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

Complete the form to get your PDF download today. You will also have the option to download the Spanish or Portuguese version of the guide. 

We now offer remote workshops for individuals seeking to improve their item-writing skills and develop better multiple-choice questions.

Designed for medical school educators, professionals working in the health sciences or medical editing, or anyone seeking to improve their item-writing skills, NBME Item-Writing Workshops feature interactive, hands-on writing sessions with NBME staff, who will teach you best practices that can be applied directly to your own exams.