Peer generation of multiple-choice questions: student engagement and experiences.

A free online system for generation of multiple-choice questions (PeerWise) was implemented in three courses (course A, B, and C) in two different years (second and third year) of a veterinary degree program. Students were asked to author questions, and answer and rate each other's questions. Student experiences of the system were explored using an online survey. The majority of students in both years either agreed or strongly agreed that both authoring and answering questions was helpful for their studies and wanted to use the system again in future courses. Thematic analysis highlighted students' views that engaging with the resource increased breadth and depth of knowledge and understanding and was very useful for revision purposes. There was a statistically significant difference between students in second and third year regarding whether students felt it was necessary for academic staff to be involved in the review process. Thematic analysis of this aspect identified issues relating to confidence in the ability of the peer group and the need for reassurance in the second-year group. Student engagement with the system was correlated with examination performance. In courses A and B there was a positive correlation between number of questions answered and examination performance, in course C there was no correlation. This study highlights the benefits of peer activity around question generation and proposes that such activities are an efficient and effective means to support student learning.