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Table 2 Rationale for choice of quality metrics

From: Can automated item generation be used to develop high quality MCQs that assess application of knowledge?

Items included in Gierl & Lai paper (2013)

Rationale for including or excluding

Every item should reflect specific content, as outlined in the test specifications

Excluded because all our items are mapped to objectives

Also, unreasonable to expect participants to know all our objectives

The question is based on important topics in the curriculum and is designed to measure key thinking and problem-solving skills

Excluded because it requires two judgments and we replaced with a question about problem-solving skills

The question is carefully edited, formatted, and presented using correct grammar, punctuation, capitalization, and spelling

Excluded because this is a high-stakes exam, and all items are professionally edited

The central idea is included in the stem, not the options

Included, but re-worded to respect the original language

The stem of the question is worded positively and avoids negatives such as NOT and EXCEPT

Excluded as there are no negatively worded items in our active test bank

Only one of the options is clearly correct

Excluded as this may be difficult for our panel to assess

The correct option is not cued by item writing errors

Included, but re-worded to respect the original language

All of the distractors are plausible

Included, but re-worded to respect the original language