Academic Medicine: May 2018 - Volume 93 - Issue 5 - p 781-785
In 2007, the United States Medical Licensing Examination embedded multimedia simulations of heart sounds into multiple-choice questions. This study investigated changes in item difficulty as determined by examinee performance over time. The data reflect outcomes obtained following initial use of multimedia items from 2007 through 2012, after which an interface change occurred.
Medical Care: April 2017 - Volume 55 - Issue 4 - p 436-441
The objective of this study is to identify modifiable factors that improve the reliability of ratings of severity of health care–associated harm in clinical practice improvement and research.