Professionalism, as it is the case in medical and health sciences education, addresses professional attitudes and behaviors that reflect the quality of patient-doctor relationship as endorsed by the professional codes. However, assessing behaviors and attitudes are difficult to be judged through examinations such as MCQs or short answer questions. Such questions may address the theoretical component, but hardly enable testing actual response to a particular situation. We may use case scenarios to mimic real conditions and ask students about what will they do in these situations. However, these questions are artificial and may be asking students about what is ideal rather than identifying their reaction to real situations. Reflective journals and portfolios have been used, but they are difficult to mark and usually used for a pass or a fail scoring, and enabling giving and receiving feedback from a mentor.

My question is about valid and reliable tests that can be used in assessing students in professionals.

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