A movement in Health Science Education to establish discipline-based consortia for test item banking is discussed along with perceived advantages of such sharing. The GRIPE, CATS, MBQB and MAERS/CMT consortia are described with an emphasis on the MAFRS/CMT computer evaluation system. Item banking issues of access v.s. control, quality v.s. size, cooperation v.s. independence, and costs v.s. convenience are explored.
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