The video item type is useful across a wide range of content areas and exam programs. Video can be used to better represent crucial aspects of the profession. In addition, video can facilitate coverage of test content not easily measured with traditional written stems.

Alternative item types (AIT) is a catch-all term, and can refer to any item type that's new or a bit different from the standard multiple choice (MC) item. AITs are sometimes called innovative item types or technology-enhanced items.

This post is the first in a planned series on AITs. In this post we’ll consider why program staff might want to add AITs to an exam program and a useful approach to designing the item types so that they will be successful. Future posts will address some popular AITs individually, along with other factors to consider when implementing new item types.