Reliability and discrimination
We compared the VSAQs of students starting with VSAQs with the MCQs of students starting with MCQs. This comparison reflects the results of the VSAQs and MCQs that are not influenced by prior questions. VSAQs had higher reliability compared to MCQs (Cronbach’s α 0.74 vs. 0.57 in RM; 0.87 vs. 0.83 in DA for VSAQs vs. MCQs, respectively) (