Background: Clinical reasoning is one of the core features of clinical competency. Training and assessing clinical reasoning is vital in post-graduate training. Extended matching questions(EMQs) are effective in assessing problem-solving and clinical reasoning abilities, but not commonly used in Postgraduate training. Covid-19 pandemic, which prevented both patient encounter and regular academic activities, warranted the introduction of innovative Teaching-Learning methods to sustain clinical reasoning skills. Hence, we aimed to introduce EMQs in formative assessment among anaesthesia residents and analyzed its psychometric properties. Methods: The study was conducted at the Department of Anaesthesiology, MGMCRI, Pondicherry. Four modules of EMQs as part of a formative assessment was conducted among residents (n=20). A total of 40 clinical vignettes and 60 options were administered. Post-validation of the EMQs was done by item analysis. Test reliability was estimated by the Kuder-Richardson 20 formula. Difficulty index(DIF-I), discrimination index(DIS-I), and distractor functionality were analysed. Results: The KR-20 reliability coefficient was 0.72. The mean DIF-I was 0.43±0.17, where 72.5%(29) were in the acceptable range, 20%(8) difficult, and 7.5%(3) easy. The mean DIS-I was 0.28±0.24, where 40%(16) had acceptable, 27.5%(11) excellent, and 20% had poor discrimination. Ninety percent of distractors were functional. The DIS-I exhibited a positive correlation with DIF-I (r= 0.2155, P=0.0185). Conclusions: The results of the present study indicates that EMQs have acceptable test reliability. The majority of the items (80%) followed the principles of MCQs. We conclude that EMQs can be effectively used as part of the postgraduate assessment to test higher-order knowledge and clinical competency.
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J, A., Ravindran, C., & Kumar VR, H. (2021). Descriptive Analysis of the Psychometric Properties of Extended Matching Questions Conducted Among Anaesthesia Residents. Future of Medical Education Journal, 11(2), 31-36. doi: 10.22038/fmej.2021.55078.1380
Annie Sheeba J; Charulatha Ravindran; Hemanth Kumar VR. "Descriptive Analysis of the Psychometric Properties of Extended Matching Questions Conducted Among Anaesthesia Residents". Future of Medical Education Journal, 11, 2, 2021, 31-36. doi: 10.22038/fmej.2021.55078.1380
J, A., Ravindran, C., Kumar VR, H. (2021). 'Descriptive Analysis of the Psychometric Properties of Extended Matching Questions Conducted Among Anaesthesia Residents', Future of Medical Education Journal, 11(2), pp. 31-36. doi: 10.22038/fmej.2021.55078.1380
J, A., Ravindran, C., Kumar VR, H. Descriptive Analysis of the Psychometric Properties of Extended Matching Questions Conducted Among Anaesthesia Residents. Future of Medical Education Journal, 2021; 11(2): 31-36. doi: 10.22038/fmej.2021.55078.1380