By A. Stewart Truswell
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Extra resources for ABC of LearningTeachingMedicine
Closed questions invoke relatively low order thinking, often simple recall. Indeed, a closed question may elicit no response at all (for example, because the learner is worried about being wrong), and the teacher may end up answering their own question. 26 Effective teaching depends crucially on the teacher’s communication skills. Two important areas of communication for effective teaching are questioning and giving explanations. Both are underpinned by attentive listening (including sensitivity to learners’ verbal and non-verbal cues).
Assessment of clinical skills has formed a key part of medical education for hundreds of years. However, the basic requirements for reliability and validity have not always been achieved in traditional “long case” and “short case” assessments. Skill based assessments have to contend with case specificity, which is the variance in performance that occurs over different cases or problems. In other words, case specificity means that performance with one patient related problem does not reliably predict performance with subsequent problems.
The format of extended matching questions is still relatively unknown, so teachers need training and practice before they can write these questions. There is a risk of an under-representation of certain themes simply because they do not fit the format. Extended matching questions are best used when large numbers of similar sorts of decisions (for example, relating to diagnosis or ordering of laboratory tests) need testing for different situations. Example of an extended matching question (a) Campylobacter jejuni, (b) Candida albicans, (c) Giardia lamblia, (d) Rotavirus, (e) Salmonella typhi, (f) Yersinia enterocolitica, (g) Pseudomonas aeruginosa, (h) Escherichia coli, (i) Helicobacter pylori, (j) Clostridium perfringens, (k) Mycobacterium tuberculosis, (l) Shigella flexneri, (m) Vibrio cholerae, (n) Clostridium difficile, (o) Proteus mirabilis, (p) Tropheryma whippelii For each of the following cases, select (from the list above) the micro-organism most likely to be responsible: x A 48 year old man with a chronic complaint of dyspepsia suddenly develops severe abdominal pain.
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