Our planned medical curriculum has summative assessment at the end of each of the first 2 academic years. TBL will be used as the principle educational method. Is it reasonable for the TBL grades to be used only formatively, or is there value to these grades contributing to the summative end of year exams? Our current plan is to use TBL grades formatively and to track progress so that students in difficulty can be identified early. Entry to sit the end of year exams will be conditional on satisfactory TBL grades. Naomi Dr Naomi Low-Beer MD MRCOG MEd Locum Consultant Gynaecologist Chelsea and Westminster Hospital 369 Fulham Road London SW10 9NH and Curriculum Development Lead The London Office of the Lee Kong Chian School of Medicine Level 12 Electrical and Electronic Engineering Building South Kensington Campus London SW7 2AZ [Description: Description: Description: Description: Description: cid:image001.jpg@01CBEDEF.FEF5A830] [Description: Description: Description: Description: Description: cid:image002.png@01CBEDEF.FEF5A830]