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Student-Authored Multiple-Choice Questions

An Innovative Response to Competency-Based Education

Bibliographic Data

ID21455591
AuthorsPatricia C Pawlow (0000-0003-0916-0046, University of Pennsylvania), Patricia B Griffith (0000-0002-1985-4634)
Year2025
Volume64
Issue7
Pagese85-e88
Publication date2025-07-01
Open AccessNo
TypeARTICLE
VenueJournal of Nursing Education (JOURNAL)
Journal identifiersISSN: 0148-4834 • E-ISSN: 1938-2421
PublisherSLACK, Inc (PUBLISHER)
DOI10.3928/01484834-20240723-04
PMID39653068
OpenAlexW4405175856
LanguageEN
References cited13

Background The shift to competency-based education inspired reflection on using multiple-choice questions (MCQs) to develop and assess student competency. Student-authored MCQs in other fields demonstrate a higher level of knowledge; however, a gap examining the use of this teaching methodology in nurse practitioner education exists. Method Nurse practitioner students created MCQs addressing content objectives. Faculty reviewed each MCQ's accuracy; students integrated feedback and revised questions. Finalized MCQs were posted in a question bank for examination preparation. Results The question bank contained 112 questions covering 32 topics. Students demonstrated increasing success on these questions in subsequent examinations. Questions sometimes revealed content misunderstanding, which faculty addressed and clarified. Student surveys revealed interest in assignment integration in all courses. Conclusion This assignment has progressed to a group project, and a competency-based rubric, mapped to the level 2 American Association of Colleges of Nursing's The Essentials: Core Competencies for Professional Nursing Education , was added. Using student-authored MCQs is a novel method to develop “knows how” competencies. [ J Nurs Educ . 2025;64(7):e85–e88.]

Core competency · Curriculum · Educational measurement · Medical education · Multiple choice · Nurse education · Nurse educator · Nurse practitioners · Pedagogy · Rubric · Innovations in Medical Education · Innovative Teaching Methods · Internal Medicine · Medicine · Problem and Project Based Learning · Psychology

  • The assessment of clinical skills/competence/performance

    G E Miller•Academic Medicine•1990

  • Studying and Constructing Concept Maps

    Open Access•Noah L Schroeder, John C Nesbit et al.•Educational Psychology Review•2018

Highly citedNo

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