Practice points

DOPS encourages a deep approach to learning in a clinical context. MCQs encourage a surface approach to learning in final examinations. Time pressure increases student stress levels and encourages a surface approach to learning particularly close to assessment points and as opportunities for DOPS became scarcer. Students used achieving strategies when they perceived them as essential for success in both MCQ's and DOPS. Assessment of and for learning should be used to encourage students to develop a deep approach to learning which is more closely aligned with the requirements of clinical practice.