MRCP(UK) Central Office, Royal College of Physicians, London.
Clin Med (Lond). 2011 Jun;11(3):227-30. doi: 10.7861/clinmedicine.11-3-227.
Both the MRCP(UK) written examinations and the specialty certificate examinations (SCEs) use single-best-answer questions to assess the knowledge and problem-solving skills of physicians in training. Since 1999, specialists and senior trainees have created large banks of questions for these examinations that cover the relevant curricula. Question-writing workshops provide detailed guidance on the design of questions that discriminate between candidates of differing ability, in a format and a style that aid speed reading and comprehension. Each question drafted is subjected to face-to-face peer review and subsequent stages of academic scrutiny before reaching the question bank, and later during the exacting processes of question selection and standard setting. Feedback to question writers at every level of scrutiny helps to support the development of question-writing competence, and the analysis of individual question performance provides some insight into optimal question design.
MRCP(UK) 理论考试和专业证书考试（SCEs）均采用单项最佳答案问题来评估培训医师的知识和解决问题的能力。自 1999 年以来，专家和高级学员已经为这些考试创建了涵盖相关课程的大量问题库。问题编写研讨会为问题设计提供了详细的指导，这些问题可以区分不同能力的候选人，采用的格式和风格有助于快速阅读和理解。每个起草的问题都要经过面对面的同行评审和后续的学术审查，然后才能进入题库，之后在严格的问题选择和标准制定过程中还要进行审查。在每个审查阶段向问题编写者提供反馈有助于支持问题编写能力的发展，而对个别问题表现的分析则可以深入了解最佳问题设计。
