Brooks C M, Dismukes W E, Williams G R, Brown S
Med Educ. 1982 Jan;16(1):12-6. doi: 10.1111/j.1365-2923.1982.tb01212.x.
The development and utilization of multiple-choice test items and the utilization of computer technology have significantly altered evaluation practices in medical schools. This paper describes the development and implementation of a computer-based multiple-choice test item-bank for use in a junior medicine clerkship. The computer program, ITEM-BANK, is an interactive system that stores and edits test items and constructs and prints an original copy of each test. Tests can be produced almost immediately by the clerical staff and the total developmental costs have been minimal. The program has reduced the amount of teaching time required to develop tests, and has enhanced the learning of essential information by medical students and residents. Teaching staff and student response has been enthusiastic and positive. Statistically significant Pearson correlation coefficients have been obtained between student performance on these tests and clinical evaluation and NBME Part II scores. The program has made a valuable contribution to the improvement of evaluation procedures in the Internal Medicine clerkship.
多项选择题的开发与利用以及计算机技术的应用，极大地改变了医学院校的评估方式。本文描述了一个用于初级医学实习的基于计算机的多项选择题题库的开发与实施情况。计算机程序ITEM - BANK是一个交互式系统，它存储和编辑试题，并生成和打印每份试卷的原始副本。文职人员几乎可以立即生成试卷，而且总的开发成本极低。该程序减少了编制试卷所需的教学时间，增强了医学生和住院医生对重要信息的学习。教师和学生的反应热烈且积极。在这些考试中学生的成绩与临床评估以及美国国家医学考试委员会（NBME）第二部分的分数之间，获得了具有统计学意义的皮尔逊相关系数。该程序为内科实习评估程序的改进做出了宝贵贡献。
