Educational assessment is the process whereby knowledge, skills or progress can be measured through some form of evidence based decision making. One of the by-products of the assessment process is grading. It is important to note that assessment is a lot more than just grading, and typically happens on a far more frequent basis than grading (which is typically only a periodical – usually annual – event). That assessment drives the learning process is a belief to which many students and teacher will attest, and this is also supported by research [1, 2]. But exactly how this assessment is implemented is equally important, and this is unfortunately commonly misunderstood. As we move away from curriculum descriptions, and embrace learning outcomes (c.f. Bologna Process – Berlin Communiqué [3]) the need for more adaptable assessment tools is ever increasing.