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Lisa, what would you say is your ratio of MC to other methods of assessment? Just curious. I like the idea of asking why an answer was chosen. Even if they say, "I'm guessing," at least you have some good information about where they are.
I would think that post secondary students know the MC type test quite well before they get to massage school, but I guess that depends on where they went to school. I know that it is, in some instances, the best way to test knowledge and make sure people have the basics (e.g. attachments sites), but overall they are lousy indicators of students' understanding of integrated material.
It goes back to how we teach and how people learn (learning theories). Teacher training--but that's a different discussion.
Besides doing the more creative kinds of assessment projects I mentioned above, when I give multiple choice tests, which I use b/c the licensing exam is multiple choice, throughout the test under some of the questions, I ask, "Why did you choose this answer?" with space for a written explanation. Students have told me that they appreciated this.