en Medical Education Medical Education Debate Article Debate Article <p>  The process of determining the minimum pass level to separate the competent students from those who do not perform well enough is called standard setting. A large number of methods are widely used to set cut-scores for both written and clinical examinations. There are some challenging issues pertaining to any standard setting procedure. Ignoring these concerns would result in a large dispute regarding the credibility and defensibility of the method. The goal of this review is to provide a basic understanding of the key concepts and challenges in standard setting and to suggest some recommendations to overcome the challenging issues for educators and policymakers who are dealing with decision-making in this field. </p><p>  </p> Student assessment, Standard setting, Reliability, Validity. 215 220 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-663&slc_lang=en&sid=1 Sara Mortaz Hejri sa_mortazhejri@razi.tums.ac.ir 200319475328460012887 200319475328460012887 No Medical Education Department, Tehran University of Medical Sciences, Tehran, Iran. Mohammad Jalili mjalili@tums.ac.ir 200319475328460012888 200319475328460012888 Yes Emergency Medicine Department, Medical Education Department, Tehran University of Medical Sciences, Tehran, Iran.