标题：Comparison of the level of cognitive processing between case-based items and non-case-based items on the Interuniversity Progress Test of Medicine in the Netherlands
期刊名称：Journal of Educational Evaluation for Health Professions
电子版ISSN：1975-5937
出版年度：2018
卷号：15
期号：1
页码：1-5
DOI：10.3352/jeehp.2018.15.28
语种：English
出版社：Korea Health Insurance Licensing Examination Institute
摘要：Purpose:It is assumed that case-based questions require higher-order cognitive processing,whereas questions that are not case-based require lower-order cognitive processing.In this study,we investigated to what extent case-based and non-case-based questions followed this assumption based on Bloom’s taxonomy.Methods:In this article,4,800 questions from the Interuniversity Progress Test of Medicine were classified based on whether they were case-based and on the level of Bloom’s taxonomy that they involved.Lower-order questions require students to remember or/and have a basic understanding of knowledge.Higher-order questions require students to apply,analyze,or/and evaluate.The phi coefficient was calculated to investigate the relationship between whether questions were case-based and the required level of cognitive processing.Results:Our results demonstrated that 98.1% of case-based questions required higher-level cognitive processing.Of the non-case-based questions,33.7% required higher-level cognitive processing.The phi coefficient demonstrated a significant,but moderate correlation between the presence of a patient case in a question and its required level of cognitive processing (phi coefficient= 0.55,P< 0.001).Conclusion:Medical instructors should be aware of the association between item format (case-based versus non-case-based) and the cognitive processes they elicit in order to meet the desired balance in a test,taking the learning objectives and the test difficulty into account.
关键词：Purpose:It is assumed that case-based questions require higher-order cognitive processing,whereas questions that are not case-based require lower-order cognitive processing.In this study,we investigated to what extent case-based and non-case-based questions followed this assumption based on Bloom’s taxonomy.Methods:In this article,4,800 questions from the Interuniversity Progress Test of Medicine were classified based on whether they were case-based and on the level of Bloom’s taxonomy that they involved.Lower-order questions require students to remember or/and have a basic understanding of knowledge.Higher-order questions require students to apply,analyze,or/and evaluate.The phi coefficient was calculated to investigate the relationship between whether questions were case-based and the required level of cognitive processing.Results:Our results demonstrated that 98.1% of case-based questions required higher-level cognitive processing.Of the non-case-based questions,33.7% required higher-level cognitive processing.The phi coefficient demonstrated a significant,but moderate correlation between the presence of a patient case in a question and its required level of cognitive processing (phi coefficient= 0.55,P< 0.001).Conclusion:Medical instructors should be aware of the association between item format (case-based versus non-case-based) and the cognitive processes they elicit in order to meet the desired balance in a test,taking the learning objectives and the test difficulty into account.
