The transition of the United States Medical License Exam Step 1 examination to pass/fail was implemented in January 2022 with the intent to reduce medical student stress levels while ensuring that students maintained a sufficient degree of medical knowledge in order to continue in their educational journey. While this is an admirable goal,…

This article presents principles and practices of effective assessment, outlining seven key concepts--usefulness, reliability, validity, practicality, washback, authenticity, and transparency--and demonstrating how to apply them in creating an exam blueprint. The article also discusses the importance of providing feedback after a test has been…

If pass/fail and other nontraditional grading systems are to remain a part of the academic process, other evaluative methods must be adopted (professional recommendations and comprehensive exams) so that students are not short-changed when applying for entry into the marketplace or further education. (Author PG)

The University of Texas Southwestern Medical School administered identical, simultaneous objective structured clinical examinations to large medical school classes and found the method logistically and psychometrically feasible. Potential for use of the test to make pass-fail grading decisions and proposals for modification of administration and…

A central problem for the user of domain-referenced tests in instruction is deciding who has passed and who has failed. Two procedures were presented and discussed. The first, employing classical test theory, was found to be more useful for larger domains and where the passing standard is 70 percent or less. The sampling procedure suggested by…