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Table 2 Number and percent of nonfunctioning distractors for 3- and 4-option MCI ITEs

From: A comparison of 3- and 4-option multiple-choice items for medical subspecialty in-training examinations

 

ITE-CCM

ITE-PA

 

2019, 4-opt

2020, 3-opt

2019, 4-opt

2020, 3-opt

 

n

%

n

%

n

%

n

%

Traditional method

 Frequency

188

41.8

77

25.7

241

53.6

107

35.7

 Discrimination

82

18.2

46

15.3

89

19.8

52

17.3

 Frequency and/or discrimination

231

51.3

111

37.0

282

62.7

138

46.0

Sliding scale method

 Frequency

101

22.4

24

8.0

132

29.3

35

11.7

 Discrimination

82

18.2

46

15.3

89

19.8

52

17.3

 Frequency and/or discrimination

162

36.0

65

21.7

202

44.9

83

27.7

  1. Total distractors equal to 450 for 4-option MCI ITEs and 300 for 3-option MCI ITEs