The Revised METRIQ Score: A Quality Evaluation Tool for Online Educational Resources

Background: With the rapid proliferation of online medical education resources, quality evaluation is increasingly critical. The Medical Education Translational Resources: Impact and Quality (METRIQ) study evaluated the METRIQ-8 quality assessment instrument for blogs and collected feedback to improve it.

Methods: As part of the larger METRIQ study, participants rated the quality of five blog posts on clinical emergency medicine topics using the eight-item METRIQ-8 score. Next, participants used a 7-point Likert scale and free-text comments to evaluate the METRIQ-8 score on ease of use, clarity of items, and likelihood of recommending it to others. Descriptive statistics were calculated and comments were thematically analyzed to guide the development of a revised METRIQ (rMETRIQ) score.

Results: A total of 309 emergency medicine attendings, residents, and medical students completed the survey. The majority of participants felt the METRIQ-8 score was easy to use (mean ± SD = 2.7 ± 1.1 out of 7, with 1 indicating strong agreement) and would recommend it to others (2.7 ± 1.3 out of 7, with 1 indicating strong agreement). The thematic analysis suggested clarifying ambiguous questions, shortening the 7-point scale, specifying scoring anchors for the questions, eliminating the "unsure" option, and grouping-related questions. This analysis guided changes that resulted in the rMETRIQ score.

Conclusion: Feedback on the METRIQ-8 score contributed to the development of the rMETRIQ score, which has improved clarity and usability. Further validity evidence on the rMETRIQ score is required.