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ABSTRACT: Background
The novel Immediate Self-feedback Very Short Answer Question (ISF-VSAQ) format exhibited testlet effect due to its instant feedback feature. This study utilized the testlet-as-a-polytomous-item-modeling (TPIM), an extension of item response theory, to tackle the testlet-related challenges.Methods
Ninety-four pre-clinical students participated in two ten-item ISF-VSAQ exams on cardiovascular drugs based on a parallel blueprint. Each question involves clinical vignettes followed by expected answers, self-marking, and understanding levels. Messick's validity framework guided the collection of validity evidence.Results
Validity evidence included five sources: (1) Content: Experts reviews and alignment with the standard examination blueprint. (2) Response proc
SUBMITTER: Lertsakulbunlue S
PROVIDER: S-EPMC11933642 | biostudies-literature | 2025 Feb
REPOSITORIES: biostudies-literature