This document discusses formative and summative assessment and the importance of balancing the two. It analyzes data showing assessment patterns with different programs and how formative versus summative assessment relates to deep versus surface learning. The document also examines why formative assessment is important but often struggles to be implemented, providing several theories for this. Finally, it outlines five case studies of programs successfully incorporating formative assessment and has attendees brainstorm principles from these cases to adapt for their own disciplines.