摘要：Standard setting of exams is an important element ofmedical education. This is understandably so: it isdifficult to qualify for medical school in the first placeand once there, most assessments are high-stakes andfailure rates need to be justified. As a consequence,numerous procedures have been established to determine cut-off values for exams. A cut-off value is thescore of an assessment that determines who passes theexam and who does not. The cut-off in turn determinesthe failure rate, which is the percentage of studentsbelow the cut-off value who fail the exam.
