Presented By: Stephen Peterson, Touro University Nevada College of Osteopathic Medicine
Co-Authors: Erika Assoun, Touro University Nevada College of Osteopathic Medicine
Casaundra Krob, Touro University Nevada College of Osteopathic Medicine
Terrence Miller, Touro University Nevada College of Osteopathic Medicine
Jennifer Obodai, Touro University Nevada College of Osteopathic Medicine
Anne Poliquin, Touro University Nevada College of Osteopathic Medicine

Purpose 
Touro University Nevada (TUN) provides a COMBank question bank to first-year osteopathic medical students (OMS1s). We initiated a project that succeeded in increasing qbank usage among OMS1s, and now targeted our next objective: how can we use qbank data to advise students on test-taking skills? This abstract describes the project recently initiated to address this. 

Methods 
Quizzes have been created in the qbank for first-year systems-based courses. Quizzes are not graded or required, but students are encouraged to complete them. The appropriate quiz is released to the cohort at least one week prior to the upcoming exam. Students are advised to complete the quiz and a brief learning questionnaire days prior to the exam and share results with a TUN learning specialist. Quiz reports display time spent per question, initial and final answer choice selected, and whether choices were correct or incorrect. Question text and explanations are also available. We are holding sessions with learning specialists to review the information provided and discuss how this can be used to counsel students. Learning specialists review each quiz and questionnaire, documenting observations, advice and longitudinal performance. We will subsequently survey students to gauge their satisfaction with the process. 

Results 
This project was initiated in fall 2023 and is still in the early stages. The process shows promise in assisting students in developing improved test-taking skills so that assessment scores better reflect their topic knowledge. 

Conclusions 
An early lesson learned is that students most likely to benefit are those typically scoring in the "C" range or better. Students who struggle to pass exams ordinarily have significant knowledge gaps that overshadow flawed test-taking skills. We are using data we collect to continually refine and enhance advice we tailor to individual students.