In recent years, Automatic Item Generation (AIG) has increasingly shifted from theoretical research to operational implementation, a shift raising some unforeseen practical challenges. Specifically, generating high-quality answer choices presents several challenges such as ensuring that answer choices blend in nicely together for all possible item…

Programmatic assessment is both a philosophy and a method for assessment. It has been developed in medical education as a response to the limitation of the dominant testing or measurement approaches and to better align with changes in how medical competence was conceptualised. It is based on continual collection of assessment and feedback…