Best Practices in Writing Test Items

This article is based on content presented by Lori L. Alexander, MTPW, ELS, MWC, at the AMWA Medical Writing & Communication Conference. It was originally published in the AMWA Journal.

Continuing medical education credits are often awarded based on answers to test questions, so it is essential that the questions be designed well.

Research shows, however, that “almost half of all test items have flaws,” said veteran continuing medical education writer and editor Lori Alexander. This problem is driving the need to develop better test items and is creating job opportunities for medical writers and editors. In this open session, she explained how to write test items using guidelines and best practices from the National Board of Medical Examiners and the American Board of Internal Medicine.