Have a personal or library account? Click to login
Computer Testing, Formative or Summative, and Proctoring: Does it Matter? Lessons Learned From the Dutch Interuniversity Progress Test of Medicine During the Corona Pandemic Cover

Computer Testing, Formative or Summative, and Proctoring: Does it Matter? Lessons Learned From the Dutch Interuniversity Progress Test of Medicine During the Corona Pandemic

Open Access
|Feb 2026

Figures & Tables

Table 1

Distribution of test conditions and student participation across the five medical schools during four assessments in the indicated months in the academic year 2020–2021.

CONDITION/MONTH OF TEST ADMINISTRATIONSEPTEMBERDECEMBERFEBRUARYMAYTOTAL
SCHOOL 1
Formative
Computer-based
At-home test
17041719112111125656
Summative
Paper-based
Exam venue
806193122356
Summative
Computer-based
Exam venue
00000
Summative
Computer-based
At-home test
Remote online proctoring
415334671005
total17881781174717017017
SCHOOL 2
Formative
Computer-based
At-home test
14221124111911144779
Summative
Paper-based
Exam venue
00000
Summative
Computer-based
Exam venue
2836975516943
Summative
Computer-based
At-home test
Remote online proctoring
12536528251101
total17171729172216556823
SCHOOL 3
Formative
Computer-based
At-home test
16831655145416666458
Summative
Paper-based
Exam venue
2852764201961177
Summative
Computer-based
Exam venue
00000
Summative
Computer-based
At-home test
Remote online proctoring
292531489
total19971956190518667724
SCHOOL 4
Formative
Computer-based
At-home test
17595848755863804
Condition/Month of test administrationSeptemberDecemberFebruaryMayTotal
Summative
Paper-based
Exam venue
168128795212123619
Summative
Computer-based
Exam venue
00000
Summative
Computer-based
At-home test
Remote online proctoring
00000
total19271871182717987423
SCHOOL 5
Formative
Computer-based
At-home test
8556766396242794
Summative
Paper-based
Exam venue
00000
Summative
Computer-based
Exam venue
00000
Summative
Computer-based
At-home test
Remote online proctoring
1143277057121858
total9691003134413364652
TOTAL
Formative
Computer-based
At-home test
742357585208510223491
Summative
Paper-based
Exam venue
5331624146515305152
Summative
Computer-based
Exam venue
2836975516943
Summative
Computer-based
Remote online proctoring
159889179712084053
total839883408545835633639
pme-15-1-1771-g1.png
Figure 1

Time spent on the September computer-based test. In the bachelor’s curriculum, age groups are synchronized (1, 5, and 9), while in the master’s curriculum, all curricular age groups are represented (13–24). Y-axis: number of students; X-axis: time spent on the progress test (in minutes). Curricular age groups are distinguished by colour coding. A small number of students with physical or mental challenges were granted additional time beyond the standard 240-minute limit by the boards of examiners of their medical school. See text for further details.

pme-15-1-1771-g2.png
Figure 2

Time spent on formative assessments (FORM, in blue, 9371 students), summative computer-based assessments (SUM in orange, 300 students), and summative paper-based assessments (SUMP in yellow, 163 students), all from curricular age group 1. Y-axis: number of students; X-axis: time spent on the progress test (in minutes). Extended time was granted for a small number of students with physical or mental challenges by the boards of examiners of their medical school. See text for additional details.

pme-15-1-1771-g3.png
Figure 3

Distribution of individual student scores per curricular age group on formative (FORM blue) and summative (SUM, orange) progress tests. All scores of all tests between in academic year 2020–2021 of 5 universities are included. Their z scores were computed and the outliers (z > 3 and z < –3) removed. Every dot represents one student. Superimposed box-plots summarize the data. The median value is indicated as well as the first and third quartile and the 5th and 95th percentile. See text for details.

pme-15-1-1771-g4.png
Figure 4

Pooled z-scores of summative (orange) and formative tests (blue) of 106851test results obtained between 2015 and 2021. Formative results of university 1 are used as a reference for comparisons. There is a significant interaction between university and the effect of the test variant.

DOI: https://doi.org/10.5334/pme.1771 | Journal eISSN: 2212-277X
Language: English
Submitted on: Mar 3, 2025
|
Accepted on: Dec 15, 2025
|
Published on: Feb 11, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Jan Hindrik Ravesloot, Jeroen Donkers, Ariadne A. Meiboom, Alexandra M. J. Langers, Bram Jacobs, Rene Tio, Cees van der Vleuten, Andreas J. A. Bremers, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.