Background: In medical education, multiple choice questions/Items are the more frequently used assessment tools to assess the knowledge abilities and skills of medical students, for being their objectivity, wide coverage in less time. However only the Quality Items gives a valid and reliable assessment. The quality of an Item is determined by difficulty index (DIF I), Discrimination Index (DI) and Distractor efficiency (DE). Aim of the study was to know the quality of Items in pharmacology by Item analysis and to develop a MCQs bank with quality Items.Methods: The present study was conducted on 150 II MBBS students of Guntur Medical College, AP, India. A class test containing 50 Items with 150 distractors from topic chemotherapy was conducted. Item with the correct choice/response was awarded with one mark and with the wrong choice zero marks, no negative marks. Each test Item was analysed with DIF I, DI and DE and the results were tabulated and tested statistically, with unpaired "t" test.Results: Mean DIF I, DI, DE values with standard deviations in the present study are 44.72+17.63%, 0.30+0.12%, 84.48+24.65 respectively. DIF I of 32 (64%) items was good to excellent range (31%-60%) 9 (18%) Items were easy (>61%) and 9(18%) Items were difficult (>30%). DI of 10 (20%) Items was good (0.15 to 0.24.) 29 (58%) Items were excellent with DI > 0.25 and 11 (22%) Items were poor with DI <0.15. Among 150 distractors, 127 (85%) were functional distractors (FDs) and 23 (15%) were non-functional distractors (NFDs). DE of 33 (66%) items with nil NFDs was 100%, for 12 (24%) Items with one NFD, was 66.6%, for 4 (8%) items with 2 NFDs was 33.3% and for 1 (2%) Item with 3NFDs DE was 0%. When unpaired "t" test was applied to the means of "difficult" and "easy" Items, 96.22+11.33% SD, 51.44+29.31% SD respectively, the p-value obtained was 0.00058, which was highly significant.Conclusions: The study showed that Item analysis is a valid tool to identify quality Items, which assess, the students’ knowledge abilities and discriminate different levels of performance abilities of students effectively.
Background: According to World Health Organization resources, Selfmedication is selection and use of drugs to treat self-diagnosed disorders or symptoms which includes the usage of non-prescription drugs. It is widely seen among undergraduate students especially in developing countries like India. Our objective of the study is to know the pattern of self-medication practice among undergraduate medicos in medical college attached to tertiary care hospital. Methods: This is a Prospective, cross-sectional, questionnaire-based study conducted among 184 medical students of 5 th Semester in pharmacology lecture gallery, Guntur Medical College and Hospital, A.P. India. Among 200 students of 5th semester, 184 students gave the written consent for the study and submitted the given questionnaire. Fourteen questionnaires were incomplete and so the remaining 170 were analysed. Results: Results showed that 126 (74%) respondents practiced self-medication. The main health issues for seeking self-medication were found to be upper respiratory tract infection as reported by 39 students (31%) followed by diarrhea (32 students) (25%), fever (23 students) (18%). Drugs commonly used were analgesics (32%) followed by antibiotics (24%). The reasons for practicing selfmedication were mild illness for 66 students (52%) and time-saving for 35 students (28%). Conclusions: Though the self-medication practice is inevitable, drug authorities and health professionals need to educate students about the pros and cons of practicing self-medication.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.