These guidelines describe considerations relevant to the assessment of test takers in or across countries or regions that are linguistically or culturally diverse. The guidelines were developed by a committee of experts to help inform test developers, psychometricians, test users, and test administrators about fairness issues in support of the…

Purpose: In conjunction with curricular changes, a process to develop integrated examinations was implemented. Pre-established guidelines were provided favoring vignettes, clinically relevant material, and application of knowledge rather than simple recall. Questions were read aloud in a committee including all course directors, and a reviewer…