There is a broad literature in multiple-choice test development, both in terms of item-writing guidelines, and psychometric functionality as a measurement tool. However, most of the published literature concerns multiple-choice testing in the context of expert-designed high-stakes standardized assessments, with little attention being paid to the…

This study explored the impact of homogeneity of answer choices on item difficulty and discrimination. Twenty-two matched pairs of elementary and secondary mathematics items were administered to randomly equivalent samples of students. Each item pair comparison was treated as a separate study with the set of effect sizes analyzed using…

Pediatric resident trauma education is suboptimal due to lack of a curriculum and limited trauma experience and education resources. The objective of the study was to test knowledge retention and acceptability of interactive spaced education (ISE) in pediatric trauma. Prospective, randomized trial involving 40 physicians in a pediatric emergency…