Dr Priya Khanna, Associate Professor (Nexus Fellow) at the School of Clinical Medicine, University of New South Wales, discusses the transformative power of programmatic assessment in healthcare education. Priya argues for a holistic assessment strategy that prioritises students' capabilities over mere scores, advocating for meaningful integration of assessments throughout a course. The discussion highlights some of the limitations of traditional assessment practices and emphasises the need for a paradigm shift that aligns evaluation with the realities of student development.