (n=100) of Shiraz medical school
participated in this study. They implemented in multiple choice questions exam; then
participated in key feature exam. Reliability, item’s difficulty level and item’s total
correlation as discriminative index, about key feature exam have been considered.
Results: The maximum, minimum and mean scores of the students in key feature exam
were 23.7, 41.2 and 30.91, respectively. The reliability of key feature exam was 0.68
(chronbach’s alpha). The item’s difficulty level scores were between 0.3-0.8 in all key
feature questions and item’s total correlation was 0.16-0.54. Correlation between key feature
exam and multiple choice questions exam was 0.25 (P<0.05).
Conclusion: The results of the present study suggest that key feature examination may be a
better method for evaluating clinical reasoning skills of medical students.

Keywords

Internal Medicine Department – Medical Students - Shiraz

© 2013, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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