Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper.

INTRODUCTION: This paper reports the relationship between the difficulty level and the discrimination power of true/false-type multiple-choice questions (MCQs) in a multidisciplinary paper for the para-clinical year of an undergraduate medical programme. MATERIALS AND METHODS: MCQ items in papers...

Full description

Bibliographic Details
Main Authors: Sim, Si Mui, Rasiah, Raja Isaiah
Format: Article
Published: Academy of Medicine, Singapore 2006
Subjects:
_version_ 1825718455986290688
author Sim, Si Mui
Rasiah, Raja Isaiah
author_facet Sim, Si Mui
Rasiah, Raja Isaiah
author_sort Sim, Si Mui
collection UM
description INTRODUCTION: This paper reports the relationship between the difficulty level and the discrimination power of true/false-type multiple-choice questions (MCQs) in a multidisciplinary paper for the para-clinical year of an undergraduate medical programme. MATERIALS AND METHODS: MCQ items in papers taken from Year II Parts A, B and C examinations for Sessions 2001/02, and Part B examinations for 2002/03 and 2003/04, were analysed to obtain their difficulty indices and discrimination indices. Each paper consisted of 250 true/false items (50 questions of 5 items each) on topics drawn from different disciplines. The questions were first constructed and vetted by the individual departments before being submitted to a central committee, where the final selection of the MCQs was made, based purely on the academic judgement of the committee. RESULTS: There was a wide distribution of item difficulty indices in all the MCQ papers analysed. Furthermore, the relationship between the difficulty index (P) and discrimination index (D) of the MCQ items in a paper was not linear, but more dome-shaped. Maximal discrimination (D = 51% to 71%) occurred with moderately easy/difficult items (P = 40% to 74%). On average, about 38% of the MCQ items in each paper were "very easy" (P > or =75%), while about 9% were "very difficult" (P <25%). About two-thirds of these very easy/difficult items had "very poor" or even negative discrimination (D < or =20%). CONCLUSIONS: MCQ items that demonstrate good discriminating potential tend to be moderately difficult items, and the moderately-to-very difficult items are more likely to show negative discrimination. There is a need to evaluate the effectiveness of our MCQ items.
first_indexed 2024-03-06T05:04:52Z
format Article
id um.eprints-600
institution Universiti Malaya
last_indexed 2024-03-06T05:04:52Z
publishDate 2006
publisher Academy of Medicine, Singapore
record_format dspace
spelling um.eprints-6002020-02-18T02:48:07Z http://eprints.um.edu.my/600/ Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper. Sim, Si Mui Rasiah, Raja Isaiah R Medicine (General) INTRODUCTION: This paper reports the relationship between the difficulty level and the discrimination power of true/false-type multiple-choice questions (MCQs) in a multidisciplinary paper for the para-clinical year of an undergraduate medical programme. MATERIALS AND METHODS: MCQ items in papers taken from Year II Parts A, B and C examinations for Sessions 2001/02, and Part B examinations for 2002/03 and 2003/04, were analysed to obtain their difficulty indices and discrimination indices. Each paper consisted of 250 true/false items (50 questions of 5 items each) on topics drawn from different disciplines. The questions were first constructed and vetted by the individual departments before being submitted to a central committee, where the final selection of the MCQs was made, based purely on the academic judgement of the committee. RESULTS: There was a wide distribution of item difficulty indices in all the MCQ papers analysed. Furthermore, the relationship between the difficulty index (P) and discrimination index (D) of the MCQ items in a paper was not linear, but more dome-shaped. Maximal discrimination (D = 51% to 71%) occurred with moderately easy/difficult items (P = 40% to 74%). On average, about 38% of the MCQ items in each paper were "very easy" (P > or =75%), while about 9% were "very difficult" (P <25%). About two-thirds of these very easy/difficult items had "very poor" or even negative discrimination (D < or =20%). CONCLUSIONS: MCQ items that demonstrate good discriminating potential tend to be moderately difficult items, and the moderately-to-very difficult items are more likely to show negative discrimination. There is a need to evaluate the effectiveness of our MCQ items. Academy of Medicine, Singapore 2006-02 Article PeerReviewed Sim, Si Mui and Rasiah, Raja Isaiah (2006) Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper. Annals, Academy of Medicine, Singapore, 35 (2). pp. 67-71. ISSN 0304-4602, DOI 16565756. http://www.annals.edu.sg/pdf/35VolNo2200603/V35N2p67.pdf 16565756
spellingShingle R Medicine (General)
Sim, Si Mui
Rasiah, Raja Isaiah
Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper.
title Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper.
title_full Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper.
title_fullStr Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper.
title_full_unstemmed Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper.
title_short Relationship between item difficulty and discrimination indices in true/false-type multiple choice questions of a para-clinical multidisciplinary paper.
title_sort relationship between item difficulty and discrimination indices in true false type multiple choice questions of a para clinical multidisciplinary paper
topic R Medicine (General)
work_keys_str_mv AT simsimui relationshipbetweenitemdifficultyanddiscriminationindicesintruefalsetypemultiplechoicequestionsofaparaclinicalmultidisciplinarypaper
AT rasiahrajaisaiah relationshipbetweenitemdifficultyanddiscriminationindicesintruefalsetypemultiplechoicequestionsofaparaclinicalmultidisciplinarypaper