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期刊俱乐部:主要放射学杂志继续医学教育活动中存在缺陷的多项选择题的患病率

Journal Club: Prevalence of flawed multiple-choice questions in continuing medical education activities of major radiology journals.

作者信息

DiSantis David J, Ayoob Andres R, Williams Lindsay E

机构信息

1 All authors: Department of Radiology, University of Kentucky College of Medicine, Chandler Hospital, Rm HX-315A, 800 Rose St, Lexington, KY 40536.

出版信息

AJR Am J Roentgenol. 2015 Apr;204(4):698-702. doi: 10.2214/AJR.13.11963.

DOI:10.2214/AJR.13.11963
PMID:25794058
Abstract

OBJECTIVE

The purpose of this study was to assess whether the continuing medical education (CME) multiple-choice questions (MCQs) in three major radiology journals adhere to standard question-writing principles.

MATERIALS AND METHODS

All CME MCQs (total of 181) in the January 2013 editions of the AJR, RadioGraphics, and Radiology composed the test sample. Each question was evaluated by three reviewers for compliance with seven MCQ-writing guidelines that have been documented in the medical education literature as associated with frequent flaws in medical CME.

RESULTS

Seventy-eight of the 181 (43%) questions contained one to four flaws.

CONCLUSION

A large fraction of radiology CME questions violate standard question-writing principles.

摘要

目的

本研究旨在评估三大放射学杂志中的继续医学教育(CME)多项选择题(MCQs)是否符合标准的出题原则。

材料与方法

2013年1月版的《美国放射学杂志》(AJR)、《放射影像学》(RadioGraphics)和《放射学》(Radiology)中的所有CME MCQs(共181道)构成测试样本。由三位评审员对每道题进行评估,看其是否符合七条MCQ出题指南,这些指南在医学教育文献中已被记录,与医学CME中常见的缺陷相关。

结果

181道题中有78道(43%)存在一至四个缺陷。

结论

很大一部分放射学CME问题违反了标准的出题原则。

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The Generation and Use of Medical MCQs: A Narrative Review.医学多项选择题的生成与应用:一篇叙述性综述
Adv Med Educ Pract. 2025 Aug 5;16:1331-1340. doi: 10.2147/AMEP.S513119. eCollection 2025.
2
Experiences from Two Ways of Integrating Pre- and Post-course Multiple-choice Assessment Questions in Educational Events for Surgeons.外科医生教育活动中课程前后多项选择题评估问题两种整合方式的经验
J Eur CME. 2021 May 13;10(1):1918317. doi: 10.1080/21614083.2021.1918317.