10.7910/DVN/YJP1ZMMarcos Carvalho BorgesMarcosCarvalho BorgesRibeirão Preto Medical School, University of São PauloLuciane Loures SantosLucianeLoures SantosRibeirão Preto Medical School, University of São PauloPaulo Henrique MansoPaulo HenriqueMansoRibeirão Preto Medical School, University of São PauloElaine Christine Dantas MoisésElaine ChristineDantas MoisésRibeirão Preto Medical School, University of São PauloPedro Soler ColtroPedroSoler ColtroRibeirão Preto Medical School, University of São PauloPriscilla Costa FonsecaPriscilla CostaFonsecaeduCat, Belo HorizontePaulo Roberto Alves GentilPaulo RobertoAlves GentileduCat, Belo HorizonteRodrigo de Carvalho SantanaRodrigo deCarvalho SantanaRibeirão Preto Medical School, University of São PauloLucas Faria RodriguesLucas FariaRodriguesRibeirao Preto Clinical HospitalBenedito Carlos MacielBenedito CarlosMacielRibeirão Preto Medical School, University of São PauloHilton Marcos Alves RiczRibeirão Preto Medical School, University of São PauloHarvard Dataverse2024Medicine, Health and Life SciencesMarcos Carvalho BorgesMarcosCarvalho BorgesRibeirão Preto Medical School, University of São Paulo2024-11-102024-11-1315684944808105384009684998618text/tab-separated-valuestext/tab-separated-valuestext/tab-separated-valuestext/tab-separated-valuestype/x-r-syntaxtype/x-r-syntaxtype/x-r-syntax1.0CC0 1.0With the COVID-19 pandemic, online high-stakes exams have become a viable alternative. This study evaluated the feasibility of computer-based testing (CBT) for medical residency applications in Brazil and its impacts on item quality and applicants' access compared to paper-based testing. In 2020, an online CBT was conducted in a Ribeirao Preto Clinical Hospital in Brazil. In total, 120 multiple-choice question items were constructed. Two years later, the exam was performed as paper-based testing. Item construction processes were similar for both exams. Difficulty and discrimination indexes, point-biserial coefficient, difficulty, discrimination, guessing parameters, and Cronbach's alpha coefficient were measured based on the item response and classical test theories. Internet stability for applicants was monitored.