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chpe BUCM 2025

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Pakistan

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blue printOnline version

chpe BUCM 2025

by Ayesha Basharat
1

Dr Zainab is designing a summative assessment for a reproductive health module. She has developed a blueprint where 70% of the marks are allocated to knowledge-based outcomes and only 10% to application-level outcomes, despite the module objectives emphasizing clinical decision-making and patient counselling. Which of the following best reflects the primary flaw in Dr Zainab’s blueprint?

2

A curriculum committee reviews a blueprint that uses only MCQs to assess knowledge, understanding, and ethical decision-making. They notice that ethical reasoning outcomes are rated highly in the curriculum but are not directly assessed. What is the most appropriate critique of this blueprint?

3

Dr Amir’s team submits a blueprint for a final-year obstetrics OSCE. It maps outcomes and skills, distributes stations across domains, and ensures balanced marks. However, external reviewers raise concerns about lack of evidence that the blueprint aligns with the course-level intended learning outcomes (ILOs). Which action would best strengthen the validity of this blueprint?

4

Dr Sara has constructed a detailed blueprint for her assessment but notices after item writing that the test has a disproportionate number of questions on a less important topic because it was easier to write questions for it. What should she do to ensure blueprint fidelity?

5

During an assessment audit, the committee finds a blueprint where 60% of marks are allocated to procedural skills, but the actual exam includes mostly MCQs with no OSCE or practical station. What does this indicate about the assessment strategy?

Feedback

There is a misalignment between intended outcomes (clinical decision-making) and actual weightage, which undermines constructive alignment.

Ethical reasoning requires item types that assess higher-order thinking (e.g., SAQs, vignettes), not just MCQs.

Explicit mapping to course-level ILOs ensures alignment, enhancing content and construct validity.

Fidelity to the blueprint is essential. Items should reflect blueprint-driven distribution, not convenience.

If procedural skills are emphasized in the blueprint but not tested, this results in construct underrepresentation.

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