The Path to a Defensible Exam Question
1️⃣
Select the content or competency to assess.
2️⃣
Define the learning objective.
3️⃣
Determine the appropriate cognitive level.
4️⃣
Choose the item type and clinical context.
5️⃣
Write the scenario and stem.
6️⃣
Develop the correct answer and plausible distractors.
7️⃣
Review for accuracy, clarity, bias and defensibility.
8️⃣
Revise, peer review and finalize the item.