“Automating the way we handle orders for assessments has been a tremendous help. For many years we had to enter each learning module and its assessment order through our fulfillment system. Then, we re-entered these orders into Questionmark using an ASCII file listing test takers and their assessment schedules. This …

“Our use of question types to date has been fairly basic, with multiple choice dominating. We will begin to broaden our usage with patient recordings of symptoms, sound bites from our learning modules for wrong-answer feedback and other sophisticated approaches.”