Dickie G L, Bass M J, Spitzer W O, Roberts R S
J Fam Pract. 1981 Dec;13(7):1031-5.
Multiple choice questions used in continuing medical education may require characteristics different from those used in tests and examinations. The questions of three continuing education exercise were assessed by 48 board certified family physicians. Each physician answered one third of the questions and then judged them on usefulness in patient management, as discriminators of quality of medical care, and on educational value. The relevance of each question was determined by a composite index based on these factors. The content of each question was independently analyzed by three physicians. Relevant questions tended to be those concerned with surgery, symptoms, and management, and those requiring more than simple factual recall. Questions on office management or concerning specific diagnoses were considered less relevant. Neither the manner of asking the question nor the severity of the illness appeared to influence relevance. This information should benefit those developing continuing education programs for family physicians, especially those designed for self-administered individual learning.
继续医学教育中使用的多项选择题可能需要具备与测试和考试中使用的题目不同的特点。48名获得委员会认证的家庭医生对三项继续医学教育练习中的题目进行了评估。每位医生回答了三分之一的题目，然后就这些题目在患者管理中的有用性、作为医疗质量的鉴别工具以及教育价值进行评判。每个题目的相关性由基于这些因素的综合指数确定。每个题目的内容由三位医生独立分析。相关的题目往往是那些与外科手术、症状和管理有关的，以及那些需要的不仅仅是简单事实性回忆的题目。关于办公室管理或特定诊断的题目被认为相关性较低。提问方式和疾病的严重程度似乎都不会影响相关性。这些信息应该会对那些为家庭医生制定继续医学教育计划的人有所帮助，尤其是那些为自我管理的个人学习而设计的计划。
