Evidence map›Paper›PMID 41696062›Full record

ArticlePerspectives on medical education2026

Computer Testing, Formative or Summative, and Proctoring: Does it Matter? Lessons Learned From the Dutch Interuniversity Progress Test of Medicine During the Corona Pandemic.

Jan Hindrik Ravesloot, Jeroen Donkers, Ariadne A Meiboom, Alexandra M J Langers, Bram Jacobs, Rene Tio, Cees van der Vleuten, Andreas J A Bremers

Abstract read
In one paragraph

Article in Perspectives on medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jan Hindrik RaveslootAmsterdam University Medical Center, location Amsterdam Medical Centre, Amsterdam, the Netherlands.ORCID 0000-0002-7683-5915
Jeroen DonkersDepartment of Educational Development and Research of the Faculty of Health, Medicine and Life sciences of the University of Maastricht, Maastricht, the Netherlands.ORCID 0000-0002-6769-0355
Ariadne A MeiboomAmsterdam University Medical Center, location Free University Medical School, Amsterdam, the Netherlands.ORCID 0000-0002-3038-9497
Alexandra M J LangersLeiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-1627-4324
Bram JacobsDepartment of neurology, University Medical Center, Groningen, the Netherlands.ORCID 0000-0002-7078-8118
Rene TioDepartment of cardiology, Catharinaziekenhuis Eindhoven, Eindhoven, the Netherlands.ORCID 0000-0003-1164-5827
Cees van der VleutenDepartment of educational development and research in the faculty of health, medicine and life sciences, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0001-6802-3119
Andreas J A BremersRadboud University Medical Centre, Nijmegen, the Netherlands.ORCID 0000-0002-2871-4836

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The COVID-19 pandemic prompted significant changes in the administration of the Dutch Interuniversity Progress Test of Medicine, offering a unique opportunity to investigate the effects of various test formats. This study explores the impact of transitioning from paper-based to computer-based testing, the shift from summative to formative testing, and the effectiveness of remote proctoring compared to live supervision. Methods: Data from over 10,000 participants across five medical schools were analyzed. Results: Results showed no significant difference in student performance between paper-based and computer-based tests. Additionally, remote proctoring proved to be as effective as live supervision in preventing dishonest behavior. Formative testing yielded slightly better results than summative testing in most schools, although the effect varied between institutions. Discussion: Overall, our study concludes that computer-based testing is a viable alternative to paper-based formats, and remote proctoring can effectively replace live invigilation, at least in our setting and under COVID-19-related circumstances.

Indexed as

Computer-Assisted InstructionEducational MeasurementCOVID-19HumansNetherlandsPandemicsSARS-CoV-2

Identifiers

PMID41696062
PMCPMC12904123

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.