In this episode of the SAAHE podcast I speak to Prof. Scarpa Schoeman, Director of Undergraduate Medical Education at the Wits Medical School, Faculty of Health Sciences, University of the Witwatersrand, where he leads and directs the Graduate Entry Medical Programme. Scarpa and I talk about the (almost) universal pass mark (cut score) of 50% and the problems with this as a standard. We also discuss possible alternatives to standard setting that take into account the validity and reliability of the assessment scores, as well the difficulty of the test.