Assessment refers to any formal process used to evaluate a student's level of achievement or progress against defined criteria. It is important in medical education to provide feedback to students, teachers, and the entire system. The principles of good assessment include being valid, reliable, transparent, relevant, feasible, equitable, ongoing, and motivating with feedback. Formative assessment monitors student learning and provides ongoing feedback to improve teaching and learning, while summative assessment evaluates competency at the end of a course. Continuous internal assessment ideally takes place during instruction through unplanned methods to provide structured feedback without marks or grades. However, in practice internal assessment in our system includes semester exams and marks, contradicting the concept of formative assessment.