Hollywood essentials are being put to use in one medical school’s effort to correct some of the shortcomings of text-based multiple-choice exams, performance on which have a big effect on the residency Match process.


Several studies have found that exams consisting of multiple-choice questions—particularly the United States Medical Licensing Examination—are not the best or only evaluation method that should be used in postgraduate residency selection, according to Senthil Kumar Rajasekaran, MD.

He made the point during a presentation at Patient-Centered Care in the 21st Century: Health Systems Science Through the Medical Education Continuum, a student-led thematic meeting organized by members of the AMA Accelerating Change in Medical Education Consortium.

Dr. Rajasekaran is associate dean for academic affairs and professor in the physiological sciences department at Eastern Virginia Medical School (EVMS), a member of the AMA’s consortium.

He cited research showing that, as assessment measures, multiple-choice exams test knowledge. Measuring clinical skills is a different, more complex, task.

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