Beyond multiple-choice questions and essays: the need for a new way to assess clinical competence.

@article{Elstein1993BeyondMQ,
  title={Beyond multiple-choice questions and essays: the need for a new way to assess clinical competence.},
  author={Arthur S. Elstein},
  journal={Academic medicine : journal of the Association of American Medical Colleges},
  year={1993},
  volume={68 4},
  pages={
          244-9
        }
}
This essay reviews the influence that research on psychological processes in clinical reasoning has had upon the characteristics and formats of licensing examinations such as the new United States Medical Licensing Examination (USMLE) and its predecessors, emphasizes the implications of such research for the assessment of clinical competence at all levels of medical education, and proposes a challenging new direction for educational research that could make clinical assessment more effective… CONTINUE READING

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