“…in individual medical schools) where the top performing candidates (e.g. the 90 th or 95 th percentile) in an examination are used to estimate or benchmark the difficulty of the test, and then the standard is set at a proportion of this benchmark, possibly with an additional correction for guessing depending on the local context (Taylor, 2011). Hence, Cohen is perhaps best described as a modified norm-reference approach with in-built adjustment for test difficulty.…”