Crowdsourcing for assessment items to support adaptive learning |
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Authors: | Sean Tackett Mark Raymond Rishi Desai Steven A. Haist Amy Morales Shiv Gaglani |
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Affiliation: | 1. Department of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland;2. Osmosis, Baltimore, MD, USA;3. stacket1@jhmi.edu;5. National Board of Medical Examiners, Philadelphia, PA, USA;6. Osmosis, Baltimore, MD, USA;7. Stanford University School of Medicine, Palo Alto, CA, USA;8. Johns Hopkins University School of Medicine, Baltimore, MD, USA |
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Abstract: | AbstractPurpose: Adaptive learning requires frequent and valid assessments for learners to track progress against their goals. This study determined if multiple-choice questions (MCQs) “crowdsourced” from medical learners could meet the standards of many large-scale testing programs.Methods: Users of a medical education app (Osmosis.org, Baltimore, MD) volunteered to submit case-based MCQs. Eleven volunteers were selected to submit MCQs targeted to second year medical students. Two hundred MCQs were subjected to duplicate review by a panel of internal medicine faculty who rated each item for relevance, content accuracy, and quality of response option explanations. A sample of 121 items was pretested on clinical subject exams completed by a national sample of U.S. medical students.Results: Seventy-eight percent of the 200 MCQs met faculty reviewer standards based on relevance, accuracy, and quality of explanations. Of the 121 pretested MCQs, 50% met acceptable statistical criteria. The most common reasons for exclusion were that the item was too easy or had a low discrimination index.Conclusions: Crowdsourcing can efficiently yield high-quality assessment items that meet rigorous judgmental and statistical criteria. Similar models may be adopted by students and educators to augment item pools that support adaptive learning. |
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