Definition of the problem Multiple choice exams are common in many degree programs that prepare students for health professions. However, it is controversial whether they are appropriate for exams in ethics. This article examines how questions in this format can meet the demands of competency-based ethics teaching. Arguments Multiple choice exams enable the coverage of a large portion of the course content while maintaining a high degree of objectivity. However, they often encourage superficial …
Read moreDefinition of the problem Multiple choice exams are common in many degree programs that prepare students for health professions. However, it is controversial whether they are appropriate for exams in ethics. This article examines how questions in this format can meet the demands of competency-based ethics teaching. Arguments Multiple choice exams enable the coverage of a large portion of the course content while maintaining a high degree of objectivity. However, they often encourage superficial learning strategies. A deeper engagement with the learning content can be stimulated by more complex tasks that require candidates to combine multiple pieces of information and draw conclusions from them using their prior knowledge. Furthermore, competency-based exam questions should aim to assess genuine ethical competencies. Such competencies are usually understood to include ethically relevant knowledge, sensitivity to moral aspects, moral judgment, and appropriate motivation, although these areas cannot be addressed equally in exams. Taking some questions as an example, the article discusses the extent to which these competencies can be assessed with multiple choice questions. It turns out that there are opportunities for constructing appropriate questions as well as clear limitations of the multiple choice format. Conclusion Items with case vignettes can make it possible to construct complex multiple choice questions on ethical topics. However, this format can only achieve the goals of competency-oriented ethics teaching to a limited extent. Therefore, it is recommended to combine them with constructed-response questions.