Mohammad Reza Mahmoodi
Abstract
Objectives The purpose of this study was to evaluate the improvement of students’ ability to answer consecutive patient management problem (PMP) and modified essay question (MEQ) exams, to assess its relationship with academic progress, and to determine whether consecutive PMP-MEQ exams can improve ...
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Objectives The purpose of this study was to evaluate the improvement of students’ ability to answer consecutive patient management problem (PMP) and modified essay question (MEQ) exams, to assess its relationship with academic progress, and to determine whether consecutive PMP-MEQ exams can improve the students’ clinical reasoning skills by improving the test scores. Methods This descriptive, analytical, cross-sectional study consisted of 67 third-year nutrition students in three consecutive years, who were asked to prepare for a multiple-choice question (MCQ) test and consecutive PMP-MEQ exams. The students were required to answer PMP-MEQ exam, which comprised of two queries of five-choice question (PMP) and three short-answer questions (MEQ). Repeated measures ANOVA, independent -test, paired -test, and Pearson’s correlation test were used for statistical analysis. Results The mean difference in PMP scores was significant between the three periods (P = 0.0001). However, the difference in the mean score of PMP exam between students with grade point average (GPA) ≥ 16 and GPA < 16 was not significant, except for PMP3 (P = 0.001). An increase was observed in the scores of students in both groups by continuous PMP examination. The significant mean difference in PMP3 exam showed that improvement of students with GPA ≥ 16 was greater than that of students with GPA < 16 (P = 0.001). The difference in the mean scores of MCQ and PMP exams was significant, except for the third PMP exam in students with GPA ≥ 16 (P = 0.143). Conclusions Use of PMP-MEQ exams in reasoning-based clinical education can be a suitable approach for clinical evaluation of undergraduate students. Also, continuous PMP-MEQ examination can improve the clinical reasoning of students, mainly those with GPA ≥ 16.
Mohammad Reza Mahmoodi; Mahmood-Reza Dehghani
Volume 11, Issue 2 , August 2014, , Pages 187-195
Abstract
Background & Objective: The present study aimed to compare the students ability in answering to patient management problem (PMP) and modified essay question (MEQ) examination with multiplechoice question (MCQ) examination and its association with educational promotion Methods: This ...
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Background & Objective: The present study aimed to compare the students ability in answering to patient management problem (PMP) and modified essay question (MEQ) examination with multiplechoice question (MCQ) examination and its association with educational promotion Methods: This research carried out in two sections descriptiveanalytic and qualitative on 76 nutrition students of Kerman University of Medical Sciences Iran who were selected by census The first and second examinations were PMPMEQ and MCQ respectively Educational promotion variables were grade point average (GPA) in 5 sequence semesters and GPA in current semester The other variables were the grade in food toxicology course the scores in PMPMEQ PMP and MEQ exams and MCQ exam The second section was designed with the aim of comparing the overview of students in regard to PMPMEQ and MCQ exams Data were analyzed by descriptive and analytic statistics Results: The association between educational promotion variables and mark of food toxicology course and MCQ exam were statistically significant (P < 0001) however there was not a statistically significant association between these variables and the other variables Mean differences scores of MCQ and food toxicology course were significant (P < 0001) however scores of PMPMEQ test and PMP and MEQ sections in two students groups based on categorized GPA were not statistically significant Conclusion: Therefore the students inability in answering to PMP and MEQ examination in comparing to the MCQ examination format was showed students incapability in evaluation of clinical competence even with regard to their high GPA and scientific knowledge
