The progress test (PT) consists of four quarterly tests of 200 multiple-choice questions that measure students’ knowledge at graduate level. The questions are based on the Dutch National Blueprint for Medical Education. Each consecutive test includes 200 new items. All schools adhering to the Dutch National Blueprint for Medical Education contribute to the provision of test items in all categories, which are then reviewed by a committee. Thus, none of the students benefit disproportionately, because the writers of the items are equally distributed over the individual schools. The progress test is taken by all medical students of the four Dutch medical schools at the same time [9].
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