An overview of some of the principles behind the design of low- and high-stakes multiple choice tests, with a focus on neurology. With Drs. Harry Sutherland and Jeremy Moeller. References: 1. Quality and Validity Evidence for a National In-Training Examination for Epilepsy Fellows -- https://doi.org/10.1212/NE9.000000000020009 2. Juul D, Flynn FG, Gutmann L, Pascuzzi RM, Webb L, Massey JM, Dekosky ST, Foertsch M, Faulkner LR. Association between performance on Neurology In-Training and Certification Examinations. Neurology. 2013 Jan 8;80(2):206-9. doi: 10.1212/WNL.0b013e31827b92a3. 3. movementmodules.yale.edu