From: Utility of RAND/UCLA appropriateness method in validating multiple-choice questions on ECG
Reasons | Changes in appropriateness | |||
---|---|---|---|---|
Appropriate→Revision (n = 2/46) | Discussion→Candidate (n = 33/54) | Discussion→Revision (n = 19/54) | Discussion→Defer (n = 2/54) | |
Clinical importance | ||||
High clinical importance | 29 | |||
Low clinical importance | 1 | |||
Difficulty | ||||
High difficulty level question | 9 | |||
Basic level question | 13 | |||
Question | ||||
Multiple choices that cannot be excluded | 2 | 11 | ||
Inappropriate description of the choice | 6 | 1 | ||
Inappropriate description in the question | 1 | 5 | ||
Inappropriate image | 4 |