A useful article on a number of levels. The literature review was useful to identify the issues surround MCQs, and dispel a few myths.
A key message I took from the article is the use of MCQs within summative assessment, as part of a varied assessment model is appropriate. However, some of the efficiency savings in terms of marking are likely to be required within the question development. For instance, they suggested they authored questions aimed at higher order skills, but they took time to write and validate to reduce any bias.