Join us for an exploration of medical education assessment, the crucial process that goes far beyond simple grading. We break down the fundamental questions of assessment, discuss what makes evaluation effective, and differentiate between formative feedback and summative exams. A major focus is placed on standard setting – the critical step of deciding the pass mark to ensure future doctors meet required standards. We touch upon various systematic methods for setting standards like Angoff, Nedelsky, and the Borderline method. Understanding these concepts is key for anyone involved in medical education, transforming the role from teacher to a steward of the profession's quality. It's a rigorous, thoughtful process designed to protect patients.