IDEAL RType Wizard

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R-type Item Writing Wizard
HK Ng, C. Hazlett, J Ware, S. Yip
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Background
R-type selected response items (also referred to
as Extended Matching Questions EMQ) are
particularly suitable for measuring medical
students scientific clinical reasoning
abilitiesHowever, some teachers find that
composing an R-type item is difficult and/or
time-consuming

• Additionally, some basic medical science teachers
  have difficulty assessing their students
  reasoning abilities within a clinically relevant
  context

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Objective Purpose

• The R-type item writing wizard is designed to
  assist basic clinical science teachers
  composing well designed R-Type items more easily
  quickly

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Using the Wizard to Create an R-type Item
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Select a Discipline, Topic Theme from the
respective lists provided by the wizard. When the
Theme is selected, a set of relevant options will
be automatically provided. More than one set may
be available.
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Select or Compose an Appropriate Lead-In Question
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Next, compose a relevant, appropriate scientific
or clinical scenario
Two yr-old boy is brought to clinic complaining
of generalized rash fever for 1 day. Rash
initially appeared on face trunk then spread to
limbs. Intensity of rash in axilla groin region
has recently increased. Skin feels like
sand-paper there is also circumoral pallor.
Throat is congested examination is otherwise
uneventful.
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Vignette can be composed within the wizard or
copied pasted from Word Pad or another source
except MS Word
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Specify the Option Which is the Correct Answer
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Compose Relevant Feedback for Students
Feedback can be provided to the students after
the assessment for formative purposes
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If another clinical scenario is relevant for the
same option set, compose a 2nd vignette
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Example of a 2nd Scenario Applicable for the
Same Option Set

• Six yr-old girl, who has had cold fever for 3
  days, is sent home from school because she is
  feeling so poorly. Later in the same day she
  develops a maculopapular rash on her face
  trunk. She does not want to get out of bed,
  preferring the bedroom curtains to be closed. On
  examination, there is grayish spot on the mucous
  membrane of her mouth.

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Click button Add Scenario
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2nd Scenario is Added
Sequential position of this scenario is indicated
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By default the feedback from the previous
(first) scenario is included
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Several vignettes can be generated under the same
option set
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Example of a 3rd Scenario
One yr-old boy is admitted to the AE department
due to high fever generalized rash. His mother
claims that the boy was still playful a few hours
ago his condition has deteriorated very
quickly. On examination, the rash is
non-blanching , irregular in size, with a
necrotic centre.
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Transferring the R-Type Item(s) to MS Word
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If one has finished entering all scenarios for a
particular set of options, but wishes to also
generate other R-type items, click the button
Export and Continue
Using this protocol, the exported item will be
displayed in MS Word only after all the other
R-type items have been created
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When one has finished generating all R-type items
click button Export and Exit
Using this protocol, the wizard will close a MS
Word document will appear (see next slide)
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Example of an R-type Item Displayed in MS Word
After item(s) is (are) displayed in MS Word, go
to Words menu bar - click View - select
Print Layout
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The Wizard can Increase in its Capability
If no appropriate option set is presently
available in the Wizard, add a new option set for
use now for the future how to achieve this is
explained in the following slides
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Click the Tab Input/Edit Option Set(s)
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Select an existing Discipline Select an
existing Topic Select an existing Theme
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Compose (or copy paste) your new options one by
one within Add Option text box click the
button Add
The options will be added to above option set
text box
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An Example of a New Option Set for the Theme of
Chest Pain

• Asthma
• Costochondritis (Tietze Syndrome)
• Conversion Disorder
• Esophagitis
• Foreign Body
• Myocarditis
• Muscle strain
• Pericarditis
• Pneumonia
• Pneumothorax
• Precordial Catch Syndrome
• Supraventricular Tachycardia

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Generating the New Option Set
Click Create New Option Set button the new
option set is added to the wizard its total
number of option sets is appropriately increased
(e.g., 271)
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Wizard also enables one to add additional sets of
Disciplines / Topics / Themes
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Type in a new discipline in relevant text box
click button Add Discipline/Panel
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Similarly type in a new topic theme in relevant
text box click the button Add Topic/Theme
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Saving the changes made to Discipline / Topic /
Theme
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Click button Save Changes Permanently
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R-type Intranet Wizard
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• The R-type Wizard Intranet Version has all the
  same features as the PC Version.
• and in addition, items created with the Intranet
  Wizard can be saved to the IDEAL non-restricted
  item bank if this item bank is being kept on the
  same server as the wizard

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To enter the item into the non-restricted IDEAL
bank, click button Save Item and Continue Edit
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