Volume 14, Issue 7 (10-2014)                   Iranian Journal of Medical Education 2014, 14(7): 594-604 | Back to browse issues page

PMID: 27554915

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() MD, PhD candidate in medical education, Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran. Email: Sa_mortazhejri@razi.tums.ac.ir , sa_mortazhejri@razi.tums.ac.ir
Abstract:   (34076 Views)
Introduction: Guessing is one of the most challenging issues in multiple choice questions. Several strategies, such as negative scoring, have been suggested for preventing students from choosing the right answer just by chance. However, there is no general agreement on using such strategies. The aim of this study was to review the scoring methods which are used for reducing guessing, and evaluate their strengths and weaknesses. Methods: This review study was performed by manual searching (library resources) as well as electronic searching of online databases, such as PubMed, EBSCO, Elsevier, ERIC, and Google Scholar. The key words were guessing, negative scoring, and confidence assessment model and Multiple Choice Questions. All the relevant available articles were retrieved and reviewed. Results: Out of 60 articles found, a number of 43 were selected including, 29 original articles, 11 review articles and 3 letters. Different strategies and scoring methods for preventing guessing were elicited including avoiding erroneous test items, increasing cognitive levels and question taxonomy, increasing the number of choices per question, negative scoring, using "I do not know" option, Reliability Assessment Model, delete option and free choice. Subsequently, the impact of these strategies on students’ scores and the tests’ psychometric properties were discussed. Conclusion: It was concluded that there was no consensus over the utilization and effectiveness of these strategies. Furthermore, these strategies were found to be ineffective in correcting the guessing effect impact on the reliability and validity of tests, as their main function is merely discouraging test takers to guess. Hence, it is suggested that the type of the exam in terms of being formative/summative and norm/criterion-referenced assessment be considered. Also it is necessary to inform students about the specific scoring method used and its consequences before the exam.
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Type of Study: Review article | Subject: other
Received: 2014/04/27 | Accepted: 2014/09/13 | Published: 2014/09/30 | ePublished: 2014/09/30

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