The Current and Potential Use of Course Examinations

Hilliard Jason, MD, EdD
JAMA. 1966;198(3):289-290. doi:10.1001/jama.1966.03110160117034.
Text Size: A A A
Published online


Undergraduate medical education, with very rare exception, is divided into discrete courses, each dealing with a specific subject area, such as physiology, physical diagnosis, or pediatrics. Characteristically, our assessment of student achievement relies heavily upon examinations based on these courses. There are two aspects of this practice to which I will focus our attention: (1) some of the educational implications of compartmentalizing our instruction and evaluation into "courses" and (2) the consequences of basing our assessments of students largely on formal examinations. Both of these matters lead into the larger questions of what it is that we want students to learn and how we can best assure ourselves that they have learned.

Meanings of Course Examinations  In the final course examinations which we administer, we are knowingly or unknowingly saying to the students, "This is a sampling of the central issues you were to have derived from our instruction; this


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.