Constructing EMQs, SAQs, & Case-based MCQs Building the Bank, the Plan

1. Constructing EMQs, SAQs, & Case-based MCQsBuilding the Bank, the Plan Jerome De Lisle

2. Step 1: Development of Prototype • Items submitted to & collated by Prof Omer • Series of Editorial Reviews managed by CMSE • Final Approval by Administrative team • Assembly & Printing by CMSE • Administration by Department • Analysis by J. De Lisle • Report to Department by J. De Lisle & team • University Report by Prof Omer & De Lisle • Possible studies, presentations - writers

3. Step 2: Development of an Item Bank

4. Our Greatest Fear! • Purposeful memorization of the content from a bank or an administered test

5. Examples of Purposeful Memorization http://www.aippg.com/plab-uk/EMQs/default.htm Below are various plab EMQs asked in past plab exams. Save these PDF files to your computer. . 1) PLAB September 2002 Exam paper: 2002_september_plab_emqs.pdf 39 Kb2)PLAB July 2002 Exam paper: 2002_july_plab_emq.pdf 301 Kb2)PLAB May 2002 Exam paper: 2002_may_plab_emq.pdf 45 Kb

6. September 2002, PLAB Part 1 Exam 1.THEME:Management of diarrhoea in children. OPTIONS: a.5% dextrose b.0.9%saline c.5% dextrose and .45% saline d.50 ml per kg ORT over 4 hours e.150 ml per kg ORT over 4 hours f.150 ml per kg ORT over 24 hours g.Amoxicillin h.Trimethoprim-Sulphamethoxazole i.Anti diarrhoeals j.Anti emetics j Lactose free diet 1.8 month old child with h/o diarrhoea 8 episodes in the last 24 hours 2.Child with diarrhoea and vomiting for past 3 days. 3.Child with Shigella dysentery. 4.A bottle fed baby with diarrhoea,urine reducing substance positive http://www.aippg.com/plab-uk/ Recollected PLAB EMQS

7. At Mona BHS & St. Augustine • Students collate questions immediately after completing tests. Made available to Students • Hard copies available at St. Augustine

8. Steps to be taken to prevent intrusions into Bank • Suggested Numbers in Item Pool • 200 MCQs per year from 1000 Bank • 40 EMQs per year from 200 bank • 20 SAQs per year from 120 bank

9. Steps to be taken to prevent intrusions into Bank • Banking ensures equivalency of tests and higher quality. • Examinations can be planned and tailored

10. Steps to be taken to prevent intrusions into Bank • New items will be tested in CDT item pool administered at Clerkship Level (2004) • Size of bank limited because tests will be tailored in Phase 2 (2005) (120 MCQs, 60 EMQs, 20 SAQs)

11. Steps to be taken to prevent intrusions into Bank • System of Item Harvesting set up to ensure semi-annual additions to bank • Writers includes all other Campuses, associates & Interested Persons • Structure & Venue (Kapok) of First Item Harvesting Exercise • Day 1: Principles of Item writing • Day 2: Targeted Item Writing (MCQs) • Day 3: Targeted Item Writing (EMQs/SAQs) • Day 4: Administrative Review (Faculty)

12. Structure of Set-Up at Once Item Havesting Workshop • Expected Attendance 15 groups of 5 • Team Leader Appointed • Within group, both individual and team writing • Yield per group 120 MCQs, 20 EMQs, 10 SAQs • Themes, Content, Objectives provided by St. Augustine

13. Steps to be taken to prevent intrusions into Bank • Continuous Review of items using item analysis by administrative team • Modification of distractors results in new item • Items banked with multiple cases, alternative set of distractors, with or without data set.

14. Steps to be taken to prevent intrusions into Bank • Other Security Measures • Restricted Physical Access to Bank • Encryption systems implemented • Check & disposal of Scripts