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To provide a meaningful picture about medical students’ communication competencies, the assessment methods need to fulfill certain quality indicators like validity, reliability and objectivity. Creating and conducting such assessments can be very resource-intensive.

Although formal mistakes and cueing are quite often in MC-questions (MCQs), support in the identification of conspicuous items by automatic algorithms is rarely known. This support is given by the web-based Item Management System (IMS), an all-in-one platform to facilitate all steps in the workflow of assessment and to provide special features for quality assurance.

Good examinations require considerable resources. Beside medical faculties several institutions which perform assessment in postgraduate education or in other health care professions are confronted with this challenge.