Concommitant with changes in education, health care roles, and evaluation in recent years, a new six year combined B.S. and M.D. program was inititated at the University of Missouri at Kansas City. Evaluation was integrated into the academic plan in order to assess student progress toward the overall goal of becoming a safe physician, as well as achievement in specific areas of the curriculum. Although several evaluation procedures are in place at this institution, this paper describes only the Item Library. The Item Library is a computerized information retrieval system containing, at this time, 10,000 test questions and support information. Each entry of the Item Library consists of the test question, Medical Subject Heading (MeSH) code, date submitted, source, history of use and update, item analysis data, and a specific bibliographic reference. The psychometric data indicate that the Quarterly Profile Exams generated from the Item Library are reliable and valid measures. Extending the computer assisted testing procedures of the Item Library into other allied health fields is in progress. (Author/RC)