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2011-03-09

Sample Table of Specifications for Multiple Choice Exams in Medical School


Sample Table of Specifications for Multiple Choice Exams in Medical School

To prepare a multiple choice exam or test you have to know the percentages of the topics depending on their importance to the subject and the hours spent in their discussion.

Let’s say you are preparing an exam for the prelim period, for your subject in Human Physiology in medical school; here are steps you can adapt.

1.       Assign the percentage per topic based on the course requirement:

Intro to human physiology – 10%
The human body- 15%
The muscular system -25%
The skeletal system -25%
The cardiovascular system -25%
TOTAL = 100%

N.B. You can adjust the percentages according to your syllabus or academic requirements.

2.       Decide on how many items the test should be. Let’s say you have decided that the items for your Prelim exam are 150. The time allotted should at least be 2 hours for this exam, if 1 minute per question and 3 minutes per problem is assigned.

3.       Present your data in a table of specifications for clarity.

TOPIC
NO. OF ITEMS
PERCENTAGE
Intro to Physiology

10
The Human Body

15
The Muscular System

25
The Skeletal System

25
The Cardiovascular system

25
TOTAL

100%


4.       Solve for the number of items of each topic by multiplying the percentage-decimal equivalent with the total number of items.

Intro to Physiology = 0.10 (10%) X 150 = 15 items
The Human Body = 0.15 (15%) X 150 = 22.50 items
The Muscular System = 0.25 (25%) X 150 = 37.50 items
The Skeletal System = 0.25 (25%) X 150 =37.50 items
The Cardiovascular System = 0.25 (25%) X 150 = 37.50 items

For a total of 150 items. Since there are no 0.5 questions, you may decide to which topic you would assign the 1 item excess.

Let’s say you have the final items assigned:

Intro to Physiology = 0.10 X 150 = 15 items
The Human Body = 0.15 X 150 = 23 items
The Muscular System = 0.25 X 150 = 37 items
The Skeletal System = 0.25 X 150 =37 items
The Cardiovascular System = 0.25 X 150 = 38 items

You come up with this table

TOPIC
NO. OF ITEMS
PERCENTAGE
Intro to Physiology
15
10
The Human Body
23
15
The Muscular System
37
25
The Skeletal System
37
25
The Cardiovascular system
38
25
TOTAL
150
100%


5.       This is the simplest form of preparing for a table of specifications. You may want to be more specific and prepare a more detailed table assigning easy, average and difficult questions. The average questions should at least be 80% of your exams, while the easy at least 20% and the difficult, at least 15 %. This is recommended but the final decision still relies on the subject per se, and the learning ability of your students.


TOPIC
Easy qsns.
Average qsns.
Difficult qsns.
NO. OF ITEMS
PERCENTAGE
Intro to Physiology
3
10
2
15
10
The Human Body
4
16
3
23
15
The Muscular System
5
28
4
37
25
The Skeletal System
5
28
4
37
25
The Cardiovascular system
5
28
4
38
25
TOTAL
22
111
17
150
100%


6.       You should be able to determine which questions are easy, average and difficult based on an item analysis that you have done in previous exams. This is an analysis of what questions were answered easily and correctly and which ones were difficult for the students. There are available software for item analysis that maybe available from your school or you could prepare one yourself through the semesters that you teach the subject.

Preparing a Table of Specifications is an efficient and smart way to prepare your exams.
 
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