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Twelve tips for introducing very short answer questions (VSAQs) into your medical curriculum

Bibliographic Data

ID21448869
AuthorsLaksha Bala (0000-0002-8242-379X, Imperial College London), Rachel Westacott (0000-0001-9846-1961, Birmingham Medical School, University of Birmingham, Birmingham, UK), Celia Brown (0000-0002-7526-0793, Warwick Medical School, University of Warwick, Coventry, UK), Amir H Sam (0000-0002-9599-9069, Imperial College London, corresponding author)
Year2023
Volume45
Issue4
Pages360-367
Publication date2023-04-03
Open AccessYes
TypeARTICLE
VenueMedical Teacher (JOURNAL)
Journal identifiersISSN: 0142-159X • E-ISSN: 1466-187X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2022.2093706
PMID35833915
OpenAlexW4285388794
LanguageEN
Citations received4
References cited32

Most undergraduate written examinations use multiple-choice questions, such as single best answer questions (SBAQs) to assess medical knowledge. In recent years, a strong evidence base has emerged for the use of very short answer questions (VSAQs). VSAQs have been shown to be an acceptable, reliable, discriminatory, and cost-effective assessment tool in both formative and summative undergraduate assessments. VSAQs address many of the concerns raised by educators using SBAQs including inauthentic clinical scenarios, cueing and test-taking behaviours by students, as well as the limited feedback SBAQs provide for both students and teachers. The widespread use of VSAQs in medical assessment has yet to be adopted, possibly due to lack of familiarity and experience with this assessment method. The following twelve tips have been constructed using our own practical experience of VSAQs alongside supporting evidence from the literature to help medical educators successfully plan, construct and implement VSAQs within medical curricula

Construct (python library) · Curriculum · Formative assessment · Mathematics education · Medical education · Pedagogy · Plan (archaeology) · Summative assessment · Test (biology) · Clinical Reasoning and Diagnostic Skills · Computer Science · Innovations in Medical Education · Medical Education and Admissions · Medicine · Psychology

  • Very short answer questions vs. multiple choice questions in health professions education

    Open Access•Ali Sher, Muhammad Moin Ud Din Arshad et al.•BMC Medical Education•2026

  • Response to

    Elise V van Wijk, Roemer J Janse et al.•Medical Teacher•2023

  • Assessing medical knowledge

    Open Access•Harry G Potter, J McLachlan•Medical Teacher•2025

  • Evaluating large language models as graders of medical short answer questions

    Open Access•Olena Bolgova, Paul Ganguly et al.•Medical Education Online•2025

  • Assessment in Medical Education

    Ronald M Epstein, Malcolm Cox et al.•New England Journal of Medicine•2007

  • Thinking differently – Students’ cognitive processes when answering two different formats of written question

    Open Access•Amir H Sam, Rebecca Wilson et al.•Medical Teacher•2021

Citations per year1.33
Citation span2023 - 2026 (4)
Highly citedNo

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Open DOIOpen Access
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