Download the NBME^® Item-Writing Guide

Construct quality test questions for your health science students

The NBME Item-Writing Guide incorporates lessons that NBME staff have learned from decades of developing exam items and leading workshops in the field.

Now in its sixth edition, the NBME Item-Writing Guide provides faculty with:

• A general overview of topics such as item and vignette writing, as well as the basics of psychometrics and measurement
• Insight into improving the quality of multiple-choice items for the foundational and clinical sciences
• New content, including guidance on implementing patient characteristics in items and recent innovations in the use of alternate item types