Computer Emulated Oral Exams: rationale and implementation of cue-free interactive computerised tests

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Abstract
Some of the shortcomings of multiple choice and short essay tests in medical school can be overcome by using computer assisted testing. It is difficult, however, to use even these tests to effectively examine reasoning and decision making ability. Traditionally, these skills have been most effectively tested by oral examination. Oral exams, however, have severe drawbacks, paramount among which is the faculty time involved. This constraint and other limitations of oral examinations can be alleviated by using the computer to emulate oral testing. This paper describes recently developed software which makes this possible. Preliminary use of this software on microcomputers with a medical school class is described and the implications of this experience are discussed.

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