La Revue de medecine interne · 2026
[Characteristics and performance of the new assessment method during the national digital interfaculty practice exams for the second cycle of medical education].
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Hadjadj Jérôme, Chouchana Laurent, Babin Emmanuel, Basmaciyan Louise, Bonneau Claire, Bouaziz Jean-David, Costedoat-Chalumeau Nathalie, De Prost Nicolas, Fournier Jean-Paul, Jeny Florence, Joly Laure, Karila Laurent, Legallois Damien, Milliez Paul-Ursmar, Neuzillet Cindy, Rouland Alexia, Vergne-Salle Pascale, Winiszewski Hadrien, Noel Nicolas, Roux Damien, Cohen-Aubart Fleur
Аннотация
INTRODUCTION: The transition from the French national ranking exam (ECN) to the new fully digital national exam (EDN) has changed evaluation methods by diversifying assessment approaches. This study aimed to evaluate the characteristics of an inter-university EDN-type practice exam.
METHODS: We included questions from the EDN practice sessions conducted in April 2024 across 12 French medical universities. Data collected for each question included: context and question type, theme, specialty, Bloom's taxonomy level, knowledge rank, success rate, and discrimination index.
RESULTS: Of the 324 questions included in the mixed-format exams administered to students, 304 were analyzed. Multiple-choice questions (MRQs) accounted for 48% of the questions, followed by single-best-answer questions (SRQs, 17%) and short-answer questions (SAQs, 13%). Medical specialties were the most represented (82%). Most questions targeted level A of knowledge (65%) and Bloom's level 2 (53%). The overall success rate was 44%. SAQs showed the highest discriminatory capacity compared to other types. An inverted U-shaped relationship was observed between question success rate and discrimination index: questions with intermediate success rates (45-65%) best discriminated between students.
CONCLUSION: Despite greater diversity in assessment methods introduced by the new reform, MRQs remain predominant in interfaculty practice exams EDN-type exams. SAQs provide stronger discriminatory power. These findings highlight the value of expanding assessment formats to strengthen the validity of the EDN.
METHODS: We included questions from the EDN practice sessions conducted in April 2024 across 12 French medical universities. Data collected for each question included: context and question type, theme, specialty, Bloom's taxonomy level, knowledge rank, success rate, and discrimination index.
RESULTS: Of the 324 questions included in the mixed-format exams administered to students, 304 were analyzed. Multiple-choice questions (MRQs) accounted for 48% of the questions, followed by single-best-answer questions (SRQs, 17%) and short-answer questions (SAQs, 13%). Medical specialties were the most represented (82%). Most questions targeted level A of knowledge (65%) and Bloom's level 2 (53%). The overall success rate was 44%. SAQs showed the highest discriminatory capacity compared to other types. An inverted U-shaped relationship was observed between question success rate and discrimination index: questions with intermediate success rates (45-65%) best discriminated between students.
CONCLUSION: Despite greater diversity in assessment methods introduced by the new reform, MRQs remain predominant in interfaculty practice exams EDN-type exams. SAQs provide stronger discriminatory power. These findings highlight the value of expanding assessment formats to strengthen the validity of the EDN.