{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:42:14Z","timestamp":1791474134467,"version":"4.3.4"},"reference-count":87,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Education"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Validity is a term that carries significant weight within health professions education (HPE), particularly with regard to learner assessment. Validity theory has changed significantly over the last century, transforming in concert with education, measurement and assessment practices. Most recently, HPE has adopted the conceptualisation of validity as an argument supporting the interpretation (and sometimes uses) of assessment data. The spread of competency\u2010based education and programmatic assessment has introduced new tensions and opportunities for operationalising argument\u2010based approaches to validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors used a selective interpretive synthesis of the literature to explore how current argument\u2010based validity frameworks can be extended to support the complexity of programmatic assessment and to meet the social imperative of public protection that is core to competency\u2010based education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The authors advocate that argument\u2010based frameworks, such as those of Messick or Kane, are useful in applying validity theory to competency\u2010based education, particularly when navigating the complexity of programmatic assessment and the increasing emphasis on consequences of assessment decisions. The authors propose three ways that can help with validity and validation in competency\u2010based systems: argumentation theory, integration of qualitative principles in validation and evidence\u2010centred design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Argument\u2010based validity conceptualisations provide flexibility to accommodate competency\u2010based assessment systems and allow for the foregrounding of consequences of assessment decisions during validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/medu.70325","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:36:38Z","timestamp":1790321798000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Validity in competency\u2010based health professions education"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0052-4130","authenticated-orcid":false,"given":"Benjamin","family":"Kinnear","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2036-2119","authenticated-orcid":false,"given":"Meredith","family":"Young","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3266-9289","authenticated-orcid":false,"given":"Michael S.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Evaluation, and Scholarship, Department of Pediatrics University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2816-0773","authenticated-orcid":false,"given":"Jean\u2010S\u00e9bastien","family":"Renaud","sequence":"additional","affiliation":[{"name":"Department of Family and Emergency Medicine Universit\u00e9 Laval  Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102923.2003.01594.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15366359mea0101_02"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","DOI":"10.1080\/0969594X.2016.1172871","volume-title":"The great validity debate","author":"Newton PE","year":"2016"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2010.500704"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002066"},{"key":"e_1_2_11_7_1","volume-title":"The history of educational measurement","author":"Kane M","year":"2021"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12734"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459\u2010016\u20109716\u20103"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13592"},{"key":"e_1_2_11_11_1","volume-title":"Standards for educational and psychological testing","year":"2014"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12401"},{"key":"e_1_2_11_13_1","first-page":"13","volume-title":"Educational measurement","author":"Messick S","year":"1989"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.21315\/eimj2019.11.2.6"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14853"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.7334\/psicothema2013.260"},{"key":"e_1_2_11_17_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4614-7135-6","volume-title":"Instrument development in the affective domain: school and corporate applications","author":"McCoach DB","year":"2013"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001114"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.112.3.527"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15366359mea0203_1"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745\u20103984.2001.tb01130.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.10.036"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41077\u2010016\u20100033\u2010y"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2020.1856802"},{"key":"e_1_2_11_25_1","unstructured":"SullivanGM.A primer on the validity of assessment instruments. 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