KMID : 1038320180150010028
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º¸°ÇÀÇ·á±³À°Æò°¡ 2018 Volume.15 No. 1 p.28 ~ p.28
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Comparison of level of cognitive process between case-based items and non-case-based items of the interuniversity progress test of medicine in the Netherlands
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Cecilio-Fernandes Dario
Kerdijk Wouter Bremers Andre J. Aalders Wytze Tio Rene A.
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Abstract
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Purpose: It is assumed that case-based questions require higher order cognitive processing, whereas questions that are not case-based require lower order cognitive processing. In this study, we investigated to what extent case-based questions and questions that are not case-based, relate to Bloom¡¯s taxonomy.
Method: In this article, 4800 questions of the Progress Test were classified whether it was a case-based question and the level of Bloom¡¯s taxonomy. Lower-order questions require students to remember or/and basically understand the knowledge. Higher-order questions require students to apply, analyze, or/and evaluate. A phi-coefficient was calculated to investigate the relations between the presence of case-based questions and the required level of cognitive processing.
Results: Our results demonstrated that case-based questions were measuring higher levels of cognitive processing in 98.1% of the questions. Of the non-case-based questions, 33.7% required a higher level of cognitive processing. The phi-coefficient demonstrated a significant moderate correlation between the presence of a patient case in a question and its required level of cognitive processing (phi-coefficient = 0.55, p<0.001).
Conclusion: Medical teachers should be aware of the association between item formats (case-based versus non-case-based) and the cognitive processes they elicit in order to meet a certain balance in a test, taking the learning objectives as well as the test difficulty into account.
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KEYWORD
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educational assessment, educational measurement, medical education, progress test, Bloom¡¯s taxonomy
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