Objective Addressing the shortcomings of traditional
paper-based immediate question-setting and test administration, including
insufficient standardization, poor objectivity in assessment, and inconvenient
question management, this study explores the value of standardized question
bank development in advancing medical education reform, aligning with
educational advancements, and meeting social needs, against the backdrop of
computer information technology. It aims to provide practical references for
standardized item bank construction in medical universities.
Methods Drawing on the standardized question bank
development experience for clinical medicine courses at Capital Medical
University, this study conducted top-level design of standardized question
banks regarding the significance, overall framework, design approach,
implementation details, and advanced key construction tasks in phases .
Results Traditional paper-based exams face challenges
including lack of assessment standardization, difficulty in comprehensively and
objectively evaluating students' learning abilities and teachers' teaching
effectiveness, insufficient examination reliability and validity, high labor
costs, and inconvenient question updating and management. The standardized
question bank for clinical medicine courses adopts technical parameters such as
question quantity planning (1:3 ratio) and question type proportions (Type A1:
25%), demonstrating multiple advantages of being scientific, standardized, and
efficient. Currently, Capital Medical University has established standardized
question banks for internal medicine, surgery, obstetrics and gynecology, and
pediatrics, which have been widely applied in unified course examinations and
clinical comprehensive examinations. Practical data indicate that the question
types, quantity, question type design, and technical parameter design of the
question bank are reasonably structured, effectively supporting the
implementation of the separation of teaching and examination as well as
paperless assessment, and significantly improving the reliability and validity
of assessments.
Conclusion The primary innovation lies in proposing a
concrete, quantifiable, and replicable "technical parameter system."
Standardized item bank construction aligns with the development trends of
medical education and serves as the foundation for the separation of teaching
and examination. Effective four-party collaboration and dynamic maintenance can
effectively address the shortcomings of traditional paper-based examinations,
providing practical experience for the standardized construction of question banks
in medical universities.