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Facuty & Staff Resources

Writing MCQs

Writing Multiple Choice Questions:  An Introductory Tutorial.  This self-paced, interactive tutorial provides a foundation for writing quality multiple-choice questions.  The tutorial introduces some of the main principles of item writing. It is organized into sections so that you can complete part of it and easily return later. The entire tutorial takes about 45 minutes to complete.  Featured topics include:

  • the anatomy of an item
  • basic rules for writing good stems and options
  • characteristics of a quality "best-answer" item
  • writing items to assess clinical reasoning
  • common item flaws
  • strategies for evaluating test items


Formative assessment

Interpretation and Follow-up of Assessment Results

The workshop’s objectives were to:

  • understand the concepts of reliability and validity in interpreting examination results
  • know the difference between criterion-referenced and norm-referenced grading
  • be familiar with the new examination process
  • understand that test and item analysis is an expected part of the examination process

Narrative Assessment

Key Features and the MCC Exam Part I

Medical Council of Canada Guidelines for the Development of Key Feature Problems and Test Cases (pdf)
A practical guide to assessing clinical decision-making skills using the key features approach (Farmer and Page 2005) (pdf)

Assessment guidelines and processes



Please see the following pages for the relevant polices:

Book a Room - Medicine Building

Clinical Teachers' Association of Queen's University