Renee Gagliardi, National Board of Medical Examiners (NBME)
Margaret Richmond, National Board of Medical Examiners (NBME)
David Mehrtens, National Board of Medical Examiners (NBME)



Assessment organizations are under pressure to innovate rapidly and while upholding high standards for content development and psychometric quality. This requires strong cross-functional alignment across product, test development, psychometrics, and software delivery. Using an Agile process is a powerful way to cultivate cross functional collaboration to deliver innovative assessments and assessment-related solutions faster and with greater impact. This session shows how Agile Scrum has been applied to both new item type development and adjacent tools like data insights. Attendees will learn how to form cross-functional teams, structure sprints, and balance governance with speed. Through real examples and practical metrics, we’ll show how Agile can reduce time-to-launch, improve stakeholder engagement, and help teams respond to evolving needs.