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Merzougui WH, Myers MA, Hall S, Elmansouri A, Parker R, Robson AD, Kurn O, Parrott R, Geoghegan K, Harrison CH, Anbu D, Dean O, Border S. Multiple-Choice versus Open-Ended Questions in Advanced Clinical Neuroanatomy: Using a National Neuroanatomy Assessment to Investigate Variability in Performance Using Different Question Types. ANATOMICAL SCIENCES EDUCATION 2021; 14:296-305. [PMID: 33420758 DOI: 10.1002/ase.2053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 12/10/2020] [Accepted: 01/05/2021] [Indexed: 06/12/2023]
Abstract
Methods of assessment in anatomy vary across medical schools in the United Kingdom (UK) and beyond; common methods include written, spotter, and oral assessment. However, there is limited research evaluating these methods in regards to student performance and perception. The National Undergraduate Neuroanatomy Competition (NUNC) is held annually for medical students throughout the UK. Prior to 2017, the competition asked open-ended questions (OEQ) in the anatomy spotter examination, and in subsequent years also asked single best answer (SBA) questions. The aim of this study is to assess medical students' performance on, and perception of, SBA and OEQ methods of assessment in a spotter style anatomy examination. Student examination performance was compared between OEQ (2013-2016) and SBA (2017-2020) for overall score and each neuroanatomical subtopic. Additionally, a questionnaire explored students' perceptions of SBAs. A total of 631 students attended the NUNC in the studied period. The average mark was significantly higher in SBAs compared to OEQs (60.6% vs. 43.1%, P < 0.0001)-this was true for all neuroanatomical subtopics except the cerebellum. Students felt that they performed better on SBA than OEQs, and diencephalon was felt to be the most difficult neuroanatomical subtopic (n = 38, 34.8%). Students perceived SBA questions to be easier than OEQs and performed significantly better on them in a neuroanatomical spotter examination. Further work is needed to ascertain whether this result is replicable throughout anatomy education.
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Affiliation(s)
- Wassim H Merzougui
- Center for Learning Anatomical Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
- Department of Trauma and Orthopedics, Pilgrim Hospital, Boston, United Kingdom
| | - Matthew A Myers
- Center for Learning Anatomical Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
- Department of Neurosurgery, Salford Royal NHS Foundation Trust, Salford, United Kingdom
| | - Samuel Hall
- Center for Learning Anatomical Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
- Department of Neurosurgery, Wessex Neurological Centre, Southampton, United Kingdom
| | - Ahmad Elmansouri
- Department of Medical Education, Brighton and Sussex Medical School, University of Sussex, Brighton, United Kingdom
| | - Rob Parker
- University of Southampton, School of Medicine, Southampton, United Kingdom
| | - Alistair D Robson
- University of Southampton, School of Medicine, Southampton, United Kingdom
| | - Octavia Kurn
- University of Southampton, School of Medicine, Southampton, United Kingdom
| | - Rachel Parrott
- Department of Anatomy, St Andrews University, St Andrews, Scotland
| | - Kate Geoghegan
- Department of Cardiology, Royal United Hospital, Bath, United Kingdom
| | - Charlotte H Harrison
- Department of Emergency Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - Deepika Anbu
- University of Southampton, School of Medicine, Southampton, United Kingdom
| | - Oliver Dean
- University of Southampton, School of Medicine, Southampton, United Kingdom
| | - Scott Border
- Center for Learning Anatomical Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
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Murlimanju BV, Mishra R, Mohan R, Kosagi S, Agrawal A. Letter to the Editor Regarding: "A Surprise Sabbatical: How Mayo Clinic Neurosurgery Coped with Coronavirus Disease 2019". World Neurosurg 2020; 144:328-329. [PMID: 33227870 DOI: 10.1016/j.wneu.2020.08.156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 08/22/2020] [Indexed: 10/24/2022]
Affiliation(s)
- Bukkambudhi V Murlimanju
- Department of Anatomy, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
| | - Rakesh Mishra
- Department of Neurosurgery, All India Institute of Medical Sciences, Saket Nagar, Bhopal, India
| | - Rajashekar Mohan
- Department of Surgery, K. S. Hegde Medical Academy of Nitte, Mangalore, Karnataka, India
| | - Srinivas Kosagi
- Department of Psychiatry, Dharwad Institute of Mental Health and Neurosciences, Dharwad, India
| | - Amit Agrawal
- Department of Neurosurgery, All India Institute of Medical Sciences, Saket Nagar, Bhopal, India
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