Literature DB >> 33579896

The interrelationship between confidence and correctness in a multiple-choice assessment: pointing out misconceptions and assuring valuable questions.

Renata Grazziotin-Soares1, Coca Blue2, Rachel Feraro2, Kristen Tochor2, Thiago Machado Ardenghi3, Donald Curtis4, Diego Machado Ardenghi2.   

Abstract

INTRODUCTION: The aim of this study was to better understand the interfaces of being correct or incorrect and confident or unconfident; aiming to point out misconceptions and assure valuable questions.
METHODS: This cross-sectional study was conducted using a convenience sample of second-year dental students (n = 29) attending a preclinical endodontics course. Students answered 20 multiple-choice questions ("basic" or "moderate" level) on endodontics, all of which were followed by one confidence question (scale). Our two research questions were: (1) How was the students' performance, considering correctness, misconceptions, and level of confidence? (2) Were the questions valuable, appropriate and friendly, and which ones led to misconceptions? Four situations arouse from the interrelationship between question correctness and confidence level: (1st) correct and confident, (2nd) correct and unconfident, (3rd) incorrect and confident (misconception) and (4th) incorrect and unconfident. Statistical analysis (α = 5%) considered the interaction between (a) students' performance with misconceptions and confidence; (b) question's difficulty with correctness and confidence; and (c) misconceptions with clinical and negative questions.
RESULTS: Students had 92.5% of correctness and 84.6% of confidence level. Nine students were responsible for the 12 misconceptions. Students who had more misconceptions had lower correctness (P < 0.001). High achieving students had low confidence in their incorrect responses (P = 0.047). 'Moderate' questions had more incorrectness (P < 0.05) and less confidence (P = 0.02) than 'basic'. All questions were considered valuable [for example, the ones that presented images or required a mental picture of a clinical scenario, since they induced less misconception (P = 0.007)]. There was no difference in misconceptions between negative questions and other questions (P = 0.96).
CONCLUSION: Preclinical endodontic students were highly correct and very confident in their responses. Students who had more misconceptions had also the lowest performance in the assessment. Questions were valuable; but some will worth further improvement for the future. A multiple-choice assessment, when combined with confidence questions, provided helpful information regarding misconceptions and questions value.

Entities:  

Year:  2021        PMID: 33579896      PMCID: PMC7881024          DOI: 10.1038/s41405-021-00067-4

Source DB:  PubMed          Journal:  BDJ Open        ISSN: 2056-807X


  20 in total

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2.  Diagnostic errors and reflective practice in medicine.

Authors:  Sílvia Mamede; Henk G Schmidt; Remy Rikers
Journal:  J Eval Clin Pract       Date:  2007-02       Impact factor: 2.431

3.  Assessment of the calibration of periodontal diagnosis and treatment planning among dental students at three dental schools.

Authors:  Brittany A Lane; Paul Luepke; Eros Chaves; Gerardo Maupome; George J Eckert; Steven Blanchard; Vanchit John
Journal:  J Dent Educ       Date:  2015-01       Impact factor: 2.264

4.  Misconceptions amongst dental students: How can they be identified?

Authors:  R Grazziotin-Soares; S L Lind; D M Ardenghi; D A Curtis
Journal:  Eur J Dent Educ       Date:  2017-02-28       Impact factor: 2.355

5.  Determining measures of insight and foresight from responses to multiple choice questions.

Authors:  Mike Tweed; Mark Thompson-Fawcett; Peter Schwartz; Tim J Wilkinson
Journal:  Med Teach       Date:  2012-11-05       Impact factor: 3.650

6.  Does student confidence on multiple-choice question assessments provide useful information?

Authors:  Donald A Curtis; Samuel L Lind; Christy K Boscardin; Mark Dellinges
Journal:  Med Educ       Date:  2013-06       Impact factor: 6.251

7.  The Role of Faculty Development in Improving the Quality of Multiple-Choice Questions in Dental Education.

Authors:  Saleem Shaikh; S Karthiga Kannan; Zuber Ahamed Naqvi; Zameer Pasha; Mazood Ahamad
Journal:  J Dent Educ       Date:  2020-03       Impact factor: 2.264

8.  Will a Short Training Session Improve Multiple-Choice Item-Writing Quality by Dental School Faculty? A Pilot Study.

Authors:  Mark A Dellinges; Donald A Curtis
Journal:  J Dent Educ       Date:  2017-08       Impact factor: 2.264

9.  Patient Demonstration Videos in Predoctoral Endodontic Education: Aspects Perceived as Beneficial by Students.

Authors:  Hadeel Y Edrees; Johan Ohlin; Michael Ahlquist; Mesfin K Tessma; Nabil Zary
Journal:  J Dent Educ       Date:  2015-08       Impact factor: 2.264

10.  Knowledge, application and how about competence? Qualitative assessment of multiple-choice questions for dental students.

Authors:  Mesküre Capan Melser; Verena Steiner-Hofbauer; Bledar Lilaj; Hermann Agis; Anna Knaus; Anita Holzinger
Journal:  Med Educ Online       Date:  2020-12
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  1 in total

1.  BDJ Open 2021 - our most successful year to date.

Authors:  Jonathan Lewney
Journal:  Br Dent J       Date:  2022-05       Impact factor: 2.727

  1 in total

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