Co-Authors
Huyen Tran, Ryan Smith, Dinh-Huy Nguyen, Joseph Morand

Learning Objectives

Explain how authoring good Multiple Choice Questions (MCQs) helps the resident author learn radiology to prepare for the ABR Core Exam.
Identify the advantages of resident peer review and feedback for resident authored MCQs.
Describe how to use PeerWise to implement a resident authored MCQ bank for free.

CONTENT DESCRIPTION:
The ABR Core Exam uses standardized multiple choice questions (MCQs). Residents prepare by using commercial question banks, which are variable in quality and require out of pocket expenses. Our program has implemented a new learning resource using a free online repository, PeerWise, to create a resident generated private question bank. This exhibit shows how to implement this learning tool in your department. Using PeerWise, residents are required to create and submit MCQs which feature our own de-identified patient images in the question stems. Authors create questions with only one best answer among three plausible distractor options. Every submitted MCQ is accompanied by an explanation, which the quiz taker will have immediate access to after submitting an answer. After reviewing the explanation, the quiz taker is asked to assign a difficulty and quality score to the question. As more residents use PeerWise, the highest yield and highest quality questions are identified. After creating questions, residents report having a better understanding of the topic, and an improved ability to parse question stems and identify distractors. Also, faculty can evaluate MCQ quality for resident rotation evaluations. Studies have shown a positive correlation exists between active participation in PeerWise and performance on examinations in undergraduate and medical school courses. According to Bloom's Revised Taxonomy, creating MCQs requires a higher level of cognitive processing compared to simply answering MCQs alone. Therefore, creating a comprehensive question bank will lead to a deeper understanding of radiology among residents who actively participate in PeerWise.

Conclusion: A resident generated MCQ bank is a high yield board preparation resource which is free and easily implemented.

William Stutzman MD

Appearances