Development and assessment of creating exams in the medical education world is critical. Sometimes assessments lead to needing to change curriculum (Niedermier, Way, Kasick, & Kuperschmidt, (2010).
Reference
Niedermier, J., Way, D., Kasick, D., & Kuperschmidt, R. (2010).
Effect of curriculum change on exam performance in a 4-week psychiatry clerkship. Academic Psychiatry. 34(3):216-9. doi: 10.1176/appi.ap.34.3.216.