Study Design

From January to September 2016, we included all volunteer medical students with previous cardiology validation in two medical schools (University Paris Descartes, Paris, France and University Denis Diderot, Paris, France). Students were randomized in a cross-over design between two groups to avoid order bias. Group 1 started with evaluation by SG and finished with evaluation by MCQs and group 2 performed alternatively. The tests were performed in the examination centers of both medical schools. Both tests lasted 30 minutes and the tests were performed consecutively. The study was approved by the educational committee of both institutions. All students gave their informed consent before inclusion.