“…In this study, we addressed construct representation first through an iterative design process synthesizing expert opinions and literature review, assuring that the scenarios and scoring methods captured behaviors that reflect essential aspects of the five targeted constructs. This is consistent with previous work 23,24 and corroborated by participant, facilitator, and rater survey results indicating that the scenarios and rubrics are realistic, representative, and critical to safe independent practice. The scenarios elicited performances that were scored over the full range of behavioral descriptors.…”