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This study investigated whether the timing of SpLD diagnosis and subsequent implementation of MAP has an impact on performance in applied medical knowledge multiple choice question (MCQ) assessments.\r\nMethod The MCQ performance of 108 students diagnosed with SpLD who received a\u00a0MAP was monitored and compared with 1960 students who received an unmodified assessment, over 5\u00a0years of a\u00a0medical program. Students who received a\u00a0SpLD diagnosis in the latter years of the program were identified as not receiving a\u00a0MAP in assessments prior to diagnosis.\r\nResults Differences were found between declaration and diagnosis, with 44.4% of students who declared and 48.1% who did not declare subsequently receiving a\u00a0diagnosis. Students with SpLD who receive a\u00a0MAP increase their applied medical knowledge assessment performance, although there is a\u00a0delay of up to a\u00a0year for this impact to reach significance.\r\nConclusion Early diagnosis of SpLD is necessary to ensure the intended benefit is received from MAP.<\/jats:p>","DOI":"10.1007\/s40037-019-00553-4","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T12:04:18Z","timestamp":1576757058000},"page":"49-56","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Timing is key to providing modified assessments for students with specific learning difficulties"],"prefix":"10.5334","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6745-8003","authenticated-orcid":false,"given":"Christian P","family":"Gray","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A","family":"Burr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2019,12,19]]},"reference":[{"key":"553_CR1","doi-asserted-by":"publisher","first-page":"345","DOI":"10.12968\/hmed.2012.73.6.345","volume":"73","author":"D Shrewsbury","year":"2012","unstructured":"Shrewsbury\u00a0D. 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