Evaluation of modified essay questions (MEQs) as an assessment tool in third-year medical students’ modular summative assessment

Implementing case-based MEQs and MCQs in the summative assessment of medical curriculum favored discrimination between high and low scorers, minimized chances for students' guessing and fostered deep learning and analytical comprehension of knowledge, and ensured medical students' exposure to various item types. The current findings highlight the potential of using well constructed case-based MEQs in high stake medical exams together with MCQs for comprehensive assessments of problem solving skills.