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Gothenburg University use new testing approach improves long-term knowledge retention

Gothenburg University use new testing approach improves long-term knowledge retention


Ola Hammarsten, a professor in the Clinical Chemistry Department at Gothenburg University, wanted to implement a new testing approach for his medical students to improve understanding of key concepts and long-term knowledge retention.


After being introduced to Möbius Assessment and its many capabilities, Hammarsten adopted the software to better communicate and engage with his students. He began designing his own questions to support his unique testing approach and uses Möbius Assessment to administer them to his students.


Hammarsten evaluates the process by assessing both test results and direct feedback from his students. The response to Möbius Assessment has been positive, as it improves student focus and supports their ability to learn and remember key concepts long-term. Hammarsten will soon begin implementing all of his courses with Möbius Courseware, DigitalEd’s complete online courseware environment.

Case Study: New Testing Approach Improves Long-Term Knowledge Retention

Rapid advances in technology are providing opportunities to apply educational solutions in unique and innovative ways across various fields. In the medical field, where information is critical to saving and enhancing lives, there is a constant effort to more efficiently analyze data and ensure doctors have the latest research at their fingertips. For Ola Hammarsten, Professor and Senior Consultant in the Department of Clinical Chemistry at Gothenberg University, medical statistics are an essential component to training and equipping the next generation of doctors. He recently began using Möbius Assessment to implement a unique testing approach for his students.

With more than 25 years of teaching under his belt, Hammarsten has spent the last 5 years teaching a medical statistics course at the Swedish university. The school itself has an enrollment of more than 30,000 students. He was introduced to DigitalEd’s online testing and assessment technology by an assistant professor at Chalmers University during a discussion about the best methods for communicating with mathematics students. “I heard him talk about the capabilities of Möbius Assessment and immediately thought ‘I must implement this!’” he said. “As I became more familiar with Möbius Assessment and Möbius Courseware, I wanted to learn even more about its capabilities. I began working on questions and assignments to use these tools in my courses. Both Möbius Assessment and Möbius Courseware have immense possibilities.”

Hammarsten uses Möbius Assessment and Möbius Courseware to administer what he calls the Testing Effect, an approach that focuses more time on testing than teaching. He says this approach increases students’ ability to retain knowledge long-term, which should be the goal of education. Hammarsten uses Möbius Assessment to administer mixed-use combinatorial questions, which are built-in multiple choice questions featuring both numeric and worded responses. “We don’t use Möbius Assessment as a scoring instrument; the students test themselves,” he said. “If students learn solely with the objective of completing an exam, there is no evidence they can apply that knowledge in the real world. If you consistently expose them to similar questions, you enhance their ability to understand the question itself. This is the testing effect.”

Professor Ola HammarstenProfessor Ola Hammersten uses Möbius Assessment and Möbius Courseware to implement his customized testing approach

Hammarsten’s testing approach is based on research that has proven pre-defined subroutines are effective and that statistical concepts can invoke a valuable emotional response in students. For example, they can provoke anxiety and anger, which ultimately leads to greater honesty and open discussion, he said. “You can use this emotional response to evaluate different approaches to teaching. Most students like visuals and animations, as it improves their understanding of concepts, but there is a minority who get frustrated, because they want the math, the numbers,” he said. “One approach does not work for 100% of students and their response will let you know what works best. We can also use these responses to help the students understand why such testing works.”

Hammarsten is currently working on a new testing feature he refers to as MixQ’s™, multiple choice questions that feature both worded and numerical answers, sometimes with multiple answers in the same question. For example, the answering syntax of a question may be “X is used to treat Y”, with students required to provide both the specified drug and the ailment it treats. Using standard classifications for drugs and diagnosis lists, Hammarsten uploads hundreds of variables into Möbius Assessment to create tests for his students, which make multiple choice answers and distractors unique each time students activate the question.

If teaching methods give students the option of simply repeating information without analyzing or thinking through concepts, it will lead to weaker recollection and a failure to commit it to long-term memory, Hammarsten explained. “We need to make students actually think about the new data,” he said. “The whole idea behind this approach is that students are forced to think, forced to integrate the data and concepts within the existing information networks in their brain. The result is that information is retained long-term.” In addition, students need to be graded and receive instant feedback, or the effects of his approach will be nullified. Therefore, a program with Möbius Assessment’s capabilities was essential, he said. “It’s clear that Möbius Assessment’s designers took a lot of input from previous users to improve functionality,” he said, citing Möbius Assessment’s adaptive questions and assignments, and the features available to create variable questions. “It’s also harder to cheat. With changing questions, it’s a more individualized process. Students are forced to focus on their own questions.”

       Students at Gothenburg University work through questions designed by professor Ola Hammarsten using Möbius Assessment.

To assess the merits of his teaching methods, Hammarsten offers a reward to students who are willing to give an interview and provide honest feedback on the teaching methods and tools he is developing. The results from these interviews show that students like the unique data sets, as the constantly changing parameters force them to think about the meaning behind the data. “It is important that doctors are able to understand and implement statistical procedures,” he said. “Most don’t understand how statistical tests work, but there is a direct medical implication to not having a specific understanding of statistics.”

The next step for Hammarsten is implementing all of his courses using Möbius Courseware, DigitalEd’s comprehensive online courseware environment that focuses on science, technology, engineering, and mathematics. It allows students to explore important concepts using engaging, interactive applications, visualize problems and solutions, and test their understanding by answering questions that are graded instantly. Möbius Courseware’ features will further enhance Hammarsten’s mission of facilitating long-term knowledge retention in his students. Möbius Courseware will also support a greater objective of Hammarsten’s, which is expanding the eligibility for students taking the course. It is an inefficient use of human resources to restrict education to those who are approved for enrollment at the university, he said. “Even if students fail to meet admission criteria, studies have shown they can still perform well in courses,” he explained. “The massive open online course concept is powerful, but must also be done in a way that everyone agrees is secure. Tools like Möbius Assessment and Möbius Courseware are extremely important in addressing all of these objectives and concerns, and forcing students to engage with the materials.”

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