Protocol for conducting scoping review on reliability and validity of low-stakes assessments in medical education

<b>ABSTRACT</b><br>Low-stakes assessments (LSAs) are widely used in medical education to promote continuous learning by providing formative feedback and minimizing the high-stress environment associated with high-stakes assessments. While LSAs are recognized for their role in supporting student learning, questions remain about their reliability and validity. This scoping review aims to systematically identify and synthesize existing literature on the reliability and validity of LSAs within medical education contexts. This study aims to map the methodologies used to establish psychometric parameters, identify problems, and offer best practices.<br>The review will use the Joanna Briggs Institute methodology, encompassing a comprehensive search across six academic databases and grey literature to identify relevant studies published from 2000 onward. Two reviewers will independently screen and extract data, using the Covidence tool for systematic screening and data extraction. Data will be analyzed using qualitative and quantitative approaches to provide an overview of reliability and validity evidence for LSAs in medical education. Insights into motivational and psychometric theories, such as Self-Determination Theory, Classical Test Theory, and Generalizability Theory, that inform LSA design and implementation will be used to analyse the findings in this review.<br>Expected outcomes include a detailed map of the literature on LSA reliability and validity, identification of key challenges, theoretical underpinnings and recommended strategies for improving LSA practices in medical education. Findings will inform future research and provide guidelines for optimizing the use of LSAs to enhance student learning outcomes, assessment integrity, and the educational experience in medical training.