Rethinking educational validity 100 years on: Whose responsibility is it?

Rethinking educational validity 100 years on: Whose responsibility is it?Assessment occupies a central place in health professions education, both because assessment is seen as a means to safeguard against substandard clinical practice and because poor design and decisionmaking can have significant consequences for multiple rightsholders.For learners, assessment shapes learning (whether intended or unintended), influences educational trajectories and determines entry into the profession.When poorly designed or implemented, it can unfairly disadvantage individuals and create inequitable barriers to professional practice.For patients, their families and the wider community, assessment influences the quality and safety of future healthcare.For educators and professional support staff, assessment represents a substantial investment of time and expertise, encompassing design, implementation, marking, validation, evidence collection and the interpretation of results.Poor assessment practices can undermine