Modified essay question (MEQ) paper: perestroika.

Traditionally the modified essay question (MEQ) paper has attempted to test problem solving and decision making based on an on-going family saga using seven or eight questions to be answered in 90 minutes. Candidates' scripts are double marked by two College examiners. This format imposes constraints on the range of questions asked and results in contrived scenarios. It is possible to be 'coached' for this and double marking is expensive in examiner time. Recent studies show that validity and reliability are improved by increasing the number and range of questions in a 'surgery type' paper. Single marking has been instituted and the MEQ paper will in future consist of 10 or more questions to be answered in 2 hours. Examiners' marking performance is monitored by senior examiners. Technical and statistical considerations are discussed, as are implications for candidates and course organizers.