Extended report
Multiple choice question quiz: a valid test for needs assessment
in CME in rheumatology and for self assessment
A Aeschlimanna, R Westkaemperb, M Dohertyc, A D Woolfd
a Clinic of
Rheumatology and Rehabilitation, 5330 Zurzach, Switzerland, b Institute for Medical Education,
Faculty of Medicine, University of Bern, 3010 Bern, Switzerland, c Academic Rheumatology,
Clinical Sciences Building, City Hospital, Nottingham NG5 lPB, UK, d Duke of
Cornwall Rheumatology Department, Royal Cornwall Hospital, Truro,
TR1 3LJ, UK
Correspondence to: Dr Aeschlimann a.aeschlimann{at}rehazurzach.ch
Accepted for publication 15 December
2000
Drawing from experience in Switzerland, a test of 60 multiple choice questions covering the entire area of rheumatology was constructed and used at the international symposium of rheumatology, EULAR, Geneva 1998. It was introduced as a multiple choice question game, the language was English, and the level of acceptance was very
high. Language posed only occasional problems. The reliability of the
test for internal consistency was high (Cronbach 
0.852). One of the
main target groups, the private practitioners, was the largest group of
rheumatologists (nearly 50%). Evaluative statements of the
participants indicate that it was a highly relevant test for
rheumatology. This test is a valuable way for needs assessment in
continuing medical education and for self assessment. Importantly, it
has been shown that such a test can be conducted at an international level.
© 2001 by Annals of the Rheumatic Diseases
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