Thank you for your question. Assessment should reflect the educational objectives of the course. Use formative, ongoing and summative assessment. Formative assessment tools must be the same tools used in the summative assessment. Use several tools to assess different aspects of objectives. The tools you mentioned are fine.

Both are effective and depend on the objectives that we want to reach

I recommend for you reading this textbook, there are two chapters on assessment

International Handbook of Research in Medical Education

Geoffrey R. Norman, Cees P.M. van der Vleuten, D.I. Newble

The following paper answers your question

Assessment of Postgraduate Medical Education

Thanks Samy Azer for the link, name of the book and your important addition to the discussion.

Thanks Mazin H Al-Hawaz for your valuable comments.

All methods of assessment have strengths as well as limitations. The role of an assessment planner is to use different methods to maximize the benefits of such assessment.

The assessment method chosen should align with the nature of the knowledge, skills, or behaviors to be assessed and should reflect the educational objectives of the course. Summative assessment determines student progression and to provide a summary of a student’s performance to be used to make decisions about the student grade and validation and accreditation purposes so

Practical - Direct observation of the procedural skills (DOPS)/OSPE. Formative assessment is a core contributor to learning itself. Use several tools to assess different aspects of objectives so the other methods suitable specially mini-clinical evaluation exercise (mini-CEX)